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elsaeo-0020 City of Zephyfiills Permit Applieation Fax-813-7904 1 <br /> Builtfi�9 Department <br /> Data Received Pie Contact for P.4ting33 <br /> Owners Name 1 r%A L j� hJ Ownor Phone Number <br /> Ownersaddress Owner Phone Number <br /> Fee Sinipte Titleholder Name _ owner.Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS .�a =_y/ems L.OT# <br /> SUBDNIS10 ` .: PARCE4IDi <br /> • . . _ .. -. (Da'r�WED FROM PROPOMTAX NOTICE) j <br /> WORK PROPOSED NEW CONSTR ADD/ALT° [�, SIGN Q <br /> = DEMOLISH I <br /> e INSTALL:,., REPAIR.... <br /> PROPOSED USE SFR 0 COMM. '- OTHER- . <br /> TYPE OF CONSTRUCTION. �] BLOCK <br /> DEscrairTiom oP WORK !3 C�?gN per� -caGLJ777 tN/pnITS 5?" <br /> BUILDING SIZE .Sq FOOTAGE HEIGHT <br /> =BUILDING $ VALUAT19NOFTOTALCONMUCTION. I <br /> =ELECTRICAL "` S AMP SERVICE _ PROGRESS ENERGY Q W.R:E.C. I <br /> =PLUMBING.. . $ f <br /> MECHANICAL $ y 'TI r�r� VALUATION)OF MECHANICAL.INSTALLATION } <br /> ^ <br /> =GAS ROOFING Q SPECIALTY 1..� OTHER.:.. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO i <br /> i <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N. —FFE CURRU Y/N <br /> i <br /> Addressr77777 License it <br /> ELECTRtCM COMPANY <br /> SIGNATURE REGISTERED I YIN FEE Ctffi E Y I N <br /> Address r.. Lcerrse#�! <br /> I <br /> PLUMBER COMPANY I <br /> SIGNATURE REG1sTeRW. I Y/ N FEE CURREn- Y/N <br /> Address License <br /> MECHANICAL qq� 6OM0AkY <br /> SIGNATURE f�W(/�' REGitTEAW Y/N.: FEE CURREA Y/N <br /> I <br /> AkkIrcss e 2 IALe 3M License <br /> OTHER " COMPANY � l <br /> SIGNATURE REGISTERED I Y! /N FEE CUftRET- Y/NJ <br /> Address License# I <br /> rrr`� � � rr.rrrr<rLi � rairr.rrrr:u-rr•rrr,rr.rr.r•rrrrr,r.rir,r;r-�r�:r �,rr.i<:.Trfrr:r.rrrrr,rrrr <br /> RESIDENTIAL Attach(2)Plot Flans;,(2)sets of hiding Plans;(1)set of Energy farms;R 0 W-Permit for new ainshtrotion I <br /> Minimum ten(10)working days' sutmrittai date.'Required'onsite.ConsWotiar Plans;StoritTwater Plans w/Sift Fence installed; <br /> Sanitary Faatuies,&1 dumpster site Work Permit for sutcrmsionsllarge projects f <br /> COMMERCIAL Attach(2)carnplate sets of Buikl'mg Plans.plus a'Life Safety Page:(1)set or Energy Forms.R-O-W Permit for new construction. <br /> Katimum tan('10) days ate sub mittai data. Required araft.Construction Plans,Stonnwater Prams wl Silt Fence installed. . <br /> Sanitary Facilities&1 dumpster.Site.Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PEiNAR' Attach(2)sets of Engiireeted Plans. _ <br /> —PROPERTY SURVEY required.for.all NEW construction._ <br /> OlrecUens:. i <br /> i <br /> Fill out application completely. <br /> Omer&Contractor sign bad(of application,notarized <br /> If over$2500,a Nonce of Commncdnmd is req.lmd..(A/C upg,A.over$7WO) - <br /> " Agent(for the=Wades)or Power of Attorney(far the ovmer)would be someone with notarized letter from owner authorizing same' <br /> OVER THE COUNTER PERMITTING (copyof,conttactrequired).. <br /> Reroafs if shingles Sewers SeMce i$grades"A/C' Fences(Plot/SurveylFootage) . <br /> Orivewrays-Not over Counter if on public roadways»creeds ROW <br /> ! j <br />