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a13-7so-ooz0 Cily of Zephyfiills.Permit Application Fax-813.7e0-0021 <br /> - BwWing Department <br /> h Date Received. PhowCorrtaet for Permifthg an <br /> 1 3. ?U 56 <br /> �i "nVG_ . Owner Phone i�miber <br /> owners Address 7 pan)n) owner�+hone Ninnber <br /> Fee Srmp[e TftWder Kane'. Owner Phone Number <br /> Fee SLmp)eTid"der Addness <br /> ,tas aooRESSS 9 7 / A�' LOTS <br /> SUBDIVISION rJij1 J ,. PARCEL IDtI R�J�/ D bOD �� DD8 <br /> foar�uiEo rnor vRoeEanruXNonM <br /> WORK PROPOSED. Nt CDNSTR ADD/ALT •Q SIGN = Q DEMOLISH <br /> e INSTALL El" <br /> .=REPAIR <br /> PROPOSED USE -:SFR p COMM u -. OTHER. <br /> TYPE OF,CONSTRUCTION 0 BLOCK 0. FRAME Q" STEEL. <br /> DEscwPrcNOFwoRtc. LS, "C L°i l3t�f"e.bk�. Toni G°.v�G . Onlen�T <br /> BUILDING SIZE. SQ FOOTAGE HEIGHT <br /> =BUILDING Sf VALUATION OF-TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ y. .� bO VALUATION OF MECHANICAL INSTALLATION <br /> =C-M -0 �JJ ROOFING p SPECIALTY Q OTHER <br /> FINISHED.PLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREI\ Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGSTERED Y/N FEE cu—. Y/N <br /> gddtess License# //'��,�� <br /> MECHANIGAL r- COMPANY /�!/!C�J" &Ve-696 9�' <br /> SIGNATURE. REc ® I Y/N FEE CUMUEh YIN q <br /> Address 7 Tit -*,I License.# 9Lc6 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE WrR r Ly/N " <br /> Address License# <br /> .1 11 1 11 1 1.1 1-1./I'l-1 1,1 1 1 1 1-1 1 1 1 Id 11 1 1 I I I I I 111.1.1 I I I I I I Ii I I I I I 1 <br /> RESIDENTIAL Attach(2).Piot Plans;(2)sets of Built Plans;(1)set of Energy Fonns;R-O-W Pe"for new construction, <br /> Mmimrmr tan(10)woTlmlg days after subnuW date..Required onsde,Construction Plans,Stamwater Pions w/Silt Fence installed, <br /> Sanit <br /> ary Facilities A I drum Sde Work Permit for subdivislonsflaw projects <br /> COMMERCIAL Attach(2)c-w*e(e sets cf Bw1dI ig'!"Pius a Lde Safety Page;(1)set cf Energy Fomrs.R-O-W Permit for new construction. <br /> tt fintmr ten 60j uxaldrrg,dirpa ter suhtniltat'date..Reyidied o�ite,C on,Plars,Stomwc ter Plam vd,Silt Fence installed, <br /> Sarritary Faalrties&-1 dumpster.*Work Permit for afl new pr*eds.All commercial wquitements muit meet,compliance . <br /> SIG_N PERMIT Attacti(2)sets d-En'irfeared Ply - <br /> —PROPERTY;SURVEY_regrpred for all NEW construction.. <br /> ki-ow applcation completely.- <br /> Owner&Contractor sign badr of application.notated . <br /> If ova$2500,a.Noiice 4commenordnent FS required, -(AIC.dpgrades over$7WM <br /> Agent(for the )or,Power bf Att mey(for"owner)would be someone with notarized letter from owner auttw"same <br /> OVER THE COUNTER PERMITTING:., .(copy cfoaltrad'requtred) <br /> Reroots"rfshingles. , 'Sewers Sen6ce.Upgades:AlC::: .Fences(Plot/Swey/Footege) <br /> Driveway., Not over.Counter if on"ic roadways-needs ROW. <br />