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09-25-'l 9 16:44 FROM- T-103 P0001/0001 F-237 <br /> e+a-7eDoozD CRy of Zephyrhihs Permit Application Fax-813-780-Mi <br /> DwIdmg Department <br /> Date ReceNed Phone CwdartTor Pem+iWng a I <br /> T I_ ` <br /> Owtlar'eNamo Qf 1'1 owner Phone Number <br /> Owmaft Address 3%I Vjr <br /> j AVE,7 gahNkf!s j ownerPhtsno Number <br /> Fee Simpla Tidehalder Name S Owner Phone Number <br /> Fee Simple Titleholder Address t `` 1 <br /> JOB ADDRESS (a 11-} g h lr j'7!1 LOT# 1 <br /> •SUBDIVISION PARCEL tas ��aVo"cam^t�clC>-o"�lo�-C+501U <br /> (OBTAINED FROM PROPM V TAX NDABE) <br /> WORK PROPOSED NEW CON STR ADDIALT SIGN Q Q DEMOLISH <br /> El INSTALL ® REPAIR <br /> PROPOSIM USE [� SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK d FRAME STEEL Q <br /> DESCRIPTM OF WORK <br /> BUILDING SIZE 10 SO FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AQ1P SERVICE 7.� Q PROGRESS ENERGY W.R.E.C. <br /> QMECHANICAL S VALUATION OF KCCHANICAL DWALLATIINI <br /> MGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ©YES NO <br /> BUILDER COMPANY LQE CD01 KA-01) 1-V4V#CRS U-Q <br /> SIGNATURE REGISTERED ICXZN FW C UMB Y f N <br /> Address 111 Gt' � ucense# 02&03 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REW SIERED I YIN FEE MMREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE RE04STEREO I YIN FEE 0^ift LILN <br /> Addem License# <br /> MECHANICAL y COMPANY iravit� IA%r COfla%'A.or1! 4 At A. <br /> SIGNATURE ReSWTEREo I YIN I FEEClnatu Y!N <br /> �t 11 a� <br /> �`d' aAddross : Ila1�(s Seheea %N-ja. PMA%"M PLS3Ax' Llrer�e# �Ael$f)- ap <br /> 5 tiL' <br /> 6pp?� OTt•!ER COMPANY <br /> SIGNATURE REawnMED YIN I FM CURRD <br /> Address License$ <br /> si111i111t111111111111111t11111i1i11111f11f11i1i1111I1111 [ [fllllllt <br /> RESIDENTIAL Attach(2)Ptot Plans:(21 sets of Building Plans;(1)sel of Energy Forms:R'O•W Permit for new consougior` <br /> Mkftum ten(1 D)working days after Submittal dam.Required oneile.Construction Plans,Smrmwater Ptans%f SM Fence installed, <br /> $anit"Facilities 6 1 dumpstec Site Work Permit for subaMtiondiatga projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a life Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimpm ten 00)wahine days after sub(niftel data Raqutr0tl onalle,CanstArt on P►ams,Stormrratl r Purr,w4 SIR Fence installed, <br /> Sanitary Facikbes 81 dumpstor.Site Work Pe=h for all nowpfolecls.All commercial requirements must meet ranolisaw <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*PROPERTY SURVEY required for all NEW eorlstruaion. <br /> . .. .■` ' '.idi L 1 1 1 1 T f 1 1 i T 1 i i f 1 i 1 1 T-f I li i. i.l I. <br /> Directions: <br /> FIR out applicalfotr completely. <br /> Owner$Contractor sign back of application,notarized <br /> If aver$2500,a Notice of Commancomemt Is required. WC upg►adas over$7500) <br /> Agent(for the contractor)or Power of Altomey(fords owner)world be someone with notarized fetter from owner suthoriYutg same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remora if shingles Sewers Service Upgrades A!C Fences(PloU8wmay/Feo"e) <br /> OrWeways•Not over Counter if on public madomys..needs ROW <br />