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i <br /> sla7aadszo City of Zephyrhil(s Permi.Application Fax-813-7et> 21 <br /> Building Departm t <br /> Date Received Phone Contact for Perm(ttin --CcaCs.3 <br /> Ownees Name �• �Phon'Number <br /> Ownor'S Address Dumar Phone Number <br /> Fes Simple Titleholder Name Owner Phono Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS '\\ LOT 17 <br /> StlaDIVISION 1 \•t f �_ PARCELiDm <br /> IOaTAINZO FROM PROPERTYTAx XanCM <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN ❑ ❑ DEMOLISH <br /> INSTALL REPAIR <br /> ^ <br /> PROPOSED USE L„�.J SFR ❑ Comm OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ❑ FRAME STEEL ❑ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SR FOOTAGE HEtOHT �� <br /> ❑BUILDING § VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE © PROGRESS ENERGY ❑ W.R.E.C. <br /> PLUMBING S <br /> ❑MECHANICAL 5 6Jt� VALUATION OF MECK NIGAL INSTALLATION <br /> ❑GAS ❑ ROOFING ❑ SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE ARE ❑YES NO L <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRED LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I V/ N FEEcuRm L Y I N <br /> Address —� License# <br /> PLUMBER —`COMPANY _ R --t�')'� <br /> t••r+ <br /> SIGNATURE REGISIERED N FEECl1RRIM I Y/14 I <br /> Address <br /> lJoerlse fftgc1-m\c::;a o, <br /> MECHANICAL COMPANY <br /> SIGNATURE RCOIOTEnED Y I N ree CUAR;A Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE L REGISTERED I Y/ N FEE CI.RM Y 1 N <br /> Address License(/ <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIItIIl111111 11llllllltllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy ones;R-0-W Pemi t far nawconstnlct(on, <br /> Minimum ten(10)wothing days altar submittal date. Required one to,C011strucon Plans,Stornwater Plans wl Sal Farm installed. <br /> Sanitary Facilities&1 dumpster:Site Waik Permit for subdivisions large projects <br /> COMMERCIAL Attach(2)complete sate of Building Plans plus a Life Safety Page:(1)set of Enorgy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)wor%Ing days after oubmittal dato, Required ono to,Construction Plano,6t011111waler Plans w/Bnt Fence Installed, <br /> Senitery Facilities&1 dumpster.Site Work Permit for all new prolE cts.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required forall NEW construction. <br /> Directions: <br /> FlII out application completely, <br /> Owner&Contractor sign book of cpplicaOon,notarlacd <br /> it ovor$2600,n NoUco of Commoncomont le rcquired. (A(C upElmdos over I MOOG) <br /> Agent(for the contractor)or Power d Attorney(tor the timer)would be someone with note:tod letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> ReMalls if Shingisg Sawars SsnriCO Upgradog A/C Forams(Piot3unr y/Footage) <br /> Ddveways•Nol over Counter it on public roadways..needs ROW <br />