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1 <br /> E73-78"020 City Of Zephyrhiiis Permit Application Fax-813-7eo4)021 <br /> Building Department <br /> Date RscNxed g .Phone Contact for <br /> r Perm"(Ilan f <br /> Owner's Name r j ��.> 4"r JJ ( L Owner Phone Number A '(n j` Z7 l <br /> ra Owners Add .r�_Address � #�*''�(��(� asf..54`�^S l '�2Z e 0�11 Owner Phana Number <br /> I '� Owner Phone Number <br /> JOB ADDRESS b3`/Z -,.t i (J 2(.G r"{n)uSAl, 3 yZ- LOT# <br /> SUBDIVISION f�frWd fet- 3XY7- PARCELID# 6Z-Ldc-2i-0° Popoo —v )10 <br /> (013TAMED FRM PROPERTY TAXWOTICtq <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT �IGN 0 [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK rlttw {iwJNit`"f <br /> BWLDlNGSIZE SO FOOTAGE ((ej,�0 HEIGHT A' Flnu� <br /> 1�21BUILDINP $t,7 7,2 VALUATION OF TOTAL CONSTRUCTION <br /> [�DELECTR}CAL S U AMP SERVICE [�] DUKE ENERGY Q W.R,E.C. <br /> 7 r) <br /> ®PLUMBING 8(t(Od Ji <br /> u <br /> MECHANICAL $ j";V ] VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY L OTHER <br /> FINISHED FLOOR ELEVATIONS (� F1O60 ZONE AREA =YES NO <br /> li <br /> BUILDER COMPANY </ •r "� s <br /> SIGNATURE REcisTERED I YIN Per wEnRf�t+� Y!N jl <br /> Address l) 3 F . (_ 1-5 f�"ra >�=t5N-75J ucense#CL.LsG 151- (05,1 <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE REMSTMI) I Y/N FEEMWIFn Y!N <br /> Address Lk$nse <br /> PLUMBER L COMPANY <br /> SIGNATURE REGfSTERED Y J N FEE CtIRRET, YIN <br /> Address _ license#C <br /> MECHANICAL COMPANY C -- a j t <br /> RED SIGNATURE REGISTE Y/ FEE Ci1R Y/N, Y <br /> i <br /> Address License <br /> i OTHER COMPANY i1r-�----- <br /> SIGNATURE t REtes UM Y t h FEE CUma <br /> Address Ucense#�� 1 <br /> "HiIIHIHIIIIH! Hl bile Him <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of EnDrgy.Forms:R-O-W Permit for new construction. <br /> Minimum trnr(10)workinlidays after submittal data Required onsite.C'o+suuetion Plans,Stomiwater Plan;w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for sube&visions large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans phis a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required omens,Constriction Flans,Stormwatei Plans wi Sit Fence Installed, <br /> Sanitary Famlities&1 dumpster.Site Work Permit foratl new projects.AA commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> I <br /> Directions: <br /> FIB out application completely. <br /> Owner&"Contractor sign back of app}tcation,notarized <br /> it over=00,a Notice of Commencement is required. (A/C upgrades aver$7E00) <br /> •' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIMNG (copy of contract required) <br /> Retools if shingles Sewers Service Upgrades A/C Fences(Plot/SurM/Footege) <br /> Driveways-tdat over Counter If on public roadways..needs ROW <br /> i <br /> i ' <br />