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81.3-780-0020 city of ZephyrNlls Permit Application Fax-813-780-0021 <br /> Building Department <br /> 3I <br /> Date Received Phone Contact for Permitting (6 J D- <br /> 1 <br /> Owner's 4 pa-1-1gle-1-hi 54- owner Phone Number <br /> Owner's Address 394 Owner Phone Number F <br /> Fee Simple Titleholder Name i owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LM LOT <br /> SUBDIVISION Emera-Ict-Poi PARCEL ID#1 aL4-,;?LID,- OC-G.0-M 00()-00/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 13LOCK FRAME STEEL <br /> DESCRIPT:ON OF WORK u61-& e_J (2hQo_a c2mjL, 1comaner&a.5 1Qk1 k9 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . r1rV1rMr9r_r9r"" <br /> ffBUILDING r - - VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =r-LUMBING <br /> CnIV,ECHANICAL 1'143af5,1_� VALUATION OF MECHANICAL INSTALLATION <br /> =C',A'S Q ROOFING r7 SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .4-6464-1. 611- <br /> BUILDER COMPANY = I <br /> SIGNATUR_ REGISTERED I YIN FEE CURREN LZIN J <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I YIN <br /> Address I License# <br /> PLUMBER I COMPANY = <br /> SIGNATURE i REGISTERED I YIN FEE CURREN L_XLN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> rUp <br /> SIGNAI i jzg=MtAo0yyt IREGISTERED YIN I FEE 1URREN I YIN <br /> Address 4 4Q1 Awn 01 License# <br /> OTHER COMPANY E: <br /> SIGNATURE REGISTERED I YIN FEE CURREl, <br /> Addre3s F_ I License#F_ <br /> I I I 1 111111 11 11111 oil I I 111 11 1 if I I I I If I I If I I I I I If I I I 11111111 11 111 11 111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Barely page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ton.(10)worldrig days after submittal date. Required onsite.Construction Plans,Stormwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill ou:application completely. <br /> Owner&Contractor sign back or application,notarized <br /> If over$2500,a Notice of Commencement is required. (Alc upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVE4'rWC'cbIQJTkR OEkgrMNi3, �-,jc6py-oftoritr6ot required) <br /> Reiods il'sningles. ,,, Sewers SerAce.Vpgrades A/C <br /> Fences(Plot/Survey/Foota a <br /> S. <br /> qv&Go'Driveways,N � ,qn public 10a -,ieeds ROW <br />