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-- '~~~ uity of Zephyrhi)\G'P8rmit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Owner Phone Number 9 r, <br /> Owner's Address M 7D!:�ZMPQ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Titleholder Ad---_ <br /> JOB ADDRESS '-pov)UK111 LOT# <br /> I ~ <br /> SuBmK/0KOm �*uCEL/D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE. <br /> WORK PROPOSED NEW CONSTR| | ADO/ALr [ � o|sw L_� L_� DEMOLISH <br /> �—� INSTALL �-� REPAIR <br /> PROPOSED USE �—� uFR F—� COMM �--1 OTHER <br /> TYPE OFCONSTRUCTION 7--��' BLOCK F—� FRAME F---� 8TEEL <br /> DESCRIPTION OF WORK �X�, W zaz�i�kncy__ <br /> BUILD�`GSIZE63q <br /> =BULDING �C)(.,), C)C)b VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR|CAL ANPDEFVICE �--� PROGRESS ENERGY F--1 YY.R.E.C. <br /> =PLUMB\NG <br /> =MECHANhCAL . <br /> GN� L�� xoonmu L_� SPECIALTY OTHER <br /> u/ncm <br /> F\�|oMEDFLOoRELE\V\TON� -7 FLOOD ZONE AREA [--lYES NO <br /> - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY nc <br /> Address License# Eam_,�_9 c&2 <br /> ELECTRICIAN COMPANY P)49c-Me <br /> SIGNATURE -,=rs- REGISTERED "IY/ N� 'FEEIGURREN -YIN I <br /> Address Licenne# <br /> MECHANICAL coMpxmr <br /> SIGNATURE RE ' L� N� F�cuR�Nv LI�� <br /> Address License# <br /> OTHER compAmY <br /> SIGNATURE nsa/arenso L�(1 N I pescunns^ L_Y/N_ 1 <br /> . <br /> A dumna License# <br /> RESIDENTIAL Attach QV Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onaiha`Construction Plans,0hurmwater Plans vl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/iarge 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 /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1dumpster.Site Work Permit for all new projects.All Commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered P|ans. <br /> °^°°PRDPERTY SURVEY required for all NEW construction. <br /> Fill out application completely, � ^ <br /> Owner&Contractor sign back nf application,notarized <br /> If over$2ao0,a Notice of Commencement isrequired. (VC upgrades over*75VV) <br /> � Agent(for the contractor)or Power nfAdnmo�(for the owner)would bo someone with notarized letter from owner authorizing sane-_ <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Romofs if shingles Sewers Service Upgrades A/C Fomces(P|ot/Gumey/FootaUe) <br /> Driveways-Not over Counter ifon public mod*aynoeodoROW <br /> ` <br />