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813-78M60 City of Zephyrhltls Permit Application Fax-813.7800121 <br /> Building Department <br /> i <br /> Date Received phone Contact for Permitting S" t <br /> TTS�IT[-1-T <br /> Owner's Namo Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tit{eh0{der Name Owlior?h2ne PJ: k <br /> Fee Simple Tltieholder Address <br /> JOB ADDRESS e `7r .e T �S LOT# <br /> 1, <br /> SUBDIVISION I, 1 t' C--)7 PARCEL tD# <br /> �l iOBTARIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a New comet r7 ADDIALT [� SIGN Q 0 DEMOLISH <br /> { INSTALL REPAIR <br /> PROPOSED Ubt i, SFR M ry--kil Ti-IC,: I <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE C+. SQ FOOTAGE HEIGHT <br /> =BUILOING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL �� AMP SERVICE Q PROGRESSENERGY 0 W.R.E.C. <br /> ®PLUMBING ` s <br /> Lp=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING p SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILCEC COMPANY I <br /> SIGNATURE + ! REGISTERED I Y/N I FEECURREN YiN <br /> Address i License#C�` <br /> RE COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CUflREN <br /> Address P ( License# <br /> PLUMBER COMPANY __s ♦ C <br /> SIGNATURE 1,.-""'•_ kEESISiERED 11 T FEECURRENi YIN <br /> Cn-a L r J Address License# S MECHANICAL i COMPANY <br /> SIGNATURE IY!N FEE CU�RRE`N <br /> Address License# [ <br /> OTHER COMPANY l(t` <br /> SIGNATURE C I REGISTERED Y 1 N FEECURREN Y TN— <br /> Address ( i � License# 1 I <br /> III / II oil 111iIit III # IIlll III IIIIIII III I III III I III III III III III IIIIII <br /> HIESIDENTIAL Attach;('t)mot mans;cd)sets or dunning mans;(1)set of tnergy)-orms;H-U-W Vemlrt for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans W Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsliarge projects <br /> COMMERCIAL Attach';(2)complete sets of Building Plano plus a Life Safety Page;(1)set Of Energy Forms.R-O-W Permit for new construction, <br /> Minimum tan(10)working days after submittal date, Required onsite,Construct'an Plans,Stermwater Plans wf Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Xi commercial requirements must meet compliance <br /> SIGN PERMIT Atta*(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction, <br /> Directions: I <br /> Pill Out appllxt«wr.Zomptatali. <br /> owner&Comractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (AIC upgrades over S7500) <br /> •' Agent(for the contraat0r)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerools If shingles Sewers . Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways„needs ROW <br /> i' <br />