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813-78W20 City of ZephyThffls Permit Application Fax-813780-M21 <br /> Building Department <br /> Date Received Phone Con.tact for Permitting (X-)4 <br /> '414'5041 all 4444M 04?4 small%a Owner's Nam uc�\t e s A--TaLrlvjrAJ-) f6-Wl Owner Phone Number <br /> Ownees Address BD-)L r-;v5 VAJ Km N q Owner Phone Number F- <br /> Fee Simple Titleholder Memo Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS v r'-au 1'7)\\ki LOT. F-7 <br /> SUBDIVISION PARCEL ID# I OnOb <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON.STRR 91 ADD/ALT SIGN Q DEMOLISH INSTALL REPAIR <br /> PROPOSED USE Q SFR r--J COMM OTHER <br /> TYPE OF coNmucnOfil 0 BLOCK E] FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING <br /> SIZE C SO FOOTAG EF HEIGHT <br /> -CS-9-4- <br /> "BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY O W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS —L ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Liaj <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CUMEN Lyj N_J <br /> Address F— I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED YIN FEECUPJW4 L-XLN—i <br /> Address F— License 9 <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGISTERED I YIN FEE CURREN I YIN <br /> Address A License# <br /> COMPANY OTHER :t <br /> SIGNATURE REGISTERED I YIN FEE cuRFtEm,,./L—Y I N—J I <br /> Address 66-� vmmia 34eb License#Fe TY I 13 61 <br /> eaaaaaitaaaatttlz��aler�Ili,all�e,ertA�aszA�ItAa�aea�Aa•:A:aA:<IIalAateall�satltatA:al a, <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)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster:Site Work Permit for subdivislonsaarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms-R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans wt Slit Fence Installed, <br /> Sanitary Facilities&I clumpster.Site Work Permit for all now projects.AD commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notafted <br /> ff over$2S00,a Notice of Commencement is required.(AIC 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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerools if shingles Sewers Service Upgrades A/C Fences(Pfot(Survey/Footage) <br /> Driveways-Not Over Counter if on public roadways-needs ROW <br />