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813.78MG2r0 City of Zephyrhifls Permit Application Fax-813.781(11-0021 <br /> IIuudttg Department <br /> DahIRleefvld 7 Phone Contattfbr Perm <br /> Rttn <br /> Owner's Name ! ,'n "S Owner Phone Number <br /> owner"!Address Owner Rhone Number 1 <br /> 1 <br /> Fee Simple T)dshoider Name __. Ow"_?Ph-Ane 1jum."e. t 7 <br /> Y <br /> Fes Simple THlehofd4r Address <br /> k tpil- <br /> J013ADDRESS t { LOTS i <br /> SUSUWISION 1 t t"� s--4� PARCEL IC4 <br /> tOBTAMO FAOA1 PRO►ERW TAX NOTICE) <br /> WORK PROPOSED NEW�TRB �R � SIGN ® DEMOLISH <br /> REP <br /> PROPOSED USE M SFR F11 rYuaor O"f_R L <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q � <br /> C <br /> DESCRIPTION OF WORK <br /> BUILDING SIZIS SQ FOOTAGt: H1110'MT <br /> QBUILDING .s 3 VALUATION OF TOTAL CONSTRUCTION <br /> AM?SERVICE r7 PROGRESS ENERGY Q KIZE.C. <br /> r­11VISCHANCAL S VALUATION OF MEa-MICAL iNSTALLPMON <br /> =GAS = ROOFING SPECIALTY © OTI--_R � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER I COMPANY l <br /> SIGNATURE � 1 REGISTERED I YIN I FEE CU�ft"R'E'N'"��••�`�''�-( <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN L.L I N�^-~ <br /> Address ` License#I I <br /> PLUMBER � COMPANY 11., . '. C <br /> SIGNATURE r tweNIERED C.L,,!,rJuw FEEaMaER YIN — <br /> Address Licenselt <br /> M)GCHANtCAL COMPANY• <br /> SIGNATURE �...�.�.. REG STEREO Y J N FEE CURR'EN" I N <br /> Adds.. F License#F <br /> OTHER COMPANY Z <br /> REGISTERED � <br /> SIGNATURE YIN FEE CURREN I Y 1 N <br /> Address v` License# <br /> IIIIIIIIIIIt111111111Y1111111111111lf1ltltltltlttttttttttlttitttttt <br /> RESIDENTIAL ARacrI;V)mot mans,tz)sets or Guouing flans;(1)set at t:nergy I-omfs;H-U-W hermit for new construction, <br /> Minimum ten(10)worldng days after submittal date. Required onsde,Conswotion Plans,StErmaater Plans W Sift Fence installed, <br /> San!10y Facilities&t dumpstar,Site Work Permit forsubdhAsionsllarge projects <br /> COMMERCIAL Atta*(2)eomplets sots of Huiidtng Plans plan a Life 82fety Page' <br /> (1)Set of IMMY Forms,R-t)W Permit for now Construction, <br /> Minimum ten(10)wcrk ng days oftersubmittal data, Required anafte,Conetrucran Plans,Storm water Plans vd Silt Fence Installed, <br /> S81148N Facilities&1 dumpster.We Work Permit for a0 new projects.Ali commercial requirements must meet compliance <br /> S10N PERMIT Attech(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required forali NEW construction. <br /> ... . . . .. . .. .•.. . . . . ._._. . ._._. . .. . .. . . .. . .. . . . . .. <br /> Dlrer,+ilass. <br /> aru out sppf:oat vn a:i-lPfetatj. <br /> Owner&Contracts,Sign tmckofapplication,ratenreo <br /> M over 12500,a Notice of Commencement is required. (AfC upgrades over$7500) <br /> Agent(tor tho Contmator)or PMvt of AUDmOy 110rtne owner)vauid be someone With notarized letter from owner authorizing soma <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Romero it shingles tiavAr s Samoa Upgrades A O Fencos(Piot/SUNeylFootage) <br /> Ehhrlways-Not over Counter 0 on public rdadways..neeos ROW <br /> s ' <br />