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813-780-0020 City of Zephyrtfli Is Permit Application Fsx-UI3-10u "- <br /> Building Department <br /> Date Received FhOfte Conbx*for Pemi"ng <br /> 15)T i�A <br /> ownees Name 0 o�-C Owner Phone Number 0 <br /> owners Address F7 Q2 15 ow " <br /> Phone NumberE:::- <br /> =-=Fee Simple Titleholder Name own-Phone Number <br /> Fee Simple Tideholder Address <br /> J013 ADDRESS I,--/UP 0 a Mt L L1 t4 re TD r i LOT# <br /> SUBDIVISION ri�v f v e u.)Oil PARCELID#135-05-DW-01,90-0"o <br /> (oirrAiNED FRom FRoFERry TAX NOTICE) <br /> WORK PROPOSED P NEW CDN 5 <br /> ADDIALT SIGN DEMOLISH <br /> 'M INSTALL E� REPAIR <br /> PROPOSED USE Q SFR r7 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL r <br /> Fa4la-Z lt4 <br /> OESCRIPT.ON OF WORK -A (I anao o tti-, SP I <br /> BUILDING SIZE SO FOOTAGE= HEIGHT --------- <br /> . . . . . . . . . . <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE PROGRESSENIERGY Q W.R.E.C. <br /> =FLUMBING Is <br /> MECHANICAL NN9,5. o VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> ROOFING r7 SPECIALTY = OTHER <br /> FINISHED r10011 ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURA REGISTERED I YIN FEE CURREK <br /> Address I License#F— <br /> LECTPJCt.AN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK <br /> Address F- License# <br /> PLUMBER COMPANY <br /> SIGNATURE i REGISTERED I Y/N I FEE CURREJ, LKLN J <br /> Address Lloe # 7 IE111111 COMPANY C, <br /> A <br /> SIGNATU.t�:L REGISTERED I YIN FEECURRM, I YN <br /> AAddressit 8 3 LioenSe#VftCM/f6C4L0 I <br /> OTHER COMPANY = I <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I YIN <br /> Addre-m License# <br /> RESIDENr,AL 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/Sift Fence installed, <br /> Sanitary Facilities,&I dumpster,Site Work Permit for subdivisions/large 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 now construction_ <br /> Minimumten(10)WDrift days after submittal date. Required onsite.Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dUmpater.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 /> Directi <br /> Fill ov application completely, <br /> Owner,&Contractor sign back of application,notarized <br /> Now$2500,a Notice ofCommencementis required. (AIC upgrade$over$7600) <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 PERMTMNG,z.. (copy of contract required) <br /> Rerools if s�oinbles Service Upgrades NC,, Fences(plot/survey/Footage) <br /> Driv <br /> eways-Not over Couhtak,66 publicroadways..n"§R6W,,' <br /> T": <br />