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ais-�so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Builtling pepaAmenl <br /> Date Received 'Z— �' $a - 1 � <br /> �_r� T r_ Phone Contact for Permittin <br /> Owners Name ErN�7" l L� � Q(7 Owner Phone Number <br /> Owner's Address 37a50 �'�!d-I�OM �'71�Xi Owner Phone Number <br /> Fee Simple 7itleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�� N�-K�M � LOT N ao7 <br /> SUBDIVISION l���A�\� �Q�`1'Lp PARCELIDN 3� + �o7O <br /> (OBTAINED PROM iROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN � O DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE � SFR � COMM <br /> C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME �� STEEL O <br /> DESCRIPTION OF WORK ��G C1��3tOY� �hQ,�.tt,p� Qpn�,{'�, ,�, C I�.T <br /> BUILDING SIZE ���r !� SQ FOOTAGE c�cZ� HEIGHT � <br /> BUILDING a �'SGS � QD VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL y AMP SERVICE � PROGRESS ENERGY Q W R.E.0 <br /> QPLUMBING $ � � � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALtATION � <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER Q,�.(r �fca{� � �`�. � COMPANY � �NS7I1K.L�.7JO <br /> SIGNATURE C� REGISTERED Y/ N FEE CURREn Y/ N <br /> Addrcas ��o'1',j ���A � a b • �'//l �� License # ��7 � O � <br /> ELECTRICIAN C � P � Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y! N <br /> Acldresa <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE/. Y/ N <br /> Addrass license # � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED V( N FEE CURREI. Y/ N <br /> Addreas <br /> license # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/ N <br /> Address <br /> 111111111111111111111111111111111111111111 <br /> RESIDENTAL Attach (2) Pbt Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W p�i� �« new conslrudion, <br /> Minimum ten (10) working days afler suDmitlal date. Required onsite, Construction plans, Stortnwate� Plans w/ Silt Fence installed, <br /> COMMERCIAL Atta A(3) complete sels ot Bu Id ng Plans p us a I Li(e Safet' e �narge pro�e�� <br /> Y ge: (7) set of Energy Fortns. R-0-W Permit for new construction. <br /> Minimum ten (10) waking days after submittal date. Required qisi�e, Cq�s��uc�ion Plans, Stortnwater Plans w! Sill Fence installed, <br /> ^ Sanitary Facilities 8 1 dumpster Site Work Permit fa all new prpJects. All commercial requirements musl meet compfiance <br /> SIGN PERMIT Atlach (2) sets oi Engineered Plans. <br /> ""PROPERTY SURVEY required fa all NEW construdion. <br /> Directlons: <br /> Fill out application completely <br /> Owner 8 Contractor sign back ot appbcation, notarizetl <br /> H over 52500, a Notice ol Comme�cement is required. (A/C upgrodes over 57500) <br /> " Agent (tw the coMrador) or Power oi Atlorney (fw the owner) would be someone with �otarized letler from ownei authorizing same <br /> OVER THE COUNTER PERMITTING (Front M Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/FOOta9e) <br /> Driveways-NOt over Counter if on public roadways needs ROW <br />