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81�-�� City of Zephyfiills Petmit Application F��»-�eaoo2� <br /> • gwWmg pepartmerq <br /> � <br /> � 1 Re 1 ca 1 iv 1 e 1, _� Phom Conqet tor P�rn�Nw 1 � I - - <br /> Illi <br /> . ' (hvnala Name Ownx Phone Numbar � ' I '� <br /> Ow�wrs Addrou �\ � Owner Phone Numbsr I � <br /> Fse 3in�le Titlehddar Wam� ��1 Owner Phons Numbsr L <br /> Foe Simpie TIdN101der Add�ess <br /> .108 ADDRESS LOT • � <br /> SUBONISION [I ]C�� PARCEI IDM �� ' p�� ' � 1 � ���V � � W ' `��'�`! <br /> (oeTnlNeo FltOM vaoveaTV T�x r�once� <br /> WORK VROPOSED � NEW CANSTR B ADD/ALT � SIGN O Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q CONMA Q OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME Q STEEL <br /> DESCRIPTiON �F WQRK � <br /> BWLDING SIZE ' 1� ` X�� � � 3G FOOTAGE � HEIOHT �—� <br /> UILDIN6 3 � (� VALUATION OF TOTAL CONSTRUCTION �kD ��Q ,� <br /> .� $ AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � � / <br /> � I�J <br /> -�CHANICAL VALUATION OF MECHANICAL INSTALLA770N I r <br /> QGAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR EIEVATIONS � FLOOD ZONE AREA QYES O <br /> BUILDER COMPANY IC.�h��'�-� MOUI K_�OI !�. � <br /> SI(�NATURE __ __ �� � REGISTEIiED N FEE CURRE� / N <br /> Addrass �c�'1 �J� tn3rd � 1 UY �QJ,1"Q ��5� Licenae # �y_I !��_ljt �� <br /> ELECTRICIAN �� COMPANY � <br /> �ONATURE �c�sT�o I� N { � cuwtEn Y N <br /> �� � l rh� t ��� #.�- i Z.q L d <br /> w.u� ' ��. `._� co�w^►�n ' � <br /> &�AN� REGISTERED N FEE CURRFt. Y N <br /> �.� a��17 �11� U3rd F� l�r� ���# o <br /> MBCWWICAL �����- �'�7!//�'� COMPANY \ �C <br /> ���� '� RECisr�am Y N � c�r. Y N <br /> Atltlrass � � t �l license # _ _ �� L � <br /> OTHER �pqp�y <br /> ��A�� REGISTEREO Y/ N FEE CURREA Y/ N <br /> � License N —� <br /> 111111111111111111 lIIIII 11111111 11111111111111111111111l111111l1111 <br /> RESIDENTAL Attach (2) Wd Plans; (2) �fs of Buildirg Plan.s: (t) sat d Ensrgy Fartns: R-Q-W Pam�it ia naw ca�stn�ctiort <br /> Minimum ten (10) waking days aRer submittal dete. Required onsite, CmsMiction Plang, Starmwater Plans w/ Sik Fence installed, <br /> Senitary Fetllities 8 1 dunpster, Site WOtk P6rtnit for aubdivisip�sl18rg9 projgds <br /> COMMERCIAL Attach (3) canplete aets ot Buildirg Plans plus a LiFe Sefety Page; (1) set of Enerpy Forme R-O-W Pertnit for ne�v constnktion. <br /> Minanum ten (10) waking duys after submittal deta. Required onsite, Conatn�ction plans, Stamweter Plana w/ Silt Fenca installed, <br /> Sanitary Facilifies 81 dumpster Site Work Pertnrt for all new projeots. All eommercial requirements muet meet complience <br /> SION PERMtT Attach (2) sets of Enpir�ered Plens. <br /> ""PROPERTY SURVEY required fcr �I NEW consWction. <br /> Ok�etlans: <br /> Fill out applicafion completelY <br /> Owner & Contractor sipn beck W application, natarized <br /> K wx i2500, a Notlee of Commencsment la roqulred. �AIC upyAdes over f7500� <br /> " Age�t ((ar the conbaGa) or Power of Attomey (for the owner) woWd be someone with notarized letter from owner authorixing same <br /> OVER THE COUN7ER PERMIITING (Frorrt d Application OMY) <br /> Reroo/s 'rf shinples Sewers Service Upgrades A/C Fa�ces (PbVSurveylFOOfape) <br /> Dtivsways-NOt wer Counter if on public roaCways..needs ROW <br />