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8t ��� 0 ° 2 ° City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Bufiding Depar6nerrt <br /> Date Received phone Contad for Permktin <br /> Ownera Name /� � Q Q Owner Phone Number a�� " <br /> $'�/7� � <br /> OwneY'a Address J 33T �/� Fr- Z-�„! �wnar Phona Number <br /> Fee Simpte Titleholder Name —� Owner Phone Number <br /> Pee Simple 17tkholde► Address <br /> JOBADDRESS � II � � '� �f LOTff C� <br /> �J <br /> SUBDNISION �— PARCELIDII ���Z�i �� � °��d4 <br /> (09TAINED FROM PROPERTY 7AX NOTICE) <br /> WORK PROPOSED NEW cAN57n ADD/ALT [� SIGN 0 Q DEMOLISH <br /> e 1NSTALL 8 REPAiR <br /> PROP09Ep USE Q SFR Q COMM [� OTHER <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME C� STEEL [, <br /> DESCRIPTiON OF WORK �° �j1P fJ(� � 2 '— p ��� L S �� <br /> BUILDING SIZE SQ FOOTA6E � HEIGHT � <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRfCAL $�"� qMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> �_ <br /> QPLUMBING �� � �/�� / <br /> QMECHANICAL $/� ri� � VALUATION OF MECHANICAL WSTALLATION <br /> 3 <br /> ��S Q ROOFING Q SPECIALTY � OTHER <br /> FINISNED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �— —� <br /> SIGNATURE REGISTERED Y/ N r�E c�Rr+�n Y/ N <br /> Address License # <br /> ELECTRICiAM � � COMPANY �— <br /> SIGNATURE qECisre�p Y/ N FEE CURREn Y/ N <br /> Address <br /> License # <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGIS7ERED Y/ N r� cua�n Y/ N <br /> Address <br /> License # <br /> MECHANICAL � ` CpMpppy �/� S /Uj �pAYUGi 't �" �o G <br /> SIONATURE �iU/! 1 rs�cisrersrseo Y! N FEE CURRET Y/ N <br /> Addross 7'� � � /-1 �'� . L - � .S' �%'J� License # � % ✓� � <br /> O7HER � COMPANY —� <br /> g �� A � RE aECis�o Y/ N FEE CURREn Y/ N <br /> Address License # � <br /> RESIDENTIAL Alfach (2) plot Plans; (2) sets of Buiiding Plans; (1} set of Energy Fortns; R-O-W Permit for new consWction, <br /> Minimum ten (10) vworking days after submittal date. Required onstte, Constructlon Ptans, Stortnwater Plana w! Silt Fence Insfalled, <br /> Sanitary Factlitles & t dumpster; Sfte Work Permit fa subdivislons/large pr�ects <br /> COMMERCIAL Attach (3) complete sets of BWiding Plans plus a LHe Safety Page; (1) set of Errergy Forms. R-O-W Permit for new cqnsirucfion. <br /> Minimum ten (10) working daya after submiNal date. ReqWred ansite, Constructlon p�ans, Stormwater Plans w! Silt Fence inshalled, <br /> Sanihary fadlftles & 1 dumpster. Site Work Permit for all new pr�ects. AI� opmmerdal requi�nents must meet compliance <br /> 31GN PERMIT Attach (2) seLs of Engi�eered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> rnnn <br /> UfrBCtlOnf � � �.au� �a.aj.c7 <br /> Fi�l out appl(catlon comp�etely. <br /> Owner & Contractor sign back of applicatlon, notarized <br /> H over:2500, a Not(ce of Commencament is required. (A/C upgredas over E7500) <br /> �" A9e�� (for !he conVador) or Power af Attomey (for the owner) would be someone with notarized letter from owner aulfiorizing same <br /> OVER 7HE COUN7ER PERMITTIN6 (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences (PbUSurvey/FooWge) <br /> Driveways-Not over CouMer ff on publfc roadways_needs ROW <br /> b001Z00 d E£�# 6b Ol IIOZ101/S0 �o�� <br />