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' • a�a-�ao-0o2o City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building DeparimeM <br /> Date Received phone Contad for PermKtl <br /> Owners Name e Z, Owner Phone Number °/ �� <br /> Oxme�'s Address Owner Phorre Number <br /> Fee Shnpte Tkleholder N�ne �— Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADORESS / „J �J C� LOT M � <br /> SUBDIVISION �E!e7�//�//����,�� PARCELIDA D a� D�o o a (�..� <br /> r �1 (OBTAINED FROM PROPER7Y TAl( NOTICE) <br /> WORH PROPOSED NEW CONSrn ADDJALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> GESCRIPTION OF WORK n�d�J� �' A�e , A/h NOs �t0�11� <br /> BUILDING SIZE �� SQ FOOTA6tE � HEIGHT �� <br /> �BUILDtNG 3 VALtlATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING �� <br /> OMECHANICAL $ �y S VALUATION OF MECHANICAL INSTALLATION � I/ J�' �� <br /> !J � / [ �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ��/,� // <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO V) �� � Y <br /> �,� V <br /> BUILDER CpMppNy � <br /> SIGNATURE REGISTERED Y/ N � ctm�n Y/ N <br /> Address Ucense # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �cisrer� Y/ N FEE CURRE� Y/ N <br /> Address V�� # <br /> PLUMBER � COMPANY <br /> SIGNATURE REGlSTERED Y/ N FEE CURREn Y/ N <br /> Address �� p <br /> MECHANlCAL 1 COMPANY /7�i[, S �D�Dy/YG S'�'�(� <br /> SIGNATURE � �crSrErten Y/ N � cuRREn Y! N <br /> Addresa � e License # /YLD 7 3 <br /> OTHER COMPANY -- 1 <br /> SIGNATURE rtEC�S�ttep Y! N FEE CURRE� Y 1 N <br /> Addrass License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building plans; (t) set of Energy Forms; R-O-W Pertnit for new construction. <br /> Minimum ten (10) working days aiter submitFal date. ReqWred aufte, ConsWctlon Plans, Slormwater Plans w/ Silt Fence Installed, <br /> Sanitary FadliHes & t dumpster; Site Work Pertnft ta subdivisi«reAarge projects <br /> COMMERCIAL Attach (3) complete sets of BWlding Plans plus a LHe Safety Page; (1) set of Energy Forms. R-O-W Permft fo� new consVUCOon. <br /> Minimum ten (10) working daya aRer submittal Oate. ReqWred onsite, Constructlan Pians, Stormardter Plans w/ Silt Fence installed, <br /> Sanftary Fadlitles d t dumpster. Site Work Pertn�t for all new projects. AN commerdal requirements musf ineet compliance <br /> SIGN PERMI7 Attach (2) sets of Engirreered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> FNI out appllcatlon completely. <br /> Ownar & ContraGa sign back of applicatlon, notarized <br /> H over i2500, a NoNce of CommencemeM is required. (A/C upgradea over =7500) <br /> "' Agent (fw the conhactor) or Power of Attomey (for Ihe o�nmer) would be someone with notaAZed letter from owner authoAzing same <br /> OVER THE COUNTER PERMRTiNG (Front of Appikatlon Only) <br /> Reroofs if shi�gles Sewers Service Upgrades A/C Fences (PbVSurvey/Foofage) <br /> Drivewaya-Not over CouMer ff on public roadways..needs ROW <br /> b)O/Z00 d££E# sv o� ��ozio�rso Wo,� <br />