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. sis-�aaoo2o City of Zephyfiills Permit Application Fax-813-78a0021 <br /> 6uiafng�eparhrienc <br /> Dxe Received � <br /> Phone ContaG for Penniftf11g <br /> 1 1 1 1 1 1 1 1 1 1 1 i � <br /> Owners Name ' Owner Phone Number <br /> OwneYS Address � �/� ,S'�' Owner phone Number � <br /> Fee Sfmple Tkleholdar Name Owner Phone Number � <br /> Fee Simple Titleholtler Address � <br /> JOB ADDRESS � S LOT* �Y � �LQ O- � <br /> SUBDNISION � �� �,S pARCEL 10� - u' � <br /> �aarurrv Frton neonenv t�x None� <br /> WORK PROPOSED B NEW CoNS7R 8 ADD/ALT � SIGN Q Q DEMOUSH <br /> INSTALL Rh�AIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OP CONSTR�CTION Q BLOCK Q FRAME Q STEEL Q <br /> DE�IPfION�O�FWORK _.�CC �n.S�cL�la-�'1rt'�s-- � � D .G ,� —� <br /> BUILDINf3 SIZE �—� SQ FppTA6E� HEIOHT �� <br /> , BINLDING 3� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R E.C. <br /> � <br /> QPLUMBING $ � / <br /> 1 ' `'D � <br /> QMECHANICAL ; VALUATION OF MECHANICAL INSTALLATtON � I� <br /> QGAS � ROOFING p s�cia_rr � OTHER ( � �--- <br /> FINISHED fLOOR ELEVATIONS FLOOD ZONE AREA QYES NO`._--�' <br /> BUILDER COMPANY , �D J �rlCt' ,.r/�I�- —� <br /> SIGNATURE REOISTERED Y/ N FEE cuRrta V/N <br /> Atltl►eSS License#� � <br /> ELBCTRICIAN � � (•AMPANY <br /> SIONATURE RE(31STEREO Y/ N FEE WRREN Y/N <br /> addrese <br /> License# —� <br /> PLUMBER � � COMPANY —� <br /> SIONATURE REdsreRED Y/N FEE cuRrter Y/N <br /> �� License#� T� <br /> MECHANICAL � � COMPANY —� <br /> SI(3NATURE REG15fERED Y/N FEE CURRD7 Y/N <br /> Address License# f —� <br /> OTHER � COMpANY /7�/�(� ('P..I'1 CG I�I G <br /> 516NATURE RECySiERE� Y/N FEE CURREN Y/N <br /> Addn� -.I �� ' �!!eIlr,P �d L�# �— � <br /> � � � � � � � � � � � � i � � � � � � i � � � � � i � � � � � ii � � � � � � � � � � � � � � � � � � � i � � � � � � � � � i � � � <br /> RESIDENTU►L Attach(2)Plot Plare;(2J sets d Butlding Plans:(1)set of Energy Forms;R-O-W Permt far new conytructim, <br /> Minirtwm ten(10)working days after submqal daLe. Required onsde,Construction Plans,SLOrm�nater Plans vd 9k Fern;e installed, <br /> Sanitary Facilihes&1 dumpster,Site Wak Permk for subdivsionsflar9a ProJects <br /> COMMERqAL ACxh(3)oortpkte sets d Building Plans plus a L'rfe Safaty Page;(t)set of Energy Fams.R-O-W Pertryt for neMrcor�struct�p�, <br /> hknirtwm ten(10)�workirg days aRer wbmittal date. Requxed o�ife,ConsWc[ion Plans,Storrcwueter Pfans vd Sik Fenrs in5alled, <br /> Sanifary Facilities&1 dumpster.Site Work permit for all new projects.All comrtiercial requirerneMS must meet compliamce <br /> SION PERMIT Attach(2)sets d Engineered pans. <br /> ""PROPERTY SURVEY required for all NEW crostruct�m. <br /> Diraetfons: <br /> Fill out appNcatan completery <br /> Owner 8 Cmhador sgn back of application,notanzed <br /> If over t2300,a Notice of Com mencemeM is requirod. (AIC upgrades ovar:7300) <br /> " Agent(for Me conhactor)or Paher of Attorney(fa the owner)Ntwld be someme with n�r¢ed letter from w.ner auMor¢ing same <br /> OVER THE COlN�1TER PERMITTINC; (FroM of AppNcatim Only) <br /> Raoofs it shingtes Se�ers Service Upgrades A/C Fenoes(PIoUSurvey/Faotage) <br /> Driveways-Not wer CouMer if on public roa�Meys..neede ROW <br />