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a io-iov-uu�u C;ity oT Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Da3e Received - � 3 Phone Contact for Permittin -- 'y <br /> Owner's Name v �(/� �� Owner Pho�e Number v�3'� $y Z� � �l y J � � <br /> � r <br /> Owner's Address ''r J� 1 2-J c3'TN ��.°, Owner Phone Number g�3' �$�6- 13 �� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> � <br /> ```--' <br /> Fee Simple Titleholder Address '�•--_ <br /> JOB ADDRESS 1�J S�i Z �'C.- LOT� � <br /> SUBDMSION �`PARC � - 2 - -� S� O �- aD ZZ� <br /> �r—r ' (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> VYORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK '��/1STA�� S� � /`�/ <br /> BUILDING SIZE SQ FOOTAGE�� HEIC3HT <br /> UILDING S g, VALUATION OF TOTAL CONSTRUCTION <br /> 3(�3 DO. <br /> QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a . � � � I ��,�.�'� <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION 2 ' � <br /> � �C <br /> [�GAS Q ROOFING �Q SPECIALTY Q OTHER ��3 ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��L COMPANY i�-lTdy'i°�re�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address %/f License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License f� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Permit for new construc6on, <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles d�1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set af Energy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)workfng days afler submittal date. Required onsite,Construdion Plans,Stonnwater Plans w!Silt Fence installed, <br /> Sanitary FaciliHes 3 1 dumpster.Site Work Permit for all new projects.All commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out application compietely. <br /> Owner&Contractor sign back of appllcatlon,nota�ized <br /> If over 52500,a Notice of Commencement Is required. (A!C upgrades over sT500) <br /> "• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUo�Onty) <br /> Reroofs ii shingles Sewers Service Upgrades A/C � �ences(PIoUSurvey/Footage) <br /> � <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />