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813780-0020 City of Zephyfiills Petmit Application F�$��-�eo-ao2� <br /> Buiding DepeM�ent <br /> Date Received Phons CoMact for Permitdn � .�7� <br /> Owners Name � Owner Phone Number a� �f d <br /> Owners Address � �A �� �� Owner Phone Number � <br /> Fee Stmple Tttleholde►Nans r Ownsr Phons Number � <br /> Fw Simple Tkleholder Addross <br /> .ioe ao�ss a d �fi / i.or a �� <br /> sueaws�ow �-� PARCEL IDN $+ /• �e.id �S� <br /> 1osr�o�vaov6xrr r�x�► <br /> WORK PROPOSED e NEW CoNSiR B AOp/ALT Q SIGN Q � OU <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONS7RUC'IION Q BLOCK Q FRAME Q STEEL Q <br /> DE3CRIPTION OF WORK �'�' .� s' <br /> BUILDING$IZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCT70N <br /> ��OQ� <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING �� �� ��I CJ � <br /> � � <br /> QMECHAWICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECFALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �e1�! <br /> SIGNATURE aEGIBTERED FEE CURREn Y/N <br /> AddrBSE � A� � � � LiceneC/ G6� � <br /> ELECTRICIAN CpNIp/Wy � <br /> SIGNATURE r�aisreqeo Y/ N �e cutr�n Y/N <br /> Address License�R � <br /> PLUMBER CpMppNy <br /> SIGNA7URE rtEGis1ERED Y/ N FEE cx1Rr� Y!N <br /> Address Lbanse� � � <br /> MECHANICAL � COMPANY �_ <br /> S�GNA711RE � r�cis��n Y/ N �cura�n Y/N <br /> Address Liomise A � <br /> OTHER CpMppNy <br /> SIGNATURE REGiSTEt�u Y/N �ctl�n Y/N <br /> Address License# <br /> IIt11111111t111111111111Illlllllllllllllllltlllllllllllllttlllt1111 <br /> RESID�NTIAL Ariach(2)Pbt Plans;(2)sets of Building Plans;(1)set of Enerpy Fortns;R-O-W Permit for new construcUon, <br /> Minimum ten(10)waking days after subm'tttal da�e. Required onslte,Constniction plans,Stormwater Plens w/Silt Fence instaUed, <br /> Sarritary Fadlities&1 dumpster,SNe Work Permit for subdivisionsllarye projeds <br /> COMMERCIAL Attach(3)comDlete sefs of Buildng Plans plus a Life SafelY Pape;(1)set of Energy Fam3.R-O-W Pertnit�nsw canstrucfion. <br /> Mirtimixn ten(10)worlcirg daya after submiltal dale. Required onsite,Construdion Plans.S�er Plara w/Silt Fence insialled, <br /> Sanit�y Fac3lities 81 durtpster.Site Work Pertnft for aN�ew proJeds.AA commertlal requirements must meet complience <br /> SIGN PERMIT Attech(2)aefs of Erpineered Pl�s. <br /> ""'PROPERTY SURVEY required for ap NEW oonahuctlon. <br /> W recdons: <br /> Fill out application completey <br /> Owner&CoMreCtor sipn badc of�yplicadon.notartzed <br /> If over 52800,a Notice of CommencameM Is requMed. (AIC upgrades wer t7500) <br /> " Apent(far the contractor)or Powu of Adamey(far the owner)woultl be someone wiTh notarizetl letter from owner authofiiinp same <br /> OVER THE COUNTER PERMITTING (FroM of Apqicatlon Ony) <br /> Reroofs if shingles Sewers Servfce Upg�ades A/C Fences(PIoUSurvey/Footape) <br /> DrivewaYs-Not wrer Counter if on puWic rvedweys..needa ROW <br />