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813-/tlU-UULU C;iry ot Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — / 3 Phone Contact for Pennittin -- <br /> Owner's Name ����,�\�� L. '(1i1� �`-E'(^ '�"t�-:r 1��t. Owner Phone Number "- �"' <br /> Owner's Address � � � ( <br /> �1 1 rt�c� Owner Phon ber '� ��`���(p� <br /> Fee Stmple Titleholder Name Owner one Nu ---`` <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS ��LI�� �� ��C���' ] LOT# �� <br /> SUBDIVISION PARCEL ID# � I —o� (�-�N ""(�Q�}�—C����L�l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> IPROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � ST�EL Q <br /> DESCRIPTION OF WORK �� �IQ � (�1 1 ��O'� �� � <br /> BUILDING SIZE 3Q FOOTAGE C� HEIGHT �� <br /> QBUILDING 3 � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ��U_ AMP SERVICE �] PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �.� - ► �"l�c��c�� <br /> QMECHANICAL $ �_ VALUATiON OF MECHANICAL INSTALLATION ���?,"1/ <br /> �I ! <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � ' <br /> FINISHED FLOOR ELEVATIONS FL O ZONE AREA QYES �(�� � � <br /> �__ <br /> BUILDER � OMPANY (,�✓��� <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address �' License# C —� <br /> ELECTRICIAN � COMPANY �CGC� <br /> SIGNATURE • REGISTERED Y/ FEE CURRE� Y/N <br /> Address • License# C � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;{2)sets of Building Pians;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Plans.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsAarge pro)ects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construction. <br /> Directions: <br /> Fill out application compietely. <br /> Owner R Contractor sign back o(appHcation,notarized <br /> If over 52500,a Notice oi Commencement is required. (A/C upgradea over 57500) <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 AppUcatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />