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°"-'°""""`u C:itv ot Zephyr��iils Permit Application Fax-813-?80-0021 <br /> Builcling Department <br /> Date Received � �' ��- " C <br /> Phone Contact for Pennittin ��3 (� ��✓� __ �6 p �f' � <br /> Owner's Nay�, l r7L�/ Tn�� <br /> Owner Phone Number cd'l3- So 2-56/3 <br /> Owner's Addresa �BY/ L e c..',5 �(� yr �15 � <br /> �r a 3s�/�- Owner Phone Number <br /> Fee Stmple Titleholder Name � Owner Phone Number C � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ssy� GG� I I ,b�V�I �,e,�},y�h,��s � �Z 3%SYa ] LOT# �� <br /> �J <br /> SUBDNISION PARCEL ID# !1 a6a 1 bD 1�S 7 <br /> (OBTAINED FROM PROPER1fY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR 8 ADD/ALT �_] SIGN Q Q DEMOLISH <br /> INSTALL REPAIF. <br /> PROPOSED USE Q SFR Q COMM [—� OTHER � <br /> TYPE OF CONSTRUCTIOId Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �1-/If'c�.�^ �p���I �,,�,�II� P�I�.fj/�T_D`„�b;� . <br /> � �, <br /> BUILDING SIZE �— 3Q FOOTAGEC� HEIGHT �� <br /> BUILDING $ -------,_ <br /> ,,S UUV VALU�ItSN bF TOT7CC STRUCTION <br /> ELE TRICAL r� / <br /> a AMP SERVIC:E y PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ ) h�/� � � <br /> / �/� <br /> QMECHANICAL a VALUATION i M IC INSTALLATION / <br /> �����..,�_____� � l �7�_� <br /> QGAS Q ROOFING Q SPECIAI.TY � OTHER <br /> FINISHED FLQOR ELEVATIONS FLOOD i!ONE AREA �YES Nq <br /> l <br /> BUILDER �J�� � COIWPANY P� ��S���Iu^ S v��B�t �<<", <br /> SIGNATURE � REGI1iTERED Y/ N FEE CURREA Y!N <br /> Address � License# �CP� 1 �S y�5� <br /> ; c.�l,,�,�,j gl� <br /> ELECTRICIAN . //1 /� �� .��� r COMPANY I IAD���� �rGG��� �N C-_ '��G <br /> SIGNATURE - � �� �y�" REGI;iTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# r-C (»d�"7 y�-{ <br /> PLUMBER """'— � �,� CONpPANY i� Z I� �'jG �. L ( �"'� � <br /> SIGNATURE �----'�'"""""�� --"" REGI:;TERED Y/ N FEE URRE� Y/N <br /> Address � License# �'--I-� � � ,�ss' J t/(„ <br /> AAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address � License# � <br /> OTHER COMPANY <br /> SIGNATURE REGIS�TERED Y/ N FEE CURRE� Y/N <br /> Address ] License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a LHe Safpty Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.S(te Work Permit for all new proJects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required 1or all NEW constructi��n. <br /> Directions: <br /> Ftll out application completely. <br /> Owner 8 Contractor sign back of appUcatlon,notarized <br /> If over 52500,a Notice of Commencement fa required. (A/C upgrades 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 CQUNTER PERMITTING (Front of ApplicaUon 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 />