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s�saso-oozo � City of Zephyrh'rlis Permit Application Fax-813-7$0-0021 <br /> � Su9lding Department <br /> Date Rece�ve�c�. r ' phone Contact for Permitting - <br /> Owner's Narne C,..7�� �r Owner Phone Number <br /> Owner's Address ��2 d� ����+�• � }la ��1�)�,�1.,�':��7-- Owner Phone Number � � <br /> Fee Simple Titleholder Name �� r � �r� Owner Phone Number �� � _ - <br /> Fee Simple Titleholder Address <br /> JOS ADDRESS ���-� � �'a-i�'k. �f"• �� �ClL Y�i�� ��... ���-}�.r. LOT# �� <br /> sueo�v�s�oN �-���.t{ �=t�k��-'�� PARGEL ID# �2-"'Z,lG-�..1- �a 3� � c��bpo-- O C��c� <br /> (OBTAINED FROM'PROPERTY TAX NOTICE) <br /> WQRK PROP�SED e NEW CONSTR 8 ADD/AlT �] SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CQMM ' C� OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK [� FRAME � STEEL Q <br /> pESCRIPTtQN OF WORK � YC�� � '�Q-'td�-�-`�... �l t.�, `�'L7 2Of� S <br /> 8t73E.D{NG SIZE � � SQ FL1tJTAGE�_-� HEIGH7 ��� <br /> QBUILDING' �� VAL.EJATIOist OF TOTAL GQ�tSTRUCTiOtV <br /> QEl.EGTRICA� $ —� AMP SERVICE �a� � PROGRESS ENERGY Q W.R.E.C. <br /> ���, � <br /> QPLUMBING �>---� � <br /> OMECHANICAL $ VAI.UATION OF MECHANICAL INSTALIATION �j <br /> �53� <br /> QGAS Q ROOFING Q SpECfALI'Y � OTHER <br /> FINISHED FLOOR ELEVAYIONS ��-- � FLOOD ZONE AFtEA [�YES NO <br /> BtIt�D�R - - _. -_-_ - - - COMPAMY ' <br /> SIGNATURE ,_,_, ,,__„ .� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �'�� <br /> ..,, <br /> EI.ECTRiCiAN �r �{Ii _ —� COMPANY ��d_�-- I=-��C.�Y'I�GcL� �61`. <br /> SIGNATURE "_,� �`'�!`' REGISTERED N FEE CURRB� Y/N <br /> Address �Q��t �lP`�- Z- �1,t. � 11.� �}.. �� L'scense# '�.Gl 3t'�U 13�3 i^� <br /> PLUMBER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �Icense# �— �� <br /> MECHANICAL -_i� COWIPANY <br /> SIGNATURE � REGISTERED Y! N FE6 CURRE� Y!N <br /> Address �fcense# � ��� <br /> OTHER GOMPANY <br /> SIGNA7URE REGtSTERED Y/ IV FEE CURRE� Y/RI <br /> Address "����— License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construc6on, <br /> Minimum fen(10)working days after submittal date. Required onsite,Construction Plans,Stormwa#er Flans w!Silt Fence Insta(ied, <br /> San9tary Facilitfes 8�1 dumpster,Site Work Permit far subdivisionsltarge pro�ects <br /> COI4�MERCIAI. Attach{3)compleke sets of Building Pians plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> - Minimum ten(10)working days�after submittal date. Required onsite,Consttuction Pians,Stormwater Ptans w/Si1t Fence instatied, <br /> Sanitary Faciiities&1 dumpster.Slte Wortt Perml#for ali"new projects.Ait commerc9al requirements must meet compliance <br /> SlGN PERMIT Attach{2}sets of Englneered!'I�ans:. - � . _ _° .i , . _ " ' <br /> "'""PROPERTY SURVEY requ(red for all NEW construction. ' <br /> D�reetions: <br /> Fill out appiication completeiy. <br /> Owner S Contrac#or sign back of apptication,notarized <br /> if aver 52500,a Natice of Commencement is required. {A!C upgrades over 57500) <br /> *` Agent{far the co�tractor)ar Power of Attomey{for tt�e owner}would be someone wlth nota�ized letter from owner authorizing same <br /> OVER 1'NE COUNTER PERMlTTIfdG {Front of Application Only} <br /> Reraofs if shingles ' Sewers Servlce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> , ., � . :�•, , . , <br /> Driveways-Nat over Counter if on pii6lic roadvirays:?needs ROW <- :� <br />