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s�s-�sa-aozo City of Zephyfiilts Permit Application Fax-813-780-0021 � <br /> Building Department <br /> Date Received Phane Contact for Permlttin / d,� -- �C.�� <br /> Owners Name ('�D 1�/'9 Q'" �.�!p�/ Owner Phone Number C3��'" ��'� <br /> Owner's Address Owner Phone Number �— � <br /> Fee 5lmpte?itlehoider Name �� � Ovmer Phone Number �� � <br /> Fee Simple 7itlehalder Addresa <br /> JOB ADDitESS ��t/GO / 1 � o.�T � -�!!I S� �� ��'S �.OT# ��.� <br /> S{1BDNIStl3N � 1 PARCEL 1QA� !f °� � �f a I I��D a�IU <br /> (OBTAINED FROM pROPERTY TAX NpTICE) <br /> WQRK PROPOSED e NEW CONSTR�ADDlALT � S1GN Q Q DEMQItSN <br /> INSTALL REPAIR <br /> PjtQPOSED U8E Q S�ft [� GOMM � OTNER <br /> TYPE OF CON37RUCTIQN Q BLOCK Q FRAME U S7EEL Q <br /> DESCRIPTION OF WORK t'l��.4U 2 � �a-1-°E.^ � T� �K t.°Q- LLX"» E � <br /> BUltDtNG SIZE �__ � SQ FOOTA{3E�_� HEIGNT ��� <br /> OgU������ $ --_!�� VA�.UATIQN QF TOTAL CONSTRUGTIOAI <br /> .�i <br /> �]ELECTRiCAL $ -_-� AMP SERVECE Q PROGRESS ENERGY [� W.R.E.C. <br /> oP��,�g��� � � . �-�f�� <br /> � �5 <br /> QMEGNANICAI. � �1' ��riA� VALUATlC}N OF MEGHANICAL INSTALIATlON <br /> � :J <br /> OGAS Q ROOFING Q SPEC4ALTY � OTHER ,�/�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � <br /> SUILDER �--_--`� COMPANY <br /> SIGNATUFtE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �� 1 <br /> ELECTRIGIAN COMPAt�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# C� � <br /> Pt,UMSER `� CQMPAAIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �lcense# � � <br /> MECHANICAL ' ,�y}, �� COMPANY �����5 p�dp•4 na e �� �' /�,.-�t� <br /> SICsNATUFtE d��rltlr l�s liC.tt..P/1't-�� REGISTERED Y! N FEE CURRE� Y!N <br /> Address ��'�f 17 f�� "" �-t7t/.s, ��(��5y �Icense# C �� f�� �R'�"�� <br /> QTHER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y I N <br /> Address �tcense# � � <br /> RESIDENTIA� Attach{2}Plot Plans;{2)sets of Buikling Plans;(1}set of Energy Fom�s;R•O-W Perrnit for new canstruction, <br /> Minimum ten(10)working days aRer submittai date. Required onsite,Construction Pians,Stonnwater Pians w/Silt Fence instaited, <br /> Sanitary Fadlides 8 1 dumpster;Site Worlc Permit far subdivisionsAarge projects <br /> CC}MMERCIAL Attach(3}mmpiete sets of Buiiding Plans plus a Llfe Safety Page;(1}set of Energy Farms.ft-O-W Permit for new c:onshuctton. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Pians,StormNrater Pians w/Silt Fence installed, <br /> Sanitary Faciflties 8�1 dumpster.Site Work Permit for all new p�ojects.All commercial requirements must meet compliance <br /> SlGN PERMIT Attach{2}sets of Er�ne�ed Plans. <br /> ••""PROPERTY SURVEY required far all NEW consVucUon. <br /> DirecNorta: <br /> Fill out applicatlon completely. <br /> Uwner 8 Contractor sig�back of application,notarized <br /> If aver 32500,a Notice of CommencemeM is requirsd. (AlC upgrades over x750Q) <br /> '* Agent(for the contraator)or Power af Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> G1YER 7HE COUNTER PERMCfTING {Front of Appllcatio�►Onty} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />