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s�saeaoo2a City of Zephyfiitl Permi#Apptication Fax-813-TBO-0021 <br /> Building epartment <br /> Date Received Phone Contact tor ermittin --��`-� <br /> Owner's Name � h � N�c� �ntem � Owner Phone Number ���' ��'I�,�'�1.1'6 <br /> Owner's Address ( � r• C)wner Phone Number �— � <br /> Fee Simple Titlehotder Name Owner Phone Number �— � <br /> Fee 8imple Titiehatder Addrasa <br /> JOB ADDRESS �t � � LOT# �___��� <br /> SUSDIYISION ��1�j l i V�V Vt � PARCEL I ��" �� "(x�` ��-�t�` � {�` �� <br /> (OBTAINED FROM PROPERTY 7AX NO"PICE) <br /> WQRIt PRQPQSED NEW CONSTR ADDIA�T � �t�GN��`� [� DEMOLISN <br /> iNSTALL REPAIR �r� <br /> PROPOSED USE � SFR Q CQMM Q OTHER <br /> TYPE OF CONSTRUCTION [,� BLOCK Q FRAME � STEEL Q <br /> DESCRtPTii�N OF WORK ��Ot.� C�t'� � ��„�� ( <br /> 8UlE,DlNG SIZE � � SQ FOQTAGE HEFK3HT �� <br /> QBUML[}ING $ � � VAt,UATIt}N O TOT,4L CONSTRUCTiON <br /> ,t� ��7 a �� <br /> QELECTRICAt. � � AMP SERVIGE Q PRQGRESS ENERGY [� W.R.E.C. <br /> �PI.UMBING (�6 . � � � <br /> L ,,.... �j� <br /> QMECNANICAL S VALUATION O MECHANlCAL INSTALWTIQIV %� � <br /> j <br /> QGAS ROQ�ING Q SPECIAL [� OTHER <br /> FINISHED F1.00R ELEVATIONS FLOOD Z NE AREA [�YES NO I � ( tj�"� <br /> t t <br /> BUt1.DER COM ANY <br /> SIGNATURE REGis RED Y/ N FEE CURRE� Y/N <br /> Address � �ieense# �— � <br /> E�ECTRICIAN Ct)M ANY <br /> SIGNATURE REGIS REO Y/ N FEE CURRE� Y 1 N <br /> Address �Icense# �� � <br /> PIUMBElt C{3M ANY <br /> $IGNATURE ,,. REGIS EREO Y/ N FEE CURRE� Y/N <br /> _...,��..�,..,,. <br /> Addresa License# �� � <br /> MECHANICAI. CQM ANY <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address � l.icense# � � <br /> QTHER ��� y�� CC? ANY c�,t • ^ _ <br /> SIGNATURE �y REGI TEREO Y I N FEE CURRE� Y J N <br /> Address � c'� l.icense# � � <br /> RESIOENTIAL Attach{2}Piot Pians;{2}sets of Suilding Plans;{1}get a Energy Fonns;R-Q-W Permit for new construction, <br /> Minimum ten(14}woricing days after submittai date. R ired onsite,Construction P1ans,S#om�water PEans wl Sit#Fence insta{led, <br /> Sanitary FadliHes 8�1 dumpster,Site Work Permit for su divisionsAarge proJects <br /> COMMfRC1Al Attach(3}camplete sets af 8uilding Plans plus a L(fe Saf ty Page;(1)set of Energy Farms.t2-�-W Permit for new conshuction. <br /> Minimum ten(10)working days after submittal date. R uired onsite,Conshuction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities S 1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compiiance <br /> SiGN PERMIT Attach(2}sets of Enginee�ed Plans. <br /> •»•«PRQpERTY SURVEY required for all NEW construc n. <br /> DirecNarts: <br /> Fill out applica8on completely. <br /> Uvmer d�Contractor sign back of application,nota►ized <br /> If ove�;2500,a Notice of Gammenaement is requlred. (AlC upgta s over t�7S00} <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING {Front af Appltcation C}nly} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences( lof/Survey/Footage) <br /> �riveways-Nat over Counter if on public roadways..needs ROW <br />