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t <br />� <br /> � Lowes1854 <br /> + 813-780-0020 City of Zephyrhills P�ermit Application Fax-a��-�eo-aozt <br /> � ' Building De rtment <br /> ` � �-1 � x�3 - �a� _ ��s� <br /> Date Received — L phone Contactfor Pettnittin <br /> . . . � <br /> Owners Name LoW2S Owner Phone Number <br /> Owner's Address Hvuy 268 East N Wilkesboro,NC 28659 pWner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �921 Gall Boulevard Zephyrhilis �oT# � <br /> 3425-21-001 Q00100-0010 <br /> SUBDNISION PARCEL ID# <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW cANSTR e ADDlALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK provide temporary power to Chri tmas Tree Tent <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATIONOF TALCONSTRUCTION <br /> QELECTRICAL $ ���•�(l� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���� <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION �� <br /> QGAS Q ROOFING Q SPECIALN Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> 1—i—:—: ' '�:—r <br /> BUILDER COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMP�Y Lin R Rogers Electrical Contractors <br /> SIGNATURE REGIST�rtEa Y/ N FEE CURREN Y/N <br /> address Zd50 Marconi Dr suite 200 Alpharetta,GA 30 �icense# EC0�0740 <br /> PWMBER �mP Y <br /> SIGNATURE �rte�isr�REO Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMP�Y <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMP Y <br /> SIGNATURE REGIST REO Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construction Plans,Storrtnvater Plans w/SiR Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subc�ivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life SaFety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit For all n�w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW constructi n. <br /> Directions: <br /> FiII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of CommencemeM is required. (AIC upgradCIs over$7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would be$omeone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />