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813 78fl-0020 City of Zephyrf3ills P rmit Appl�catian Fax-813-780�L1f121 <br /> Suitd'+ng Oe rtment <br /> � <br /> ; � Date Recehred Phane Cositaet for Per ItN <br /> I p�vner's Name C � Owner Phone Number O�3"`�/�+� � .3►�("�.y <br /> 3 --o �' ,,� � <br /> OwnePs Address 3 � Owner Phone Number � <br /> Fee Slmple Ttitehnlder Name Owner Ahone Nurn6er � � <br /> /y • <br /> FeeSlm{s1eTltiehcSderAddress •�19�Q �k , '�'� � � <br /> JOB AbDHE3S 407'S �� <br /> SUBp(Vi&tON � � PARCFI.tt3/f <br /> (09TAINED FROM PROPEqTY TAX N6TICE) <br /> WORK FROPOSED � NEW CoNSE R 8 ADt?lALT SiGN [� Q QEMOLtSH <br /> tN5TALL REPAlR <br /> PROPOSED USE Q 8FR ❑ COMM 07NER <br /> rn}�o�cn»s�ucTwN Q g�.ocFC Q �� s�� [� <br /> DESCRIPTIONOF WORIC "j NG �N r8+ � `� z`� l�'hr" e <br /> BUIL,OING SIZE � � S�FqOTAGE HEfGHT �� <br /> QBUtWtt1C� $ 3 OOR� YALUATtONOFT TALCANSTRUCTiQN <br /> ....I <br /> QELECTRlCA4 ($�� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C. <br /> �.... <br /> OPLUMBING ($ � � V��\ <br /> QMECHANICAL �� VALl1AT10N OF M CHANICAL iNSTAlLATiOtV I �! <br /> � <br /> 06AS Q R4QflNG Q SPEC#At.N QTFiER ���C�,� <br /> FlNISHED F4QOR ELEVATIONS �� FLOOQ ZON AREA QYES NO <br /> BUILDER ,�Rx�:_�/p� COMP Y DM�I/V4� � <br /> SIGNA71lRE �f0Y3� � RE�isr� o Y t N F�cuw;sra Y 1 N <br /> Address V712� � � .�+"i���,,,i„ +�.�W► License# I w I <br /> ELECTRtC1AN COMP Y <br /> SIGNAYURE REQISTE D � FEE CURREN Y/N � <br /> Address Licanse#C� � <br /> PL!lMBEA � � COMP � � <br /> $S(a'NA�IRE RE6IS7E o Y 1 N FEE GURftEti Y I N <br /> Address License#�_ � <br /> MECHANICAL � � COMP Y � � <br /> SIQNATURE REGI$TE o Y/ N FEE CURREN Y/N <br /> Aaaress ucer�e u� �� <br /> QTkER ���`����� COMP Y � � <br /> SIGNATUAE REGi$(E o Y/ N FEE CURREN Y 1 N ' <br /> Address I��3� �� �� � .+���� license#� � <br /> [ � � te [ � � � � r � � � � tr � � � tIilillllil 1 It1 / iIt1I � 1lIti1 / 1IiIlIflIlltll <br /> RESI�ENIIAL Attach(2)Plat Pians;(2)sets oi Buikling Plans;(1)set ot E ergy Fortns;R-O-W Permit for new constructinn, <br /> Minimum ten(10)working days after submii631 date. Requir d onsife,Construciinn Plans,Stormwater Plans w!Sik Fence installed, <br /> Saoitacy Facililies 8�f dampster,Site Work Permlt fnr subdi'iansllarge prajecis <br /> COM61ERCtAt. Aitaah(3}comptete sets of Bui�ding Plans ptus a life Safet �age;(1}sst of Enargy Forrns.R-O-W Parmit tar new constn�ctian. <br /> Minim�m ten(10)xrorking days after submittal date. Requi onsite,Conshuctian Plans,Stormwater Plans w/SiB Fer�ce installed, <br /> Ssnitary Facilifles&t dumpster.Site Wark permk(ar all ne projects.Ali cammercial requiremenLs must meet compliance <br /> SfGH PERMiT ABach(2}sets of Engineered Pians. <br /> ""PROPERIY 5URVEY required for aIl NEW construcdo <br /> directEons: <br /> Fli asrt applicafion complefoly. <br /> Oxmer&Contractar sign back bi appl'icoGon,notarized <br /> N over$250U,a Natice of Commencement Is requlred. (AIC upgred over$7500) <br /> " Agern(tor the contract�r}or Pawer of Atfomey(tar the awner}vmuid 6e s meane with notarized letter fram owoer auul3»mrizing same <br /> OVER 7HE CtlUNTER PERMR'fING (Front of Application Only} <br /> � Reroofs i(shingles Sewers Service UQgrades A!C Fences(pl USurvey/Footage) <br /> j DAveways-Not over CouMer ii on public roadways..needs ROW <br /> I <br />