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813-780-0020 City of Zephyr ills Permit Application Fax-813-760-0021 <br /> Build g Department <br /> Date Received Phone ConQacQ or Permitting -- <br /> Owner's f�ame }�-C �1 (�� L p � �, Ovuner Phone Idumber � � �/J � °252� <br /> Oevner's Address �b �� / / S� Owner Phone fduenber <br /> �ee Sioviple Titleholder F1ame Own�r Phone M�amber <br /> Fee 5imple Titieholder Address <br /> �o��►����SS � 9 s� ��- ��� Is. �oT# 0 <br /> SUBDINI5101d PARC L 9D# t� ' Z y - 2 f �' �b�D�- �l Z D n— QQ f � <br /> . (OBTAIRIED FROAA PROPERTY TdX NOTICE) <br /> HNORb(Pi20POSED B lVEW CONSTR 8 ADD/A T 0 SIGIV Q Q DEMOLISH <br /> INSTALL REPAI <br /> �6tOPOSED U5E Q SFR Q COM 0 OTHEl2 <br /> T1fPE OF CONSTItUCTIORI Q BLOCK Q FRAM j 0 STEEL 0 <br /> D�SCRIPTIOId OF HNORK l/1 aJ'� � 6iL/ �X�s �,�1 � P�m �3 i� �'vY!v�Fil'!�e/' �1��/ <br /> �U1�.�9R9G SIZE Sf�FOOyE�GE � � �BEIGHT p � <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SER ICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ J <br /> �MECHANICAL $ ���� �U VALUATIO OF MECHANICAL INSTALLATION `��� S <br /> � <br /> QGAS Q ROOFING Q SPEC ALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIOMS FLOO ZONE AREA QYES fV0 <br /> BUILDER C fUIPAtdY <br /> SIGfdATURE R GISTERED Y/ M FEE CURRE� Y/N <br /> �ddress License# <br /> �LEC7'RICIAtd C Rf1PAfdV <br /> �IGfde4TURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAflIBER RAPAfdV <br /> SIGWs�TURE R GISTERED Y/ N FEE CURRE� Y/IV <br /> Address License# <br /> AII�CHARIICAL ' OAAP�AfdY 1hGL/�T� �/� U� b�' �I� <br /> SE�xRI�TU�E R GISTERED Y/ fV FEE CURRE� Y/fV <br /> alddress �7�� ad/o�Q �G � �13�G�v License# G�CO s2 Z� <br /> oTH�� �1�., 9J� 9� OflAPAMY <br /> SIGRIATURE GISTERED Y/ RI FEE CURRE� Y/M <br /> B►ddress License# <br /> R�SIDE�TIea►L Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> I Sanitary Facflities 8 1 dumpster;Site VVork Permit fo subdiv(sionsllarge projects <br /> CORARAEP2CIAL 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. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance <br /> SIGR1 PERMIT Attach(2)sets of Engineered Plans. <br /> °•°"PROPERTY SURVEY required for all NEW cons uctlon. <br /> Direc@ions: <br /> Fill out applicat(on completely. <br /> Owner 8 Contractor sign back oi application,notar(zed <br /> I�oeer$2500,a(dotice of Commencement Is required. (�/C u grades over�7500) <br /> °° Agent(for the contractor)or Power of Attomey..(for the owner)woul be someone with notarized letter from owner authorizing same <br /> OdER THE COUfdTER PERMI7TI(dG (Front,of.i4pplicatjon Only) <br /> Reroofs if shingles � Sewers �,�,Service Upg�ades NC Fen s(PIoUSurvey/Footage) <br /> Drivevuays-Not over Counterif on•publiaroadwajis.;n�ecfs ROW <br />