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s�saso-oo2o City �f Zephy �hills Perrv�it Applicatio <br /> Buil ing Department <br /> " ,Z� <br /> ID�te Receireec➢ Phone Contac 9or Permitting __ <br /> owner•s tdame �` �(/i ) � I Owner Phone Murnber �� j �� �— <br /> Otnrner's�lddress J J �3 Z �1JKI) � ,(1 �-�r' � � py�er Phone Mumber <br /> � <br /> Fee Simpie Titleholder IName Owner Phone�dumber <br /> Fee Simple Titleholder Address ]� � � �,�� <br /> .ao��o�R�ss �� 03 t3 �� fc�o �e. ' 3 ' � �.o�� <br /> � <br /> SUBDI!/ISIOR9 PARC L ID# <br /> (OBTAINED FR�OM1A PROPERTY T�rice)DEMOLISH <br /> MlOR6(PFiOPOSED B NEW CONSTR e ADD/ T � SIGfV <br /> INSTALL REPAI <br /> G��dO�OS�D U5E Q SFR Q COM 0 OTHER <br /> �XP�OF COtdSTRUCTIOfd Q BLOCK Q FRAM � STEEL 0 <br /> ,D�SCRIPTIOM OF WORF( �er�°� �j �C � <br /> BUIILDIf�G SIZE S41 FOOT�►GE Fi�IGHT <br /> �BUILDING $ <br /> ,j"(� (� ,� VALUATIO OF TOTAL CONSTRUCTIOIV <br /> �]ELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY �] W.R.E.0 <br /> OPLUMBING $ ��Q <br /> ..� �S <br /> QMECHAfVICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECI LTY � OTHER <br /> FINISHED FLOOR ELEVATIOMS FLOOD ZONE AREA DYES NO <br /> IBUIILD�R CO Pi4tdY <br /> SIGIdATIlRE RE ISTERED Y/ I� FEE CURRE� Y/M <br /> e4ddress License# <br /> E�EC7'RICIAtd CO PAMY <br /> SIGP�AITURE RE ISTERED Y/ IV FEE CURRE� Y/IV <br /> Address License# <br /> PILURlI�ER CO Pd4fdY <br /> SIGR1d4TURE REG STERED Y/ IV FEE CURRE� Y/N <br /> 4Address L(cense# <br /> P�IECH�1ldICAL CO PE1fdY <br /> 51GR1s4TURE REG STERED Y/ N FEE CURRE� Y/N <br /> s4ddress License# <br /> OTHER CO PAMY <br /> SIGR1ATl1RE REG STERED Y/ M FEE CURRE� Y/M <br /> B�ddress License# <br /> RESIDER�TIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster,Site Work Permit for s 'bdivisions/large projects <br /> COiH1hAE(2CIAL Attach{3)complete sets of Building Plans plus a Life S �fety Page;(1)set of Energy Forms.R-O-W Permit for new construct(on. <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for al new projects.All commerc(al requirements must meet compliance <br /> SIGtd PERIHi1T Attach(2)sets of Engineered Plans. <br /> ••°•PROPERTY SURVEY required for all NEW construc fon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> !f oder t2500,a Motice of Commencement(s required. (E!/C upgr des over 57300) <br /> " Agent(for the conUactor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same <br /> ONER THE COUMTER PERIMITYINfi (Front of Application Only) - .-_ ..,,,...._�_.r.. .. <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage) �� . . ,' ' <br /> Driveways-Not over Counter if on public roadways..needs ROW • ,_ ,- ' <br />