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813-780-0020 City of Zephy ilis Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Date 6Eeceiaed /������ <br /> / Phone Contac for Permitting __ <br /> Owrner's Mame /"`�,t k .5�,w r... �vvvner�'hone Mumber g�� 3�� %Z�''" <br /> I �nrne�'s Address � 7$-�l �3-�'�+ Owner Phone Number <br /> Fee SiQn�ie Titleholder idame Owrner Phone tdutnber <br /> Fee Simple Titleholder Address = <br /> JOB e4DDEtESS �A �'C , LOT# �� <br /> - - 51���7B�91Si��9 �— - PAPtC L ID# � t � Z-b � 2( "' �Q�� � �-07 Z4� - O l [0 <br /> (OBTAIPIED FROM PROPERTY TAX NOTICE) <br /> kHOR6C PROPO�ED B NEW CONSTR B ADD/ T � SIGN Q 0 DEMOLISH <br /> � i�NSTALL REPAI <br /> PPtOPOSEp USE Q SFR Q COAIi 0 OTHER <br /> YYE'�OF COMSYRUCTIOid Q BLOCK Q FRAM 0 STEEL Q <br /> D�SCRIPTIOfd OF WORK ��M���L apT�-I 2o0c'V� R�P j,/�C� W t N�()`,�; <br /> BUILDIFdG SIZE �� 7� �oZ. SQ FOOTAGE �0� FLEIGHT � <br /> QBUILDING $ !�5� cu VALUATIO OF TOTAL CONSTRUCTIOfV <br /> d� <br /> ��LECTRICAL $ AMP SERV CE � PROGRESS ENERGY 0 W.R.E.0 <br /> LUMBING $ A������l� <br /> � �S <br /> �MECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION �✓I <br /> � ��� <br /> OGAS Q ROOFING Q SPECI LTY � OTHER <br /> FIIJISHED FLOOR ELEVATIONS FLOO ZOIVE AREA �YES NO <br /> - _IBiDILDIER a - ��r-�/1 ----C RAPANY - -- -- - - - - ^---�'r'�-- Sls;:,_ .Y, - --- - _ <br /> SIG�PaTURE Re ISTERED Y/ FEE CURRE� Y/1�I <br /> �4ddress License# <br /> J � <br /> ��.ECTRICIAfN _ � ���, C NIPAF�Y v�� SI y��,.� <br /> I SIGMA�URE �' RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ,J <br /> � / <br /> �aUAfl�ER ���' C AAPAMV �•�"'• Sl���,..• <br /> SIGR�c�TURE �--------_. � RE ISTERED Y/ IV FEE CURRE� Y/M <br /> �,ddvess License# <br /> flAECF9AfdICAL C IVdPAMY <br /> SIGRIATUEZE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> p��qE� C MPANY <br /> SIG��I�URE R ISTERED Y/ N FEE CURRE� Y/N <br /> ,l4ddress License# <br /> RIESIDIEINTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worlcing days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for ubdivisions/large projects <br /> C�MIMERCIe4L Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGtd PERMIT Attach(2)sets of Engineered Plans. <br /> •'""PROPERTY SURVEY required for all fVEW const ction. <br /> DiPectlons: <br /> Fiil out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> 6f over 52500,a Notice of Coenmencement is required. (9UC upg ades over�7600) <br /> °° Agent(for the contractor)or Power of Attomey(for the owner)would e someone with no4arized letter from owner authorizing same <br /> O!/ER THE COd1NTER PERMITTIMG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fence (PIot/Survey/Footage) <br /> .:.. :� , <br /> �riveways-Not over Counter if on public roadways..needs ROW �• '"` - , � � <br /> - ' ` .. i <br />