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n�s-rau-uvcv C;ity ot Zeph�rhil{s Permit Application Fax-813-780-0021 <br /> B�ilding Department <br /> Date b2eceived � <br /> Phane Cont�ct for Permitttn -- � <br /> owner's►�ame ��I�S�" /�I�G /L/��'•�• Owner Phone Number ��'S -``��� ' ����� � <br /> Owner's Address C���� -�"� r��.� k tJwner Phane Number �— �� <br /> Fee Simple Titlehalder Mame �—� �- � Owner Phone Number �! � <br /> l � - <br /> -Fee Simpta Tittehatder Address � <br /> * <br /> JOB ADDRESS �d��I I S�O���" �1�'� � M - <br /> LOT# �� <br /> SUBDI!/ISION �.— !—.�_ PA16tCELID# '"/. "- � "'_ l���f� ^_j: -�Il� ^ �/ - __. .__ __-- -,- <br /> �� �� , (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> lN06tK PROPQSEQ NEW CONSTR ADD/ALT � S1GN Q , Q DEMCiLISN� <br /> e INSTALL 8 REPAIR <br /> PRUPOSED USE Q SFR Q GtJMM � OTNER <br /> TYPE OF COTiSTRUGTlOtt4 Q BLOCK Q � FRAME � STEEL Q <br /> { 0 <br /> OEBCRiPT10N OF MtORK � f20�-� ' P Q;S"E- G�l�'1 F� 30 � � �n/�-�J" , <br /> � <br /> BUILDING 5laE �� � � S4 FQOTAGE��� HEIGHT ��� <br /> QBUtLDING $ � VALUA ION OF TOTAL CONSTRUCTION . <br /> �p� � <br /> QELECTRICAL $' � AMP S RViCE [� PROGRESS ENERGY C] W.R.E.C. <br /> QPLUMBING ��_� , v ���3� <br /> [�MECHANiCAL $ - ' VALUATIC}N OF MECHANlCAL iNSTALLA7`tON � <br /> GAS ROOFING S �ECIAl.TY �'f'HER - <br /> C� . o � o <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE Al2EA [�YES iV0 <br /> i <br /> BUILDER �^ COMPANY ��!/� �O�n'�/��' ' <br /> StGfdATURE �� REGISTERED Y I N FEE CURRBh Y I N <br /> Address �� �Ox �'�� ���'�r' �l� �" ' License# �G-�D��r�(( .�.�.� <br /> ELECTRICIAId COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREt� Y/N <br /> Address License# �� ����� <br /> PLURflBER COMPANY <br /> SIGNATURE � REGISTERED Y I IU ' FHE CLlRREt� Y/N - <br /> Addr�ss � � License# �`� �� � <br /> MECHAMCA� COMPANY <br /> SIGMATURE REGlSTERED Y/ N , FEE CURRER Y 1 N <br /> � Address � License# �—`�`�� <br /> OTHER � � COMPANY ' � <br /> SiGIdATURE REGtSTERED Y/ N FEE CURftER Y 1 N . <br /> 'Address ' � License# r ` i <br /> r <br /> RESIDENTIAL Attach(2)Ptot Plans;(2)sets of Building Pians; 1}sef of Energy Farms;R-O-W Permit far new constnrction, <br /> Minimum ten(10)warking days after sutimittaf d�te. Requfred onsite,Canstruction Plans,Skarmwater Plans w!8ilt Fenae installed, <br /> Sanitary�acilities 8�i dumpster;Site Work Pe it for subdivisians/large projects , <br /> COMMERCIAL Attach(3)complete sets of Building plans ptus Life Safety Page;(t)set of Energy Forms.R-O-W Permit for new constructian. <br /> Minimum ten(10}�working days after submittal d te. Required onsite,Construction Pians,Stotmwater Pians w/Siit Fence instatled,_ <br /> Sanitary Facilities&1 dumpster.Site Work Pe it for aU new proJects.All commercial requirements must meet campliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. --- <br /> "*'PFtOPER'1Y SURVEY required for aH NEW onsfructton. <br /> Dlreckions: <br /> Fili out appiicaBan comptetety. � <br /> Qwner&Contraotor sign back of appiicaBan,natarixed , , .- "_ ` . _ <br /> •. If over�25Qp,a Notice of Commencement is required. `;(Al upgrades over 3T500) � � 1 ,� <br /> Agent{far the contractor)or Power of-Attomey,(for the�owner)�ould be someone with notarized letter.from.awner.,au�honzi�tg.,$atn„e,�,�.,,,µ.,. ,�n <br /> ..; <br /> O'�ER THE C�UNTER PERMIT't'ING• ;-(Fronf•of.Application'Only) . ' .` . _ -.�`' -:'�' y�F <br /> Reroofs if shingles Sewers ., 5ervice•Upgrades�ALC= .ences,(PIQfi1SUN6y1F00Ndg8) �$ ' '�� � "` '$.` _ -��L � , <br /> . : F . x��iS.i_ . . . . �-'.Y`� <br /> Dr€veways-Not over Counter if�on'public roadWajts:':needs'R�'1 �� , �_ � �---•�-r.����..- --�_w=<.. u__.N,.. ,',,:.... .,.. � <br />