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- - - - _ . , <br /> a�3-��u-UOL� t;ity ot Zephyrhilis Pe�mi#Applicatian Fax-813-780-OQ21 <br /> B�ilding Deparkment <br /> Date R�ceived , � <br /> Phone Contact far Permittin - <br /> Qwner's Name -�r'a- �1" r �'1 �u� Owner Phone I�urnber �� 3 ' � �a ```��f`{ I <br /> �-� � � <br /> t3wmer's Address �° �� a° ��r-�'-� � Owner Phone Number $ �3 -� 1 a �5 d �7 <br /> Fee Slmple Tifteholder Name � � � Ornmer Phone Number �i � <br /> I <br /> fiee Simpfe Titleholder Address Y I <br /> JOB ADDRESS S°t`� .��7'�' S�{"r2 c.�T"� LOT# � <br /> sueQivisior� S��-e,r-J�;r/ � �attcE��o� - - - - - - - --- --- — _ - _ - -- <br /> ----- t- — <br /> -- � � - �' ' T` �(08TAINED FRdM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoNSTe AbDlALT , �� SlGN o o DEMO�fSH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE [� SFR [�` CO!M � OTHER e <br /> 7YPE t?F CBNSTRUGTiON Q BI.00K �+ Q FRAME � STEEL Q <br /> DESCRIPTION OF Mt{!RK ��5�`�I( t-�(tsvc� T�vt c� I b�. r �'a �E'c{j �e�n �� <br /> 8U1LDtNG SlZE �� � SQ FOQ7AGE�—� HEIGHT � ' � <br /> QBUILDING $ - � �. VALIlATlQN OF TOTAL G4hISTF2UCT101tiE <br /> C„?.,._ � <br /> �ELEC7RICAL �S-� AMP S RVlCE Q PROGRESS ENERGY Q W.R.E.G. <br /> OPLUMBING � � <br /> QMECHANICAL � � VALUA710N OF MECHANICAL lNSTALLATlON <br /> QGAS Q ROOFING Q SPECIAL7Y �] OTHER <br /> FIR1tSNED FLOt�it ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDE1t COMPANY <br /> StGfilA7URE REGISTERED Y J N FEE CURRE� Y/N <br /> Address I l,icense# �� � <br /> ELECTRIClAM COMPANY <br /> SIGNA7URE Recisr�rx�o Y/ N FEE CURRE� Y/N <br /> Address I l.Icense# �� � <br /> PLUMBER GOMPANY <br /> StGFlA'ittRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I C.Icense# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRft� Y/I�S <br /> Address I Llcense# �- � <br /> QTHER ^ COMPAPlYY -�"� �� r"� �'-'i <br /> 81GNATtlRE ""� REGISTERED Y I N FEE CURFtEt+ Y J N <br /> Address .�a'l Lf ,.�-o �'.�. S'��.�+ G...f-r� ��1_ �j �� Ltcertse# �--. � <br /> l � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulld(ng Plans;(1I)set of Energy Forms;R-O-W Permik far new construokion, <br /> Mlnimum ten(t0)wotkfing days after subrr�{ttal date. Ftequ(red onsite,Constrtection Plans,StoRnwater Plans wl Siit Fence instatled, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permlt for subdiv(sions/large pro)ects <br /> CCIMMERCIAL Attach{3)complete seks of Building Plans plas.a�ife Safety Page;(t)set of Energy Forms.R-d-W Permit tor new constructfon. <br /> Minimum ten(10}working days after submittat date. Requ{red onsite,Constructian Ptans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permf�for all new projects.AD commerc(al requirements musk meet compliance <br /> SlGN PERMIT Attach{2}sets ot Engineered Plans. <br /> "**PROPERTY SURVEY required for all NEW co. structlon. <br /> Directions: <br /> Fil!aut appticafion completety. <br /> Owner&Contractor sign back of application,notarized ;, <br /> tf over 52540,a Natice of Cammencement ts required. {A!C upgrades over�7540) - � + � <br /> •` Agent(for the contractor)ar Power of Attamey(for the ownerj wauld be someone wlth notarized letter fram owner authorizing same-..•_._��--- �• <br /> CJYER TtlE COUNTER PERMIITING {Front of Appllcation Qnfy) �� �' '_ - �, :_� <br /> Rsroofs if sfiingies Sewers Service Upgrades AIC Finces{P(oUSurvey/Footage} :'` (�� . ' " ; ` <br /> Driveways-Not over Counter if on pubfic roadways..needs ROW � � ..F a ei_ w«�v�-rt=��",�^� <br /> � ,�:-,�� -...�,.._. w <br /> � <br /> � <br /> I <br />