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tf7:S-l2ip-UU"Lt1 City af Zephyrhilis Permit Apptication Fax-813-780-Oq21 <br /> Building Department <br /> Date Receiv��' • Phone Contact for PermitNng — <br /> .�.�.. <br /> Owner's Name ,,�A�"+QS �4 Q � r (�(� Z Owner Phone Number �j�3' 3ZS- 3"j30 <br /> OwnePs Address ��� �7 � �'U Q Owner Phone Number � � <br /> Fee Simpie Titlehotder Name �� � � Owner Pfione Number r � <br /> Fee Simpie Tttlehotder Address � <br /> . <br /> JOB ADDRESS LOT# C� <br /> SUBDIYISION �- � PAitCEl.lt?# i` <br /> — �-- --. _ _ � _ _ �_. ---- -(OBTAINED FROM PROPERTY-TAX MOTICE) — - - ,-.- — - -- <br /> WORK PROROSfQ e NEW CONSTR 8 ADDJALT � SIC�IU Q Q DEMOI.ISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �J COMM � �� OTHER <br /> 7YPE QF CONSTRUCTION Q BL.00K Q FRAM� Q S7EEL Q <br /> �ESCRtPT10N OF WQRK WOO t�Q� ���`�+�e � �� <br /> BUlLDIMG SlZE ��� SQ FOOTAGE ZZ�+� �'�' HEIGHT �F�" _� <br /> QBUII.DING $ VALUATIONiflFTOTA�CONSTRUCI'ION <br /> �����„�G� � <br /> [�ELECTRICAL � � AMP SERVlGE Q PRQGRESS ENERGY Q W.i2.E.C. <br /> QPLUMBING I <br /> �.�. � � ��� <br /> QMECNANICAI. $ VALUATION�OF NlECHANICAL i1VSTALIATlON ��� <br /> i <br /> [�GAS Q ROOFING Q SP�ClAL`fY � OTHER - <br /> FIN{SHER PLdOR ELEVATIONS �� FLOOD�ZONE AREA QYES NO <br /> i <br /> BUILDER �� �� ` /6 CO�MPANY �+�1�oS ��' 9�� I�� CRi2 t2 <br /> SIGNATttRE ��I"J REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# �� �� <br /> � <br /> I <br /> ELECTRtClAN C{}MPANY <br /> SIGNA`CURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess Llcense# �� �� <br /> PLUMBER � COMPANY <br /> StGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address � l.Ecanse# �_ � <br /> . � <br /> MECt4ANICAL COMPANY <br /> SSGNATURE REGISTERED Y J 1V FEE CURREi� Y/N <br /> Address Ltcense# � � <br /> � <br /> i <br /> OTHER � COMPANY <br /> SIGNA'TtiRE REGISTERED Y 1 �1 FfE CURREh Y 1 N <br /> � <br /> Address � - License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten{10)working days after su6mlttal.date. Requlred onslte,Constructlon Plans,StoRrrwater Plans wl 531t Fence instalted, <br /> Sanitary Facilities 81 dumpster;Site Work Permfk far subdivisionsAarge projects <br /> COMMERCIAL Aktach(3)compiete sets of Buflding.Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> M�ntmom ten{10)working days afte�submlftal date. Requ{red ansite,Canstruc�on Ptans,Starmvuater Plans w!Sitt�ence instatted, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projeats.All commercial requirements must meet compliance <br /> SlGN PERMl7 Attach(2)sets�of.Engtrieered Plans.. ; � <br /> ""PROPERTY SURVEY required far all NEW canstruction. <br /> Directlons: <br /> � F€11 out application camptetely. � <br /> Owner&Cantractor sign back of application,notarized , --. -, <br /> !f over$25QQ,a Noklce of Commencement is required. (A!C upgrades over a7500) . , � '"' . . . �,. <br /> `" Agent(for the contractor}or Power of Attomey(for tFie o5une�)would be someone with notarized letter frcrm owne�authorizing,same ���� � <br /> pVER'fiHE COUNTER PERMCCTING �{Front of'•Applfcation Qniyj_ � - - ' �°�•�::�=' ` ' � . <br /> Reraofs if shingles Sewers � Service Upgrades.A1G �=� Fences:(PIaUSurveylFootage} �- ' - - - . , , <br /> Driveways-�iat aver Counter if on jiublic roadwaps:.needs"RQW' `�-`. t <br /> , � <br />