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�,s-��u-�uzv City af Zeph rhiils Permit Application Fax-813-780-002�/� � <br /> Bu Iding Department � <br /> }ate Recefve�d � �/��J�� <br /> Phane Conta t for Permitting „y"� <br /> � �rl.� <br /> �wn s Name ���f� � �1��'��� �U U� Owner Fhone Number „ <br /> )wner' Address ��� �� �� � �-� 4wner Phone Numbsr �— � <br /> i � � <br /> �ea Simpie Titleholder Name Owner Phone Number j <br />' 'ee Simple Titleholder Address <br /> tOB Ad[3f�SS �j1 D..�J �L/ �f �,`"� t(,�f-�-f t�C.S �L �3�� LOT# �� <br /> ;uaoEVis�or� PARC LID# I Z--- 2Gs-�1 ` bb..�jL�--�jbZQp'�' b�`�Q <br /> (OBTA!ldE4 FROM PROPERTY TAX NOTIGE} <br /> NORK PROPOSED e NEw coNSTR 8 ADD/ T SIGN Q Q DEMQLlSH <br /> INSTALL REP�1 <br /> �ROPOSED USE � SFR Q COM � OTHER <br /> YPE OF CONSTRUCTION BLOCK Q FRAM � STEEL [� '� <br /> )ESCRIPTION OF WORK G <br /> 3UlLDING SIZE � � SQ FOOTAGE HEIGHT ��� <br /> �BUILDING $,,-a � � VALUATIO C!F Tt?TAL CONSTRUCTION <br /> r� <br /> QELECTRICAL �$ �'� AMP SERVI E �] PROGRESS ENERGY Q W.R.E.C. <br /> �� <br /> OPLUMBING ($ � w �� ` <br /> � � � <br /> �MECHANtCAI $ VALUATION OF MECHANICAL INSTALLATION JG <br /> •�� �� <br /> QGAS Q F200�ING Q SpECI LTY � OTHER � <br /> 'iNISHED FLOOFt ELEVATIQNS FI.OdD ONE AREA QYES NO � <br /> �UILDE� A f�/ { �} CO RANY ���" <br /> �IGNATU�RE �„J�-� � � 4� REG STERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �� '�� <br /> LECTRICIAN CO PANY - <br /> IGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Addrass License# �� ^� � <br /> LUMBER � CO PANY ! <br /> IGNATURE REGI TERED Y/ N FEE CURRE� Y/N � <br /> Address ' l.icense# , <br /> :•ECHANICAL CO PANY <br /> IGNATURE REG� TERED Y I N FEE CURRE� Y/N <br /> Address Ucense# �� � <br /> THER � COM ANY <br /> IGNATURE REGI ERED Y 1 N FEE CURRE� Y/(V <br /> Address License# �—^ �� <br /> EStQENT1A1. Attach(2)Plot Plans;(2}sets of Building Plans;(1)set of nergy Forms;R-O-W Perrnit for new construction, <br /> SUlinfmum ten(10}wortcfng days after subm[ttal date. Req ired onsite,Construc�on Pians,S#ormwater Plans w/Sitt Fence instalted, <br /> � Sanitary Facilities 8 1 dumpster;Site Work Permit for sub (visionsAarge projects <br /> 'I DMMERCIAL Atkach(3}comptete sets of Bullding Plans plus a Ufe Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new conshuotion. <br /> ` Minfmum ten{10)worlcing days after submittaf date. Fteq ired onsite,Construction Plans,5tormwater Plans w/SiR Fence installed, <br /> Sanitary Faciiltles 81 dumpster.Site Wock Permit for aU ew proJects.Rii cammerclaF�equlrements must meet comptiartce <br /> � GN PEaMIT Attach C2)sets of Engineered plans. <br /> "*'PROPER"f'Y SURVEY required for atl NEW construcN n. <br /> rections: <br /> F01 aut applicatian campletety. <br /> Owner&Gontractor stgn back af application,notarized <br /> If over 52500,a Notice of Commencement Is required. (AlC upgrad s over 57500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be s meone with notanzed letter from owner authorizing same <br /> ✓ER THE COUNTER PERMITTING (Front of ApplicaBon Only) <br /> araofs if shingtes Sewers Service Upgrades AIC Fences(P� USurveylFootage) <br /> Drivewayrs-Not over Counter if on public roadways..needs ROW <br />