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s�saso-oozo City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Buit ing Department <br /> r � Date Received phane Contac for Permlttin 'Z , p�CO — � O <br /> Owner's Name I' Q` 1"�'� � �..D f�{ Owner Phone Number �(�' � ' `7�� <br /> Owners Address � � �r, �• Owner Phone Number (� ° ��� 'J�J <br /> Fes Simple Titleholder Name Owner Phone Number i <br /> Fee Simple TiUehoider Address I <br /> JOB ADDRESS � �lo J�• LOT# � <br /> SUBDIVISION � � V�` PAR ELID# �a������D1��� OD�DO � ���� <br /> (OBTAINEO FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ LT � SIGN Q Q DEMOLISH <br /> INSTALL REP IR <br /> PROPOSED USE Q SFR Q COM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA E � STEEL Q <br /> DESCRIPTION OF WORK G C"/TNG� ' T � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATI N OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SE ICE 0 PROGRESS ENERGY Q W.R.E.C. � <br /> OPLUMBING $ ��/L <br /> �jJIECHANICAL $ �/p�1� D VALUATI N OF MECHANICAL INSTALLATION � `� <br /> SZFJC! <br /> QGAS Q ROOFING Q SPE IALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLObD ZONE AREA �YES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> MECHANICAL COMPANY �•S• /7i/ ` / ' <br /> SIGNATURE REGISTERED Y N FEE CURREA Y/N <br /> Address �7 �.7 � a�°r� �� �y�5a License# (,.LJ O 7� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllltllllllllltllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1 set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;S(te Work Permi for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Fortns.R-O-W Pertnit tor new construction. <br /> Mlnimum ten(10)working days after submiltal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sa�itary Facilities 8 1 dumpster.Site Work Permi for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW cqn.truction. <br /> I <br /> Directlons;• <br /> Fill out applicalion completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice oi Commencement is requfred. (AIC upgrades over$7500) <br /> •' Agent(for the contractor)or Power of Attorney(for the owner)w uld be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Application Onl) <br /> Reroofs if shingles Sewers Service Upgrades A/C F nces(PIoVSUrvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RO <br />