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813-780-0020 Ci of Zephyrhi�is Permit Application Fax-813-780-0021 <br /> � �. <br /> � Buildin�g Department <br /> _, � . , <br /> Date ReC6lved r ' — <br /> � •� r � Phone Contact f r Permittin <br /> Owner's Name � Owner Phone Number <br /> Owner's Address � '�'� Owner Phone Number - <br /> Fee Simple Tltleholder Na Owner Phone Number <br /> Fee Simple Titleholder Addres� <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/AL Q SIGN Q Q DEMOLISH <br /> � e INSTALL B REPAIR - <br /> PROPOSED USE Q SFR [� COMM . Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ n-� VALUATION OF TOTAL CONSTRUCTION <br /> l/ �/ <br /> QELECTRICAL $ AMP SERVI�E Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ���/� ' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> / <br /> QGAS Q ROOFING SPECI LTY Q OTHER <br /> FINISHED FLOOR ELEVATIOiVS FLOOD ZONE AREA QYES NO <br /> BUILDER COiMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# ' <br /> r <br /> ELECTRICIAN- C MPANY <br /> SIGNATURE ' RE is�rteo Y/ N FEE CURRE� Y/N . <br /> Address � License# ' ' <br /> PLUMBER C�MP.ANY - <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE�� Y/N <br /> i <br /> Address Lice�se# ' <br /> MECHANICAL , C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE.CURRE� Y/N i <br /> Address 'cense ` <br /> OTHER C LMPANY <br /> SIGNATURE REGISTERED Y/ FEE CUR � /N <br /> Address � I License# <br /> RESIDENTIAL• Attach(2)Plot-Plans;(2)sets.of:Building Plans;(1)set�of Energy Fortns;R-0-W Pertnit for new constructlon, <br /> Minimum:ten(1.0)r.working days.after submittal date: Required onsite,.Construction Pians;StormwateF Plans w/Silt Fence installed, <br /> Sanitary FacillUes&1:dumpster,�Site`Work•?ertnit for Subdivistons/large projects � <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set�of Energy FoRns.R-O-W Permit for new construcUon. ' <br /> - = Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plens w/Silt Fence fnstalled,' <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compliance' <br /> SIGN PERMIT Attach`(2)sets of Engineered Plans.•,: �� , ' <br /> "••PROPERTY SURVEY,reguired for all NEW const Iction. � , �, <br /> Dlrectlons: � - . �_ , ' <br /> Ffll out application completely. - � <br /> Owner&Contractor sign back of applicatlon,notarized ^' - ��°-� <br /> If over�2500,a Nottce of Commeocement is requlred. (AIC upgrades over 57500) - <br /> " Agent(for the conVactar)or Power of Attomey(for-the Awner).Woulc�„be someone with notarized letter from owner authorizing same <br /> :,._-,. '':� <br /> DVER THE COUNTER PERMITTING ;; Front,of , ' Iication Onl " <br /> � � W?P Y),:^",.'��'.�: <br /> Reroofs if shingles Sewers Service,Upg�ad�s,_A/C'`:''�'F.ences,(BIoU.Survey/Footage) <br /> Drlveways-Not over Counter if on publfc roadways..need�.�tOVV.4 'I, :.' <br /> : .,,.,,. . <br />