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, � <br /> 813-780-0020 City of Zephyrh}Ils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved �� 2.�� phone-Contact f r Permittin <br /> Owner's Name �l � Owner Phone Number <br /> Owner's Address �J�o�� �j X'yL (�'fY� tJ Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> I <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS ��-Y� � � �'�,I'YI�i.]Q LOT# � <br /> SUBDIVISION t'�1Q�•.Q`SL 1 C. O��L.S PARCE�ID# <br /> �� � (OBTAINED FR�OM PROPERTY T�nce►DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/A SIGN <br /> INSTALL B REPAI <br /> PROPOSED�USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME� Q STEEL Q <br /> DESCRIPTION OF WORK ��1� ST'�Q.p <br /> BUILDING SIZE �a I Z SQ FOOTAGE�, HEIGHT <br /> i <br /> �BUILDING $ �O v t,.� VALUATIO I OF TOTAL CONSTRUCTION <br />, QELECTRICAL $ AMP SERVICE <br /> Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ �^ � <br /> \ <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION �\� <br />� <br /> QGAS Q ROOFING Q SPECI I LTY � OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �Mpq� �1� �� (�y�y�.1 <br />� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br />� ELECTRICIAN COMPANY <br /> SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N <br /> Address I Ucense#- <br /> PLUMBER COMPANY <br />' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPAIdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />� '4dd�e$g I License# <br /> RESIDENTIAL Attach(2)Plof Plans;(2)sets of Building'Plans;(1)se of Energy�Fortns;R-O-W Pertnit for new construction, <br />, Minimum:ten(10)working days after submittal.date. equired onsite,Construction Plans;Stormwater'Plans w/Silt Fence installed, <br /> $anitary FaciliUes.&1,dumpster Sita Work Permit for�ubd(visionsllarge pro)ects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. f�equtred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster.Site Work.Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Eiigineered Pians. � � "" <br /> ""PROPERTY SURVEY required for all NEW construcUon. ' - __ � <br /> Directions: � <br /> Fill out applicaUon completely. <br /> Owner 8 Contractor sign back of appltcaUon,nota�ized <br /> If over 52500,a Notice of Commencement is required. (A!C upglrades over 57500) <br /> " Agent(for the conUactor)or Power of Attomey(for the owner)would Ibe someone with notarized letter from�owner authorizing same_ <br /> DVER THE COUNTER PERMITTING (Front of Application Only) :i � .. •, -'', <br /> Reroofs if shingles Sewers �� -Service Upgrades_A/C Fences(PIoUSurvey/Footage) - " �';' � -�- �' -��`: ��;' ,., - � <br /> ; ., . - • �� ..� ;� . w. �': �� <br /> . . • , �� '• ,. �t. ,, , '�., . _' ' ' � �. <br /> Drlveways-Not over Counter•if ori public roadways..needs R01N . , _,� , _' - � �� � " " <br /> �' ,�y .�'. .:. -._. � `f� - _" = = , -.,�--..-._., �.. �;' <br /> .. _ ,..... ,,. _ r t..-, .." -_, _ .�,„ ,�,y I , <br />