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613�/8U-UULV City of Zephyrh�!!s Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivad ` � Phone Contact for Permitting — <br /> . <br /> Owner's Name I � V// �S � U /� //S Owner Phone Number �Z ��� ��� <br /> Owner's Address �'�d `� � �'�� �%C'``.c� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� 7� C't'�u( ���c.�.� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAIMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN' Q Q DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��� °� � �- <br /> BUiLDING SIZE SQ FOOTAGE /�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �M CHANICAL $ � �S U VALUATION OF MECHANICAL INSTALLATION /�('�� <br /> 6 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � ��� <br /> =1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 3UILDER COAAPAWY ' <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> >IGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> �LUMBER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L e# <br /> �ECHANICAL �— j� /�_�` COMPANY � <br /> iIGNATURE � ��f� REGISTERED / , E CURRE� /N <br /> Addrass ���7.3 ��C ��ifz �� License# � f�j y�l3 <br /> ITHER COA!lPANY <br /> NGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ;ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conshucUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Slit Fence installed, <br /> Sanftary Facilitles&1 dumpster,Slte Wark Permit for subdlvisionsAarge projects <br /> OMMERCIAL Attach(3)complete sets of Buflding Pians 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compBance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. � -� - - - <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> irecttons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appi(cation,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades ovar�7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> VER THE COUNTER PERMITTING (Front of Application Only) _ <br /> eroofs if shingles Sewers Service Upgrades �A/C "� Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � - • <br />