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a,�-�au-��LU City of Zephyrhifis Permit Appiication Fax-813-780-0021 <br /> Bullding Department <br /> Date Rec�Ivad- Phone Contact for Permitting — <br /> Owner's Name ��I+����" ���'�—�'' Owner Phone Number C "�.��� <br /> Owner's Address U�• "' '�� Owner Phone Number <br /> Fe�Simple Tittehotd8r Name � � Owner Phone Nambar <br /> Fae 3irnple TittehoSder Address <br /> JOB ADDRESS / �� �"� �l i.OT# �_____� <br /> SUBDIVISION �^ �� PARCEL ID# <br /> (QBTAINED FRQM PROPERiY TAX NQ71GE) <br /> WORiC PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN [� Q DEMOLISN <br /> 1NSTALL REPAIR <br /> PROPOSED USE �] SFR Q GlJMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRlPTION OF WQltK <br /> BUILDiNG SIZE � � SQ FOOTAGE�_,� HEIGNT C_�� <br /> OBU������' $ �� � VALUATION OF TOTAL CONSTRUCTION <br /> a <br /> QELECTRtGRL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � � <br /> ,._._,.._�_ `,, <br /> QMECHANICAL $ VALUATIQN OF futECHANIGAL INSTALtATiQN a[,�tp\*' <br /> �t <br /> [�GAS [� ROOFWG � SPECIALTY � OTHER <br /> =tNtSHED FLQOR EIEVATIONS �`r� FL.00D ZONE AREA QYES NO <br /> 3Ul�DER COMPAtdY - - <br /> alGPlATUR� REGiSTERED Y/ N FEE CURRB� Y!N <br /> Address License# �— � <br /> 'sl.ECTRICtAN �� CQMPAWY <br /> itGNATURE REGISTEREO Y/ N FEE CURREt� Y/N <br /> Address License# � `�� <br /> �LUMBER � � COMPANY <br /> ►1GNATURE REGtS7EF2ED Y/ N FEE CURRE� Y I N <br /> Addrass License# �—` ' � <br /> �ECHANICAL � COMRANY <br /> iIGNATURE ,� REGISTERED Y I N FEE CURRE� Y 1 N <br /> Addr�ss `�_�`�� Lice�se# � '�� <br /> )THEt2 CClMPANY <br /> �tGNATURE REGIS7ERED Y t N FEE CURRE� Y/N <br /> Address License# �i '�� <br /> ;ESiDENTtAL Attacfi(2)plot P�ans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permtt for�ew consttuction, <br /> Minimum ten(10)worlcing days after submittal date. Requtred onsite,Construction Plans,Stotmwatet Pians w/Sift Fence instalted, <br /> Sanitary FacillUes&1 dumpster,Site Work Permit for subdlvisiansAarge projects <br /> OMMERCIAL Attach(3j complete sets of Building Plans plus a I.ife Safety Page;{1)set af Enetgy Forms:R-d-W Permif far new canstructian. - � - <br /> � Minimum ten(1Q)working days after submlkta!date. Required onsite,Consttuc#ion Plans,$tormwater Pians wl Sitt Fence installed, <br /> SaNtary Faciltties&1 dumpster.Site Work Permlt for aH new pro)ects.At1 cammerciei requirements must meet compilance <br /> IGN PERMIT Attach(2)sets af Engineered Plans. <br /> """PROPERTY SURVEY required far aH NEW canstruction. <br /> irections: <br /> Ffll out application completely. <br /> Owner&Gontractor stgn baok of appi(cation,notarized <br /> !f over a2500>a Notice of Commencement is required. (AIC apgrades ov�r 57500) <br /> Agent{for the contractor}or Power of Attomey(for the owner)would be someone with natarized letter from owner authorizing same.�.._- .�--��•-� _:�°-.� ' " � <br /> VER THE COUNTER PERMl7TIN� (Front of Application Onty} � „ . <br /> eroofs if shtngles Sewer3 Senrica Upgrades AtC Fences(PioUSurveylFootage} ' ' _ - <br /> Driveways-Not over Go�nter tf on puhtic roadways..needs RdW , �., . .- - �•�•- <br />