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813-780-0�20 City of Zephyrhiils Permit Appiication Fa�c$T3"780'OD2Z <br /> � '�� Building Department <br /> J� � <br /> � . <br /> Date Received� " '� phone Contact for Permitting — <br /> i `' ' <br /> Owner's Name� �/ �� Owner Phone Number <br /> Owner's Address s/ � � � Owner Phane Number <br /> 9 <br /> Fee Simple Titieholder Name �- � Owner Phane Number � � <br /> � „ <br /> Fee Simple Titlsholder Address <br /> J08 ADDRES3 [� �'' � ' LQT# E_�_� <br /> SUBDIVISION �— � PARCEl.ID# <br /> (4BTAINED FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED e , NEw cas�sTR 8 ADDJA�T � StGN Q � DEMOk.ISH <br /> INSTALI. REPAIR <br /> t'ROPOSED USE Q SFR Q COMM [� QTliER <br /> TYPE�OF CO�STRUCTION B K �'RAME STE L Q � �— _ <br /> . , � � C� t' ./� � <br /> DESCRIPTtO i OF WORK <br /> BUICL1tidG SIZE SQ FQ4TAGE� HEIGNT <br /> Qgu��d1NG � VALUATtON°OF TOTAL CO TRUCT <br /> ELE�CTF2tCA� $ � AMP SERVtCEjlv�f'� PROGRESS ENERGY Q W.R.E.C. <br /> Q PL IMBING $ <br /> � ���� <br /> QMEGHAtSiCA� $ VALUATtO[�OF M�CHANICA�INSTALLATION '"'�� <br /> �GA� Q ROOFti3G [� SPEClALTY � QTNEFt <br /> v <br /> FINISHED FL 3 OR ELEVATIONS FLOOD 20NE AREA QYES NO �� <br /> � <br /> BUlLDER � COIVRPANY <br /> SIGNATURE ,, ,,. REGI57EREQ Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRfGFAt+t r�• J�� COMPANY `� , 4� <br /> SIGNA7URE (/ �� GIS7ERED Y N FEE CURRE� Y/N <br /> Adclress ` � �� Liaense# �— £ � <br /> PlUMBER CtQMFANY - <br /> SIGNATURE, REGISTEREp Y�/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECNANIC , COMPANY <br /> SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# <br /> OTNER"� COMPAIdY <br /> SIGNATURB � REGISTEREp Y/ N FEE CURRE� Y/N <br /> Address�. License# �� � <br /> ' RESIDENTIAl. . Attach{2}Ptat Plans;`(2}:sets of Building�PEans;{lpset of EnergyForms;ft-Q-W,Perm�t for new construction, <br /> < , 5. - >Minimum;.ten,(10)working;days after submittal date. Required onsite,Constructian Plans,Stormuvater Plans w/Silt Fence installed, <br /> . � Sanitary,.Faciliaes,&.4.dumpster,Site.tNo�ic Permit for subdivisions/large projects � • J <br /> COMMERCIA� AtFach(2}complete sets of Building Ptans�plus a Life Safety Page;{1}set a#Energy Forms.R-O-W Permit for new canshvctian. <br /> � Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Santtary Facilities&1 dumpster.Si#e Wotk Permit fo�aii new projects.A,I)commerciai requirements must ineet compliance <br /> SlGN PERMl� Attach(2}sets of:Engineered Plans. <br /> *•"*PROPERTY SURVEY required for aII NEW constructian. <br /> Direations: � � = <br /> FIII out application completely. <br /> Owner&Contractar sign back af app(ication,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C upgrades ov�r$7500) <br /> " Agent(f�r the contractor)or Power of Attomey(far the owner)wauld be someone with notarized letter from owner authorizing same <br /> -OVER THE COUNTER t?ERMITTitdG (copy of contract required} ' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> 5 , <br /> Driveways-Not over Cvunter if on pubiic roadways..needs ROW � - <br /> � . , , <br /> � � - <br /> � . - <br /> ��_ � _..�. <br /> d <br />