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813-780-0020 City of Zephyrhi(Is Permit Application Fax-813-780-0029 <br /> Building Qepartment <br /> ; � � <br /> Date Received Phone Conlact for Permitting – <br /> Owner's Name I t�n. IQp + Owner Phone Number <br /> Owner's Address Owner Phone Number � � <br /> j Fee Simple Titlehotder Name � � Owner Phone Number � � <br />� <br /> Fee Simpie Titleholder Address <br />` �3�� �j ?�. LOT# � - <br />' JfJB ADDRESB � <br /> SUBDIVIStON �� � PARCEL Ib# � - ��' �� `dO�c7 -G7 t�O - Ob"7 5 <br /> (OBTAINED FROM PROPERTY TAX NQTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SiGN Q 0 DEN14LfSH <br /> INSTALL REPAIR <br /> PROPOSEQ USE Q SFR Q COMM 0 QTHER � <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q I <br /> DESCRIpTION OF WORK e a:.. {�,��,,��,.,� �(�.L���c,c�,� 7 �e�,+�. �.c�c.�. <br /> BU[LD1NG StZE � � SQ FOOTAGE[___� HEIGHT [�^� <br /> �BUI�DING �`-----� VA�UATION OF TOTAL CONSTRUCTiON <br /> �ELECTRtCA� $ � AMP SEF2VICE � PROGftESS ENERGY Q W.R.E.C. <br /> ,,.'_��.�,o r7 <br /> �PLUMBING � � ��,r„� <br /> � �.,/I <br /> �MECHANiCA� $ VALUATlON QF MECHANICA�INSTA�LATIQN j�' <br /> i2 <br /> OGAS � ROOFING Q SPECiAL'iY � t7THER [��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �� <br /> { BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �' -� <br /> ` ELECTRICIAN � �� COMPAtdY L:. t`� G�a�c.c..� �vti.f . <br /> � SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/ <br /> ,,,. ,,...... <br /> i <br /> �� <br /> • Address � Z License# GC 1�0013�j3 <br /> ' PLUi+�BER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � !I <br /> MECHAP11CAi. COMPANY � <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> OTHER CONIPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , Address License# � � <br /> CtESIDENTIAL Attach{2}Plot Ptans;(2)sets af Building Ptans;{1}set af Energy�orms;R-O-W Perrnit for new construction, <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstes;Site Work Permit far subdivisions/large projects <br /> CQM�I+IERCtA� Atfaoh(2}comp(e#e sets of Building Plans plus a�ife Safety Page;(4}se#of Energy Forms.R-O-W Pe�rnit for new canstnsctian. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Factlities&.1-dumpster.Site Work Permit for a!I new proJects.All commerciaE requirements must meet comptiaoce <br /> SIGN PERMIT Aftacfi(2}sefs of Engineered Ptans. <br /> "'"PROPERTY SURVEY required for all NEW constructian. <br /> Directians: <br /> Fill out application comple#ely. <br /> Owner 8�Contractor sign back of appiication,notarized <br /> lf over$2500,a Natice of Commencement is required. (AIC upgrades over$T500} <br /> "* Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner autharizing same <br /> OVER THE COU1dTER PERMITTING (capy of contract required} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenoes(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW I <br />