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_�_ <br /> .� � � <br /> 813-780-0020 City of Zephyrh' c���iit Application F�-s�s-�aaooz� <br /> , � B� partment <br /> Date Recelved � <br /> Phone Conx�_t for Permittin <br /> •-��-rrr-rr-rr -- - - - -rrr�i r - <br /> Owner's Name � p l.�r Owner Phone Number �- � -/ � <br /> OwneYs Address �. Owner Phone Number <br /> Fee Simpla Titleholder Name Olwner Phone Number <br /> Fea Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION 'PAR�LID# I ' (p"' � I d��Ox1�" � <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED NEW CONS7R �ADD/ALT � SIGN � Q DEMOLISH <br /> B INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Q Y {'l' <br /> BUILDING SIZE SQ FOOTAGE II�P HEIGHT � <br /> TTlY rTTTTTRrITTTTT r'1'�l4TTTTT!"r'IiR"!"TTTl�rr1"r'TTTTr <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ .!� <br /> ME HANI A VALUATION OF MECHANICAL INSTALLATION <br /> � ` � (�/ <br /> �, C C L $ <br /> / � <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER �� � <br /> l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY U,�S. f-//( <br /> SIGNATURE REGISTERED / N FEECURRE� Y <br /> Address a f License# � 7� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> iiiiieiEi � i � � ir � � � �� � iii � iiii � iii � ii � i � � i � � i � i � � � � � � i � � � � riiii � i � i � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1j set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days afler submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> �i-i-i-i-f-FI-L-Li-�1-�L-1-.I.d-FI-F4-F•1-F•1-1-FI-�F4�i-1-Ff-i-f-F-i-F�N�4-F�Ff-44-F-1-f-H-F8�4-{-.i-f-Fl-i-F�i-4-F+H-I� I <br /> Dlrectlons: I <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized � <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over E7500) <br /> " Agenl(for the contractor)or Power of Attorney(for the owner)would ba someone with notarized letter trom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shfngles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />