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813-780-0020 City of Zephyrhi!!s Permit Application Fax-$13-780-0021 <br /> Building Department <br /> � � ..-- <br /> Date Received Phane Goatact far Permitting <br /> �-i-f-OTITI �.... .. -1-t-1-i-I" � . <br /> Owner's Name • Owner Phone Number '"< � . <br /> Owner's Address ( Owner Phone Number � � <br /> Fee Simpfe Titleha[der Name � � Owner Phone Number �— �� <br /> Fee Simple Tftleholder Address <br /> � � �J08 ADDRESS ` � �Ol'# <br /> SUBDIVISIQN � � PARCEL ID# <br /> {OSTAINED FR{iM RROPERTY TAX Ft4TtCf) <br /> WORK PROPOSED NEW CONSTR ADDlAL7 � SIGN � 0 DEMOLlSH <br /> e INSTALL � REPA(R <br /> PROPO5ED USE � SFR Q COMM 0 OTHER <br /> TYPE QF CCINS7RUG7lOIV � BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTIOP7 OF WORK � � <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT �� <br /> �BUILDING �_� VAIllATtON OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL �� AMP SERVICE O PROGRESS ENERGY � W.R.E.C. <br /> �LUMBlNG $ �( �� �.�}i <br /> � ��Q �,. <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION � <br /> - z t <br /> OGAS � ROOFING Q SPECIALTY 0 OTNER <br /> FINISHED FLOOR ELEVATIONS � � FROOR ZONE AREA DYES NQ <br /> BUILDER � � COMPANY � � <br /> SIGNATURE � ftEGISTERED Y/ N FEE CURREA Y 1 f*! <br /> Address license# �_i � <br /> ELECTRICIAN � � COMPANY � i� � <br /> 51GNATURE aEctsrFrx�o Y t N r�CuwzEn Y i N <br /> Address License# � { <br /> PLUMBER � � COMPANY <br /> 31GNATURE � REGISTERED Y N FEE URREt� /N <br /> Address License# � <br /> MECHANICAL. <br /> Si�NATURH Rec�srF�o Y N F�e una�n Y t N <br /> � <br /> Address License# <br /> O7HER � COMPANY � <br /> SIGNATURE REc�StEtzEo Y t N �CURftEn Y t N <br /> Address License# � � <br /> 11611t1f1ilil � il ! llilliillii / } / liltllllIlii / iilllt11 / I / I1I1i / I � iFI ! <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum#en{10)warking days after submittal date. Required onsite.Construction Plans,Stormwater Ptans w!Sitt Fence instalted, <br /> Sanitary Facilities&1 dumpster,$ite Work Permit for subdivisiansAarge projects <br /> CdMMERC]RL Attach{2}comptete seis of Building Pians plus a�ife Safety Page;(1}set of Energy�orms.R-O W Permit far new construc#ion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constnaction Plans,Stbcmwater Plans w/SiR Fence installed, <br /> Sanitary Facilities 8 t dumpster.Site Work Permit for aII new projects.AII commerciai requirements must meet compliance <br /> SIGN PERM17 Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for alI NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . ... . . .. . . . . . . ..s . , .,- <br /> Directions: <br /> Fill out applicaiion complefely. <br /> Owner&Contractor sign back of application,notarized <br /> if aver S25Q0,a Notice of Commencement is required. (AtC upgrades over 57500j <br /> " Agent{for the contractor)or Power of Attomey{for the ownar�would be someone with notarized IeBer trom ovmer auihorizing same <br /> OVER 7HE COUN7ER PERMITi7NG (copy of contract required) <br /> f2aroofs if shingles Sewers Service Upgrades A/C Fences(PloflSurveytFootage} <br /> 6riveways-Not over Counter if on public roadways..needs ROW <br />