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813-780-0020 City Of Zephyrhii{S Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name rI e�r Owner Phone Number. <br /> O,wnees Address Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT#. <br /> SUBDIVISION PARCEL ID# 1� <br /> (OBTAINED.FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q,.. 0 DEMOLISH <br /> R 'INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q ' COMM OTHER- <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDINGISIZE SQ FOOTAGE HEIGHT —� <br /> QBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> QEL•'ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPGUMBING is <br /> MECHANICAL $ i VALUATION OF MECHANICAL INSTALLATION <br /> t� <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHEDFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER? COM PANY <br /> i <br /> SIGNATURE REGISTERED Y/ N FEE CURRER <br /> Address License# �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRER <br /> Address License#_F ^ <br /> PLUMBER r COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/W <br /> Address License# ' <br /> SIGNATuRE.. <br /> MECHANICAL..". : Adp <br /> REIS G T COMPANY I &6e k 0 � ��(4 1& ` <br /> ERED Y/ N FEE'CURREN Y/N' <br /> ; <br /> Address License# `Li� (�t)D <br /> OTHER..;... COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN" Yr/,N- <br /> Address License# �! <br /> i! , <br /> RES!'DENTIAL Atta'cti(2)Plof Plaris;(2)sets of°Building'Plans,(1)'aet ofEneryy Forms;R=O-W Permit far new'construction, <br /> ` Minimum-ten'(1.0}.wo_iking`days'after submittaiAate:.`Required onsite,Construction Plans,Stormwate_r Pians.w/Siit Fence installed, <br /> Sanitary Facilities&9 dumpster,Site Warts Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-04W Permit for new construction. <br /> Minimum-ten(10)•working,days.after.submittal.date:°_Required:onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities A tclumpsten Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> '_SIGN PERMIT Attach(2)sets of Engineered-Plans. <br /> - ****PROPERTY;SURVEY required,for'all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner:.&,.Contractor sign:back of application,notarized <br /> If over$2500,a Ptotice-of Cbminiencement"is`required. (A/C upgrades over$7500) <br /> ** Agent•(for,the contractor)-or•-Power of Attorney(for the,owner)wouldbe someone with notarized letter from owner authorizing same <br /> OVER.THE.COUNTER PERMITTING (copy of contract required) <br /> Rercofs if shingles Sewers Service:U&Oiclgs,A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />