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813-780-0020 City of ZephyrhtAs Permit Application Fax 813-780a21 <br /> 1 Building Department <br /> i Date Received Phone Contact for Permitting <br /> Owner's Name ;•" Owner Phone,Number <br /> OmtrCs Address + <br /> owner Phone Number 1 �� <br /> Fee Simple Titleholder Name C—' Owns pttnelo N..»sue• t <br /> i <br /> S <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS i n LOT# <br /> SUBDIVISION t 14 JlG �t� PARCEL tD# <br /> i ( tOSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED { NEW COMTR ADDIALT --J SIGN = DEMOLISH <br /> H INSTALL 8 LREPAIR <br /> PROPOSED USE SFR i�l Md1nb Cn'wR r ) <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL Q <br /> DESCRIPTION Of WORK J - <br /> BUILDING SIZE i SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRCCAi L AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> &ZOP'LUMBING' S <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 9i <br /> =GAS I' Q ROOFING [= SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVVATONS �� FLOOD ZONE AREA =YES NO <br /> BUILD= I � COMPANY <br /> SIGNATURE L i, REGISTERED I YIN FEE CURREN I Y I N <br /> Address ( l License# ^� <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> �Y/N <br /> Address I License#1 � <br /> PLUMBER / COMPANY <br /> SIGNATURE he-I.IWERED L( 1117 N I- FEECURREN`— <br /> Address . �! License# 5 ti <br /> MECHANICAL `n COMPANY 4 <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y/N <br /> Address I License# <br /> I` COMPANY <br /> SIG NA TURE i REGISTERED Y/ N FEE CURREN <br /> OTHER Y 1� <br /> Address ) i License# I <br /> itttettttttltittrtaftttititltt�ittltltt11lt11t111I1t11111111111111111 <br /> RESIDENTIAL Attach,tt)Plot Plans tt)sets or tluncing Plans;(1)set or Cnergy t-orrns;H-U-W Hermit ror new construction. <br /> Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&t dumpster,Site Work Permit for subdivisionsA4arge projects <br /> COMMERCIAL Attach"(2)Complete sets of Building Plans plus a Life Safety Page;(1)setof Energy Fans.R-0•W Permit for new construction. <br /> Minimum ten(10)workrig days after submittal date. Required onsite,Construct'on Plans,Stormwater Plans w/Sift Fence Installed, <br /> Sanitaly Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SION PERMIT Attactt(2)sets of Engineered Plans. I <br /> —PROPERTY SURVEY required for all NEW construction. <br /> 6hacttonsa , <br /> pal Out 2P;2 i=tiV:=Ingle-iy. <br /> Owner&Contractor sign back of application,rotarized I <br /> If over$2600,a Notiee of Commencement Is required. (AlC Upgrades over$7800) <br /> •• Agent(for the contra&r)or Power of Attorney(for the Ownef)would be Someone with notarized letter from comer authorizing same <br /> ' i i <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools It shingles Sewers . Service Upgrades AfC Fences(PloVSutveylFootage) <br /> t <br /> Driveways-Nat over Countor if on public roadways.,needs ROW <br /> 1, <br />