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813-780-0020 City Of ZephyrhiiiS Permit Application Fax-813-780-0021 <br /> Building Department 4 <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name �►7 Owner Phone Number. <br /> Owner's Address Owner Phone Number F � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple'Titleholder Address <br /> JOB ADDRESS LOT#. <br /> SUBDIVISION .PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q:_ 0 DEMOLISH <br /> e !t�lSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORKtc.J1 -^ V <br /> BUILDINGISIZE L7 SO FOOTAGE I--L�`�+_J' HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ � � AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ wO szl <br /> =MECHANICAL $ O � VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER?. COMPANY <br /> SIGNAT REGISTERED Y/ N FEE CURREE <br /> Address License# <br /> d t <br /> ELECTRICIAN ( COMPANY 1 �S <br /> SIGNATURE REGISTERED Y/ N -.: FEE CURREN Y/N. <br /> Address License <br /> PLUMBER r COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURRE YIN" <br /> AddrT®ss - License#''�� <br /> MECHANICAL COMPANY ' <br /> SIGNATURE:f. REGISTERED Y/ N FEE CURREA'' <br /> t f ^� <br /> .Address License <br /> OTHER, d COMPANY. <br /> SIGNATURE -REGISTERED Y/ N FEE CURREN. 'Y/;N <br /> Address License# ' <br /> RESIDENTIAL` Attactr:{2);Plot'Plaris;{2)'Sets of•Building'Plans;(1)'set of'EneIrgy Forms;'R=0-W'Permit for new construction, <br /> Minimum.ten'(10)working days after submittal date:=Required onsite;Construction Plans,Stormwate_r Plans.w/Silt Fence installed, <br /> Sanitary Facilities&.1 dumpster;Site Work 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-0-W Permit for new construction. <br /> Minimum ten(10)-working,days.after-submittal.date;',Requlred'onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,- <br /> Sanitary Facilities'&1 dumpster.-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 Notice of Commencement Is required. (A!C upgrades over$7500) <br /> Agent(for the contractor)or.Power of Attorney(for the owner)would-be someone with notarized letter from owner authorizing same <br /> 'OVER-THE COUNTER PERM17 T_ING (copy of contract required) <br /> Reroofs if shingles Sewers Service-Upgrpd@s;A/,C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />