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H13.7H0-0020 City of Zephyrhiiis Permit Application Fax-813.780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> If I <br /> ♦ t t aItit ttttt I. <br /> Owner's Name Owner Phone Number <br /> Owner's Address �- Owner Phone Number <br /> Fee Simple Tilieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION F_ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH <br /> INSTALL U R <br /> PROPOSED USE SF COMM OTHER <br /> TYPE OF CONSTRUCTION < BLOCK FRAM STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> it(tttRCt[CCCttCtCCttiC[tl C[✓GtCCCtii itCtC[tCCCCtt[tt Li[ ttCCCt itCCtr <br /> =BUILDING IS VALUATION OF TOTAL.CONSTRUCTION <br /> ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R-E.C. <br /> PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> -0-0 0 0" <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEREO YIN FEE CURREN <br /> Address �— License# F_ <br /> ELECTRICIAN //A�- COMPANY },/ I nc- / <br /> SIGNATURE V ppt�`\ { - NEOIaT`EERRjED �N_ - I'LL CURREN Y I N <br /> Address _3 arC�10atir�. �+-1 r�"' rJx-m-6 icense If <br /> PLUMBER COMPANY <br /> SIGNATURE REGie(EREO YIN FEE CURREN Y/N �( <br /> Address License# F_ ) <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED l Y r y FEE CURREN Y/N <br /> Address Lccnse# F <br /> OTHER COMPANY —�! <br /> SIGNATURE REC,ISIERE0 YIN FEE CURREN Y!N <br /> Address License# <br /> tttttitttt tttttttttitt! (itttt } tilt} } {lt ttittttttttt tttttttttttitttt• <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets or Building Plans;(1)set of Energy Forms;R•0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required ensite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivislonsirarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pfus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dale,Required onsde,Construction Plans,Starmwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Waits Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —'PROPERTY SURVEY Iequired for all NEW construction. <br /> Olrocttans: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement is required.(A/C upgrades over$75001 <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (ropy of contract required) <br /> Rercofs if shingles Sewers Service Upgrades AIC Fences(PIOUSurvey/Foolage) <br /> Driveways-Not over Counter it on public roadways.,needs ROW <br />