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813-780-0020 City of Zephyrhihs Permit Application BUildin~ Department Fax-813-780-0021 I - 7 -0 <is- Date Received D I I , I I I i I P~RCEL 10#1 I I D NEWCONSTR E3 AqD/ALT D D INSTALL REPAIR PROPOSED USE D SFR D CqMM D TYPE OF CONSTRUCTION D BLOCK D F9^ME D DESCRIPTION OF WORK ~ CC>C> p I I I I SQ FOOTAGE I I I ..'11..111..'.111'.11.......11.......1111....11...111..111..'11..111....'......11.....111..11....'..........111111.......1111....................... I VALUATION OF TOTAL CONSTRUCTION I AMP SERVICE D PROGRESS ENERGY Owner's Address Fee Simple Titleholder Namel Owner's Name Fee Simple Titleholder Address I JOB ADDRESS ~o '-\ .5 \ C+-h s~ LOT # SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED OTHER STEEL I D OTHER I BUILDING SIZE HEIGHT I 1$ 23gb. cJD I 1$ I 1$ I D MECHANICAL 1$ I VALUArON OF MECHANICAL INSTALLATION D GAS D ROOFING D S1ECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLjOD ZONE AREA DYES DNO 1"'11""""'1111111"1111"'1"""""'11111111,1'111.'11111111"'11"'111""......111111111111111111111IIIr"",p","',',IIIIIIIII'I'111111 BUILDER II COMPANY I I SIGNATURE REGISTERED Y I N FEE CURRENT Y I N I Address License # I I I I I I I I BUILDING D ELECTRICAL D W.R.E.C. D PLUMBING ELECTRICIAN SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N I II Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE Y/N FEE CURRENT Y/N Address OTHER SIGNATURE COMPANY REGISTERED License # I A_&..~loH- I Y I N FEE CURRENT Y/N Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) se~ of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wI Sill Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for ~Ubdivisionsllarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life ~afety Page; (1) set of Energy Forms, R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. ~equired onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit fO~" new projects, All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans, ****PROPERTY SURVEY required for all NEW const ction, 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgra es over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Driveways-Not over Counter if on public roadways..needs ROW Fel ces (PloUSurvey/Footage) I