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<br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />City of Zephyrhihs Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />I <br />I <br />I <br /> <br />/O~ 5'''-; Zr;;J.dllirhf 1('>/ <br />I ' <br />P~RCEL ID#I <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />6Y.3~ <br /> <br />R <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />I <br />I <br />D NEWCONSTR D AqD/ALT <br />D INSTALL D REPAIR <br />i <br />PROPOSED USE D SFR D COMM <br />I <br />TYPE OF CONSTRUCTION D BLOCK D F~ME <br />DESCRIPTION OF WORK I I <br />BUILDING SIZE I i OX 14-- I SQ FOOTAGE I 1162 I HEIGHT I /0 /' I <br /> <br />'...11..1111'.111....11.......11...111....111...11......,..'...111......1.....:'.....11......,....,......111111'.......11.11..............11.......11 <br /> <br />~ BUILDING 1$ -::z ~ 00 I I <br />~ ....,J/~r _ VALUArONOFTOTALCONSTRUCTION <br />o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY <br /> <br />o PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUApiTlON OF MECHANICAL INSTALLATION <br /> <br />D GAS D ROOFING D S ECIAL TY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />(2~ r ~ti}'1 ~~:~~ <br />I <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />D <br />D <br />D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />N~V <br /> <br />Address <br /> <br />I CoOle S IidlXS <br />I Y I N I FEE CURRENT <br />License # I <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address License # <br />I <br />11111I1111111111111111111111111111111111111I1111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111I <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for ~Ubdivisions/large projects <br />Attach (3) complete sets of Building Plans plus a Life ~afety Page; (1) set of Energy Forms. R-O-W 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 & 1 dumpster. Site Work Permit for ~II new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. I <br />'---PROPERTY SURVEY required for all NEW constryction. <br />11111111111111111111111111111111111111111111111111111111111111111111111;1111111111111111111111111111111111111111I111111111111111111111111I111I11111 <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. (AlC upgra es over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would b someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades A1C <br /> <br />COMMERCIAL <br /> <br />Fe ces (Plot/Survey/Footage) <br />I <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />