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<br />813-780-0020 <br /> <br />City of Zephyrhihs Permit Application <br />Buildinb Department <br />I <br />I <br />I <br />Phone Contllct for Permitting <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE <br /> <br /> <br />I <br /> <br />I <br />~phYrhll/5r PI <br />I <br /> <br />P~RCEL ID#I <br />I <br />I <br />AqD/AL T <br />RlPAIR <br />COMM <br />F~AME <br />I <br />I <br /> <br />I <br /> <br />~ <br /> <br />I <br /> <br />LOT # <br /> <br />Fee Simple Titleholder Address <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />51' h A. J/iJ.- <br />I <br /> <br />B <br />D <br />D <br /> <br />JOB ADDRESS <br /> <br />3 <:3 ~o <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I <br /> <br />'5 :/.. / oZ <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />~F7 <br /> <br />~ 1$ I / 5~ s: O...Q. 1 I <br />BUILDING VALUAtiON OF TOTAL CONSTRUCTION <br /> I <br /> I <br /> 1$ I I D PROGRESS ENERGY D W.R.E.C. <br />D ELECTRICAL AMP SERVICE <br /> i <br /> I ~ <br /> I <br />D PLUMBING 1$ I I <br /> I <br /> i '&~~ <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> I <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLboD ZONE AREA DYES DNO <br /> <br />BUILDER COMPANY I c;~:C/?~~~R~t~ r~erS <br />SIGNATURE REGISTERED <br />Address License # I <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address I I License # <br />PLUMBER I I COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br /> I I <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address I License # <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> <br /> <br />Address I License # <br />I <br />111111111111111 11111111111I1111I1111111111111111111111111111111111111lillllllllllllllllllllllllllllllllllllllllllllllllllll111II111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) S,Of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after sUbmitta. I date. equired onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for ubdivisions/large projects <br />COMMERCIAL Attach (3) complete sets of Building Plans plus a Life gafety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. ~equired onsite, Construction Plans, Stormwater Plans wi Sill 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. I <br />....PROPERTY SURVEY required for all NEW const~ction. <br />111111111111111111111111111111111111111111111111111111111111111IIIIIIIJIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111 i 1111111111111111 <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 bel someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale Fehces (PloUSurvey/Footage) <br />I <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW I <br />I <br />