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813- 780-0020 City of Zephyi 6(.6 Permit Application 1 Fax- 813 oozl Buildlding Department J / — Date Received - - �` /` _ ' �01 ! �� _ P ne Contact for Permitting IT Owner rs N e ,, /fu �4& /P / Owner Phone Number eV; �` " 2/ Owner's Address MIS/ `'f 4j.L [32 ). Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address }� JOB ADDRESS 1195/ 61414 / ' � LAG -VI) - w # � /�� SUBDIVISION PARCEL ID #ID5`�( - a) - I V - €A/W - .'/ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN X 1 I DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR X1 COMM I I OTHER 1 TYPE OF CONSTRUCTION I I BLOCK n FRAME 1 1 STEEL I I DESCRIPTION OF WORK M/SVOit eliANAgio ignE�2i S 'tt) A 1e.A y BUILDING SIZE SQ FOOTAGE - ligIrUILDING $ �� a) • VALUATION OF TOTAL CONSTRUCTION 1 (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY In W.R.E.C. I I PLUMBING $ I IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION • I I GAS I I ROOFING I I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO 11••1 " ''I • ' •l•rt•••t'ttt•tt•tl ; fe 1'•i• ' 1• • / '4 moire *Pr / or , - ; / BUILDER 1 COMPANY - SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y / N I Address License # IIIIIIIIIIIII IIIIII IIIIIIIIIIIIIIII 1 111 1 111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. " "PROPERTY SURVEY required for all NEW construction. Directions: ' 1 11 . 1111 1 1 1 111 11 I 1 ' Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW