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s��-�80-002o City of Zephyfiilis Permit Application Fax-813-780-0021 <br /> �/ / �'� � Building oepartinent - <br /> ( <br /> Date Recefved <br /> , Phone Contact for Pertnittin — <br /> Owners Name � N (,r��� Owner Phone Number ���(� �Q� <br /> Owner's Address � � Iv � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� � • � LL �L . LOT # � <br /> SUBDIVISION �. � Y PARCEL ID# 0 3 � Z6 'Z I' OO � O� d l • Vw d <br /> (OBTAINED FROM PROPER7Y TAX N0710E) <br /> WORK PROPOSED B NEw coNSrR 8 ADDiALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 0 . Qb � aI �A I� 1 OD� <br /> BUILDING SIZE � SQ FOOTAGE �_� HEIGHT <br /> �BUILDING $ / � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALN Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � w COMPANY r <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address .. IG D License #� C d� � <br /> ELECTRICIAN � COMPANY l� C,� f 1� � NL <br /> SICiNATURE t REGISTERED Y! N FEE CURRE� Y/ N <br /> Address ���I.v 1 �) ' S i�U �CLC �c License # L ' �( <br /> � ,t� � l � <br /> PLUMBER f �� 1 � � COMPANY ��CL� (U �/ i C� ru � r�e��4 ,�n c� <br /> SIGNATURE � REGISTERED Y! N FEE CURREA Y/ N <br /> Address TiFM . � C. 33 License # C� ��� 2�� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllilllllliill <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of BuiWing Ptans; (1) set of Energy Fortns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstnKtion Plans, Stormwater Ptans w! Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Buitding Plans plus a Life Safety Page; (1) set of Energy Fortns. R-0-W Permit fa new consWction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constnx:tion Plans, Stom�nrater Plans wl SiR Fence installed, <br /> Sanitary Faalities & 1 dumpster. Site Work Permit for ali new projects. All commeraal requiremerrts must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "`PROPERTY SURVEY required for all NEW constn�ction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over s2500, a Notice of Commencement ia requfred. (A!C upgrades over s7500) <br /> " Agent (for the contractor) or Pow�er of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades NC Fences (PbUSurvey/Footage) <br /> DNveways-Not over Courrter'rf on public roadways..needs ROW <br /> �� �. CLV$�f DvSC' pG-�¢M �T ,'� � I Z 18 <br />