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��� City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Y� � � 1 `� - (� C� �'� -C .� ( ( <br /> @�te Received <br /> Phone Contact for Permittin9 � ��0� _ <br /> Owner'sName �� Vt ��� �--� (.(t ��. t`Q��1� OwnerPhaneNumber ��� / Ol�'�( 5 <br /> Owner's Address �(� ��✓7�'C,IJC�C;� �Y - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � lr ,'1 GIX� � - � !� t ( � S ���c� LOT # �� <br /> SUBDIVISION r'��1 , PARCEL ID# O`C �O� �"— � � � QQ t <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR � COMM � OTHER S .(Z <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK IT lrC�'� Q� O�S S t✓1 I� S <br /> BUILDING SIZE � SQ FOOTAGE �� �� HEIGHT <br /> �BUILDING $ /' �� �U, VALUATION OF TOTAL CONSTRUCTION <br /> IQ <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> 2 � Z� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ',' � � <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address C ' License # <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � License # <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> f`' ` ' <br /> OTHER F COMPANY OQ�t � � <br /> SIGNATUR +�' REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �jC; � J J� � S �7 �( License # �C �� S�S <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; 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 Wor1c Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) comptete sets of Building Plans plus a Life Safety 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 all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter fram owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />