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813-780-0020 City of ZephyrhiHs Permit Application F�-s��-�saooz� <br /> . Building DepartmeM <br /> Date Recehred � - � —�� Phone Corrtact for Permitti � �� a � _ Q `� ° <br /> Owner's Name 1� bP S �7 Owner Phone Number ��3� ��,� ^ 3�33 <br /> Ownars Address �� 3 a- �'( c�. c r�'� �- , Owner Phone Number <br /> Fee Simple T'itleholder Name Owner Phone Numbsr � <br /> Fee Simple Titleholder Addrass <br /> JOB ADDRE33 G l 3'�.. �1 o.Y r; c �- <�}, � q <br /> LOT � <br /> 9UBDMSION Pir���re �- M H P PARCEi.ID#� ��'��6'�-l� ��-�tl - Q f`� () <br /> (OBTAINED FROM PROpERTY TAX NOT1Cf) <br /> WORK PROPOSED e NEW CONSTR � ADD/AlT O SIGN Q MOVE Q pEMOLISH <br /> INSTALL REPAIR <br /> PROP08ED USE � SFR Q COMM Q OTHER <br /> TYPE OF CON8TRUCTION Q BLOCK Q FRAME Q STEEL C] OTHER <br /> DESCRIP710N OF WORK Re C p.re � ff�� I�i w-� L.J c � �� l I� e v,� 6 fOwt, <br /> BUILDING SQ FOOTAGE � �—� HEIGHT <br /> BUILDING a.� ��� c G� VALUATION O� TOTAL CONSTRUCTION <br /> Q ELECTRIGAL $ � AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> Q PLUMBING $ <br /> j 2-( � <br /> Q MECHANICAL $ VALUA710N OF MECHANICAL INSTALLATION � <br /> � GAS Q ROOFING � SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YE3 �NO <br /> -, <br /> BUILDER �� r Q�t COMPANY �0 � l�� e r S S S ��c � <br /> SIGNATURE � REGISTEREO Y/ N FEE CURRENT Y/ N <br /> Addr�s Z 11 I v r<]-�, e -�3 7 S�o License # ��'-0 5 �°� � <br /> ELECTRIqAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y J N <br /> Address License � �_ <br /> PIUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> A� License � � <br /> OTHER COMPANY <br /> SIGNA'fURE r�as�Re� Y/ N FEE CURRENT Y i N <br /> �d� �icense # <br /> RESIDEN11Al Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-aW Permit for new oonsUudion, <br /> Minimum ten (10) working days after submittal date. F2equired onske, Construction Plans, Stormwate� Plans w/ SiR Fence installed, <br /> Sanitary Facilities 8 1 dumpster, SRe Work Pertnit for subdivisionsliarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Pertnit for new construction. <br /> Minimum ten (10) waking days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Sift Fenoe installed, <br /> Sanitary Faalities & i dumpster. Site Work Permit for all new projects. All commeraal requiremeMs must meet cqmplianoe <br /> SIGN PERMIT Aitach (2) sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owr�r 8 Contractor sign badc of application, notarized <br /> If over i2500, a Notice of CommencemeM is rsqulred. (A!C uqgrades over;5000) <br /> *' Agent (for the coittrador) or Power of Attomey (for the oNmer) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PE�NG (Front of Application Only) <br /> Reroois Sewers Servioe Upgrades A/C Fenoes (PIoUSurvey/Footage) <br /> Driveways�Not over Counter if on puWic roadways..needs ROW <br />