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813-780-0020 City of Zephyrnil�s �ermit Hppiica��ur� , � �� � •� • �� �-- • <br /> Building Department <br /> Date Received `.. � �,�'� Phone Contact for Permitting -- <br /> Owner's Name �OV S Owner Phone Number � •� � <br /> Owner's Address �� �V `1 � � � � Owner Phone Number <br /> Fee Simple Titleholder Nam � d3 �� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 � � � \� ¢-1 C'S � � � � �� S � ` J �� LOT # C] <br /> SUBDIVISION �� PARCELID# \�''��'��' � - '� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF C�NSTRUCTION 0 BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �'C � \ �� I \1 l� l L� <br /> BUILDING SIZE SQ FOOTAGE � I HEIGHT \��� <br /> Q BUILDING $�p ,—� �� i— VALUATION OF TOTAL CONSTRUCTION <br /> �`�� <br /> 0 ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ j��� �/,� ✓ <br /> '� ��� <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNa <br /> BUILDER � ` -- (�, COMPANY �5 cN17\� � <br /> SIGNATURE �] L I��S ��� � REGISTERED Y/ N FEE CURRENT / N <br /> Address AFF License # � �� <br /> � V.� �� <br /> ELECTRICIAN {�� COMPANY <br /> SIGNATURE TIIVII REGISTERED Y I N FEE CURRENT Y/ N <br /> Address License # r � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> � Minimum ten (10) woricing days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> All commercial requirements must meet compUance. <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 & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over y5000) <br /> "* Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />