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� 813-780-0020 City of Zephyrhiiis Permit Application (�/� Fa;.-813-780-0021 <br /> Building Department � Zf� <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name � � ���J�.� P r`.l" l.,a�e�c�ti1S�:� Owner Phone Number FJ�3` �87-�`�!'.,O <br /> Owner's Address J�D '3 a D��'S-1�z} Owner Phone Number <br /> Fee Simple Titleholder Name �,fs� N o��z c.J ��a.�ne �- -n; Owner Phone Number <br /> Fee Simple Titleholder Address (g rJ� �`�� � � �-�' � �1 <br /> JOB ADDRESS �J023 Z��� e� �, r`+ ��s � . 35�� LOT# �� <br /> SUBDIVISION PARCEL ID# I � � 21 ��bl b � Z'�� � ( v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT Q SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK ��J c�o SP� C e c-t � � 'J �X�5 r/h S��V <br /> BUILDING SIZE ��, �� x �$ I� +' SQ FOOTAGE Z OO ,,�.p..�'�,� HEIGHT �� <br /> Q BUILDING $ �Ob� ad VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL �$ �I AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> � � <br /> � PLUMBING ($ �� � <br /> � :j��yt�f.'r S� <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � `'� " � �'� <br /> C d.�'`'i <br /> (�����.._ --�'° <br /> � GAS 0 ROOFING � SPECIALTY � OTHER �IJJ�,--�'° <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> BUILDER �� � ` COMPANY "T�M� �bJ N P� <br /> SIGNATURE �_— �n' �`�. � FtEGISTERED Y/ N FEE CURRENT Y/N <br /> Address 50 Z"� 20{~ S-Irc�� e � ��+�`!s ` License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <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 Pians;(2)sets of Building Plans;(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 subdivisions/large projects <br /> 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. <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&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />