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813-780-0020 City of Zephyrhi�ls Permit Application � Fax-813-780-0021 <br /> Buildin�g Department ��/? !� <br /> ( <br /> ' ��3 'l�� �`('�� <br /> Date Received � �,2(� l�� Phone Contact for Permitting -- <br /> — Owner's Name � � � �� E r i HS ������ —�Owner Phone Number ��l�^�7�' lCr� <br /> �Owner's Address J� �`3 ( ���� �� 'v�, �Owner Phone Number ���~C'7� ��s <br /> Fee Simple Titleholder Name I, Owner Phone Number <br /> Fee Simple Titleholder Address <br />/^JOB ADDRESS `3 ��7� � ��e � C� ��I� �� � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> i (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK ��N��G�" �� X�� S�f�'� <br />��BUILDING SIZE <br /> �� � � �P SQ FOOTAGE �`�{'C HEIG T � d r l- <br /> � <br /> �] BUILDING $� � ��� � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> � PLUMBING $ � <br /> Q MECHANICAL r$ VALUATION OF MECHANICAL INSTALLATION �� <br /> I <br /> � GAS Q ROOFING � S ECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> BUILDER ������ � COMPANY <br /> �'o�nls� L�'� ��c� ' � <br /> SIGNATURE u 1 «� REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 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 I License# <br /> i <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)setl of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. F��equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for�ubdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life�afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R�equired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"*PROPERTY SURVEY required for all NEW constr ction. <br /> Directions: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgra es 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 Fe� ces(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />