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8�s-�eaoozo City of Zephyfiiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �•- �Z) •- phone Contact for Permittin �� I c�. — C9 O°1� <br /> Owner's Name �„L Owner Phona Number <br /> Owner's Add►ess e � Ow�er Phone Number � <br /> (�}I�nt19 ►� b <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� . . '1�, �.S LOT� � <br /> SUBDIVISION PARCEL ID# � -c��• ' � � � °� i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALLST�8 REPAIR � �G�� 0 DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK F � �S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $�� � C �°— VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0 <br /> QPLUMBING $ <br /> � �jU <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� `� � <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 � EGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � License# � <br /> OTHER COMPANY � �� IU(�11�?� �1 T.�- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � c License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new consUuctio�, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGllUes&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans pius 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,Constructlon Plans,StoErnvwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new proJects.All commerdal 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 applicatfon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement Is requirod. (A!C upgrades over i7500) <br /> '" Agent(for the contractor)or PoweFOf Attomey(for the ovrmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needS ROW <br />