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813-780-0020 City of Zephyrhiils Permit Application Fax�313-780-0021 <br /> � Budding Department <br /> , � <br /> Date Received ^ �/ rt (���� <br /> � L V 2��2 Phone Contact for Per�ttin � -- 1LLl <br /> � � � � � � � � ` � � r�-� .Z'�iii <br /> Owner's Name Kr i s�u �"1� Owner Phone Number $�3-1 t�-�t 13�� <br /> Owner'sAddress U�'$�� �Arb Tr�_�1 ,c 33S r� OwnerPhoneNumber 35a-Sg-�-.I.q�� <br /> Fee Slmple Titleholder Name � � Owner Phone Number �� <br /> Fee Simple 7itleholder Address � <br /> JOB ADDRESS 3 1�I S S�� �3� � � LOT# [� <br /> SUBDIVISION PARCELID# �u '�1�0"��—dO�d'��QV—' ���� <br /> (OBTAINED FROM PROPER7Y TAl(NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADDlALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � �—� 1����-� <br /> y, A <br /> DESCRIPTIONOFWORK T(�5��1 Wt�J�-n �� be1�f,C�'1 �(h,�St^GS$ t ft$Ic�QTI'l� ( � np,.� <br /> c � �� � <br /> BUILDING SIZE O X 1� SQ FOOTAGE 1� HEIGHT � � <br /> �BUILDING $ O� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY o ,al� I r� <br /> � ��. <br /> PLUMBING $ j ���� Y� <br /> i <br /> S <br /> �MECHANICAL $ VALUATION OF MECHANICAL I l J S�TALL TIO � <br /> ~`` l ���JJJ ��/./ <br /> QGAS Q ROOFING � SPECIALTY � OTHER / ��� J <br /> r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY OW��iY� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# �� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y I 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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Li:ense# �� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> � i � i � � � ii � � � i � � i � i � i � � � iii � i � � i � i � � iiie � i � � � � i � � � iii � � � � � � � ii � i � � � � <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Butlding Plans,(1)set of Energy Forms,R-O-W Permit for new construction, <br /> Minimum ten(10)workmg days after submdtal date Reqwred onsde,Construdion Plans,Stormwater Plans w/Sdt Fence inslalled, <br /> Sanilary Facilities 8 1 dumpster,Site Work Permit tor subdivisions/large pro�ects <br /> COMMERCIAL Attach(3)complete sets of Bwiding Plans plus a Life Safety Page,(1)set of Energy Forms R-O-W Permrt for new construction <br /> Minimum ten(10)worWng days after submittal date Required onsRe,Construction Plans,Stormwater Plans w/Sdt Fence installed, <br /> Sandary Facdilies&1 dumpsler Site Work Permd for all new pro�ects All commercial reqwrements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans <br /> ""PROPERTY SURVEY reqwred for all NEW construction <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of apphcation.notanzed <br /> H over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notanzed letter from owner authorrzmg same <br /> OVER THE COUNTER PERMITTING (Front of Applicahon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />