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813-780-0020 City of Zephyfiilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin �S �r --CSj�a�-'{ <br /> Owner's Name r jr Owner Phone Number • /I�' �o�� <br /> Owner's Address � Owner Phone Number � -� <br /> Fee Simple Titlehoider Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��(.-'O � LOT�1 �� <br /> SUBDIVISION PARCEL ID* ��• 'p� _ �. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � �.��L P <br /> PROPOSED USE � SFR Q COMM � OTHER [-- <br /> TYPE OF CON3TRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK {�{' F; � ' <br /> BUILDiNG SIZE � � SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �� , <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ����� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> b Z2Z <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# C � <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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � -� <br /> OTHER � `'' ., COMPANY QU l� • <br /> SIGNATURE REGISTERED Y/ N FEE CU n Y/N <br /> Address C License# ��, 1,���� � <br /> .� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivfsfonsAarge 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 8 1 dumpster.Site Work Permft 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requi►ed. (A/C upgrades over 57500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter f�om owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />