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s�3-�so-oozo City of Zephyfiilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .� �' � Phone Contact for Permittin __ <br /> Owner's Name e� �a�/d /�d� �6 �'� Owner Phone Number ��- /��—���� <br /> Owner's Address ���0���.R��w 2��✓� �.o� 90 p�er Phone Number <br /> Fee Simple Titleholder Name --� Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS yZ° �o� CJG �G' <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � New coNSrR 8 ADD/ALT Q SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �NS��r L� �G�j,v ���� �iq1 d 1t� /YI E'L° �/� 1 �� <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING a <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � �—t.O-y-N' CO�ANY <br /> SIGNATURE �Vi C` �cISTERED Y/ N FEE CURRE� Y/N <br /> Address � ( �� � �,v zC �T License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> PLUMBER j,� � COMPANY <br /> 9�lGNATLEt6-- !/�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL �4"'-�''�"— '' COMPANY <br /> SIGNATURE � REG TERED Y/ N FEE CURRE� Y/N <br /> � ,� �i�.s <br /> Address �w � y' License# <br /> OTHER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(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 Facllities&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 construcHon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 /> Directlona: <br /> Fili out application completely. <br /> Owner&Contracto�sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requ(red. (A/C upgradea over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />