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-�eo-oo2o City of Zephyfiiils Permit Appiication Fax-813-780-0021 <br /> Buiiding Department <br /> �d Phone Contact for Permittin �] -- [ l <br /> Owner's Name ��G ��P�c Uj t S L-� Owner Phone Number <br /> Owner's Address J`� d I14 � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��. LOT* C� <br /> SUBDIVISION PARCEL�DN Q�� �` � "dC.�y(;t "dG/OG '�.y , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER !K <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK C�L f �,s�r, �,'c��( ` <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING <br /> a �p�. �c+ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ((�iC� � � <br /> �� � l <br /> �GAS Q 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 IVI�fl�N �r� �vn+ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C -� <br /> MECHANICAL � COMPANY <br /> StGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y f N FEE CURRE� Y/N <br /> Address License# C <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)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciNties&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIA� Attach(3)complete sets of Bullding 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. Requfred onsite,Conshuction Plans,Sto►mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpste�.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 consVuctlon. <br /> DirecNons: <br /> Fili out application completely. <br /> Owner&Cont�acto�sign back of application,notarized <br /> If over 52500,a Notiae of Commencement is required. (AIC upgrades over 57500) <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(PIoUSurvey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW , <br />