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813-780-0020 City of Zephyfiiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ''� (� <br /> Phone Contact for Permittfn '��Z ��P __ �3 <br /> � <br /> Owner's Name �' � Owner Phone Number <br /> Owner's Address � � ' ` � �c�(5 �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# � � i� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEI Q <br /> DESCRIPTION OF WORK t'�r p'C� r ap� t1�- ���` ��.�,� ,t� r��C <br /> BUILDING SIZE �— SQ FOOTAGE�� HEIGHT � <br /> �BUILDING $ ��fl\ „e.�t <br /> v VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �� AMP SERVICE 0 PROGRESS ENERGY <br /> Q W.R.E.0 <br /> QPLUMBING $ �� �,�5 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �' (UL� �,/ �� <br /> �GAS Q ROOFING � SPECIALTY � OTHER v ������ �— <br /> ��'� <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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � � r /"1 \�, COMPANY �L.C. � L 1.-� <br /> SIGNATURE J<<� REGISTERED Y/ N FE RRE� Y/N <br /> Address Pa Ux r/� � q e l.- 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 /> Minlmum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivisionsAarge 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&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 consVucUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over ST500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />