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813-780-002Q City of Zephyrhilfs Permit Application Fax-813-780-0021 <br /> Building Department , <br /> . � ' 3 �J��- - �� �-�� <br /> Date Received — Phone Contact for Permittin � _ � <br /> _ <br /> _.. <br /> Owne►'s Name ! (?�g-/1i N � }�T ' �(���.'`(?/�' /,2 Owner Phone Number <br /> Owner's Address J� �,3, ��T f{ J f- Owner Phone Number �— <br /> Fee Simple Tftleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��.� �"7�i� S LOT# � <br /> SUBDIVi310N PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �� E C-T f� ��� �. �G+����J(�f/�J�' j=/��� � x �I�J� � <br /> __---�-y�` <br /> BUILDING SIZE �— —� gQ FOOTAGE�� HEIGHT � ( ���$ <br /> __... .. .._. <br /> UILDING a �/��, p Zj VALUATIQNrQf`�O,TAL CONSTI�CTION <br /> / y \ J"�� <br /> QELECTRICAL $ AMP S,,ERVI _� } PROGRESS�NERGY _,�, W.R.E.C. <br /> `i�����L �� .._. , <br /> OPLUMBING $ �L `� � � � , '� ��"c7 <br /> ! �;�7� �� /` <br /> MECHANICAL ! � <br /> � $ bAL ATI �Y ANIC INST LATI <br /> , , gQGAS Q ROOFII� (�Q'/ / PE�I TYr 0 O ER �-/ . <br /> �-� r � <br /> F I N I S H E D F L O O R E L E V A T I O N S F�D ZONE QYES NO <br /> BUILDER COMPANY �i�l�Y!e ' �E' /' � -�% E ���U/t��1`� � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— <br /> ELECTRIC�AN 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <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. Requlred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pem►it 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 Pians,Stormwater 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Cont�actor sign back of appHcation,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C 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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />