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813-780-Op20 City of Zephyrhiit Permit Application Fax•813-780-Od21 <br /> Buitding epartment <br /> Date Received .�- r (�, Phone Gontact for ermittin � �l <br /> Owner's Name �U.'('�'"'i� Owner Phone Number �� � '���.S` !d' <br /> Owner's Addres6 l �' 4wner Phone Number �— � <br /> Fee Simple Tittehalder Name �G��-. C)wner Phone Number �� � <br /> Fee�imple Titlehalder Address <br /> JOB ADDRESS S �OT# � <br /> 3URD1V{SKlN �� � PARCEI t <br /> � A (OBTAJNED FROM PROPERTY'TAX NOTICE) <br /> WORIC PROPOSED � NEW Ct7NSTR 8 ADO/ALT [,� SiGN Q Q DEMO�iSH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTNER <br /> TYPE OF GONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> c� c�� t <br /> DE$CRtPTiON OF WORK N� �c�'Gyi.C;Z. T �J X �' ,Z'lC,� <br /> BUl�DING SIZf � � SQ F{�7AGE HEIGHT C�__� <br /> UILD4NG ��_.� VAl.UAT10N TOTAL CONSTF2UCTICIIV <br /> , <br /> EE.ECTRICAI ��i---�� AMP SERVIG Q PRQGRESS ENERGY [� W.ft.E.C. <br /> QP�UMBING r> � /lr /Q/ .f�_ ��"" <br /> L �"'_ <br /> QMECHANIGAL $ VALUATION F MECHANICAL rNSTA�lA7lON �'�� <br /> ��`�� <br /> QGAS Q ROOFING Q SPECIAL Q OTNER y� �� <br /> ��jl <br /> FINISHED FLOOR ELEVA710NS FLOOD NE AREA QYES NO �,.�GUC� <br /> (�i�(� ►ti'�.- <br /> 8U1l.DER � CtJ ANY �"1CS�/LLtL.(S`� V�•.Q+t <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address �icense# � � <br /> ElEC'iRfC1AN CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y 1 N <br /> Address �ccense# � � <br /> PIUMBEit �-� GO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURREh Y/N <br /> Address �icense# �� � <br /> M£CNANICAL CO PANY <br /> SIGNATURE REGI TERED Y/ N PEE CURRE� Y/N <br /> Address License# � � <br /> OTHER CO PANY <br /> SIGNATURE _ RE� TERED Y/ N �EE cuRttEn Y 1 N <br /> Address ticense# �� � <br /> RE5IDENTIAL Attact�{2}P1ot Pians;(2}sets of Buiiding Plans;(1}set f Energy Fortns;R-I�-W Permit for new consUuctia�, <br /> Minimum ten(10)woticing days after submittai date. R uired ansite,Construction Plans,Starmwater Plans w!Silt fence instaiied, <br /> Sanitary Fadlities 81 dumpster;Site Work Permit for s bdivisionsAarge prajects <br /> CCfMMERC1Al. Attach(3}complete sets af Buliding Plans pius a Life S ety Page;{1}set af Ene�gy Forms.R-O-W Permtt for new constn.rctfon. <br /> Minimum ten(10)worlcing days after submittai data. R uired onsite,Construcfion Pians,Starmwater Pians wl Siit Fence instailed, <br /> Sanitary Facifllies 8 1 dumpster.Site Work Permit far al new projects.All commercial requirements must meet complianoe <br /> 31Gi+1 PERMIT Attach{2}sets af Enginesred Plans. <br /> "•"PROPER?'Y SURVEY required far ail NEW constru ion. <br /> DireeNons: , , <br /> Fill out application completely. ' � <br /> Ovmer 8 Cantractor sfgn back of applicatian,notarized <br /> If over 32500,a Nattce of Commenaement Is required. {A!C upg es aver x7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would b someone with natarized lekter fram owner authorizing same <br /> C1VER THE COUNTER PERMITtiNG {Fror►t of Application Oniy} <br /> Reraofs if shingles Sewers Service Upgrades A/C Fences PIaUSurvey/Footage) <br /> Oriueways-No#over Counter if on public roadwaYs..needs RdW <br />