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s�s-�aaoozo City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> Q�te Received � �� p� O __ ?J" p� <br /> Phone Contact f r Permittin p <br /> Owner's Name � Owner Phone Number <br /> Owner's Addresa Owner Phone Number <br /> Fee Stmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � O �� � 2 " �-- �� <br /> LOT# <br /> SUBDIVISION PARCE ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONS7R 8 ADD/AL ,� SIGN Q Q DEMOLISH <br /> INSTALL REPAfR <br /> PROPOSED USE � SFR Q COMM �] OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK AcZT�/��.. 2�.�1 (2.l� ( �LI�C� �'.Lb� (jV (Yt,� �!c w F�y. /C� <br /> BUILDING SIZE , �� SQ FOOTAGE HEIGHT <br /> QBUILDING a VALUATION F TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ������� AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���� <br /> OMECHANICAL a VALUATION F MECHANICAL INSTALLATION �� <br /> �GAS Q ROOFING Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � CO PANY �� �1'���C �`���!C- <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# �- <br /> PLUMBER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> OTHER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Re uired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for su divisfonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R uired onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary FaciliUes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> "'""PROPERTY SURVEY required for all NEW consUuc on. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contracto�sign back of applicatlon,notarized <br /> If over i2500,a Notice of Commencement is required. (A/C upgra es over 57500) <br /> " Agent(for ihe contractor)or Power of Attomey(for the owner)would b 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( IoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />