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813-780-0020 City of Zephyrhi s Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> y <br /> •Date Received <br /> Phone Contact fo Permfttin -- <br /> � ,1 <br /> Owner's Name ' D N��' /v(� Owner Phone Number <br /> Owners Address ��� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S �/� LOT# � <br /> SUBDIVISION PARCEL ID# � —�(p� �'�—�I ��lOb ��d Id <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �l, G� �Y"VL L�Q.� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING � VALUATION F TOTAL CONSTRUCTION <br /> �LECTRICAL $ � AMP SERVIC �UD Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ,Q�1`-� <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION � r 5�1 � <br /> � � <br /> QGAS Q ROOFING Q SPECIAL � OTHER <br /> FINISHED FLOOR ELEVATIONS FIOOD NE AREA QYES NO � � �y <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN ��/v" CO PANY �G-Tit�'e ���2C� �C �r � j^6 f� ��� <br /> SIGNATURE REGI TERED Y/ N FEE CURREI. Y/N <br /> Address �� License# w� � i2�g <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 consUuction, <br /> Minimum ten(10)working days aRer submittal date. Re ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8�1 dumpster;Site Work Permit for su divisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf ty 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,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8�1 dumpster.Site Work Perm(t for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW constructi n. <br /> Directlons: <br /> Ffll out apptication completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgra es over s7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter f�om owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences( lot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />