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Y � �13-780-0020 City of Zephyrhi Is Permit Application Fax-813-780-0021 <br /> ' Bulidin Department � ----------��, <br /> � <br /> Date Received Phone Contact fo Permitt g � pZ __ ���� <br /> Owner's R1ame ` �� Owner Phone Mumber <br /> O�nmer's Address 5�-{I � �"� . Ouvner Phone tdumber <br /> Fee Stmple'Fitleholder fd�me Owner Phone Rlumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � �'� . LOT# �� <br /> �J <br /> SUBDINISIOtd PARCEL I # I� � �� I !OO - I�VOO� O�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED e NEW CONSTR e ADD/ALT � IGN Q Q DEfVIOLISH <br /> INSTALL REPAIR � � `�Q�-� <br /> PROPOSED USE d SFR Q COMM � OTHER <br /> TYPE OF COIdSTRUCTIOfd Q BLOCK 4 FRAME 0 STEEL Q <br /> DESC6tIPTIOM OF VNORFf. � � � I � 'I� O <br /> BUILDING 51ZE SQ FOOTAGE G HEIGHT <br /> OBUILDING $ ' p� VALUATION O TOTAL CONSTRUCTION <br /> ' lJ <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ � <br /> ��� <br /> QMECHANICAL $ VALUATIOPV OF MECHANICAL INSTALLATION .X,� <br /> '�� <br /> QGAS ✓Q ROOFING Q SPECIAL �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA DYES NO <br /> BUILDER CORIIP NY <br /> SIGIdATUFtE REGIST ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM COflAP fdY <br /> SIGIdATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP IVY <br /> SICMATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> d�ddress License# <br /> MECHAMICAL COMP Y <br /> SIGfdATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OYHER COMPA Y f� W <br /> SIGIdATUEtE REGISTE ED Y/ N FEE CURRE� /N <br /> dlddress � �� / �� 1 License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdiv sions/large projects <br /> COAAMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requir onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ne projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement is required.,,.,(A/C upgrades ver 57500) • .. . ._ . .. <br /> •• Agent(for the contractor)or Power of�Attomey(for:the owne[)would be so eone with notarized,letter from owner'authorizing same; . <br /> OVER THE COUNTER PERMITTIMG ,. `.,(Front.of Application Only) ,, � � , , ' � ' • <br /> Reroofs if shingles Sewers "Seniice Upgrades A/C'� ,`- Fences(PIoU urvey/Footage) . '� • , : <br /> . -� ..... .... .... _ ._ � .: .. . _ n_.,.,.. . .. ,._.. ,. � .,. ,. . �. ----• - <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />