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a���-�o�-�uzu City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Build ng Department <br /> Date Received Phone Contact or Permittin __ <br /> Owner's Name Owner Phone Number <br /> Obmer's Address Ov�mer Phone Number <br /> . <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> `� �JOB ADDRESS LOT# <br /> SUBDIVISION PARC L ID# � <br /> -- —_ � - — - — - - - - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/A T 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAM � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTA HEIGHT <br /> QBUILDING $ rn f VALUATIO OF TOTAL CONSTRUCTION <br /> VV <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �'��, <br /> QMECHANICAL $ VALUATIO F MECHANICAL INSTALLATION , <br /> � , . <br /> QGAS Q ROOFING SPECI LTY 0 OTHER � ' <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO l/" <br /> BUILDER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN C IlAPANY <br /> SIGNATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUIVIBER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address - Lic e# <br /> OTHER C MPANY <br /> SIGNATURE RE ISTERED Y/ FEE'CURRE� /N <br /> Address r— License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new aonstruction, <br /> Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for ubdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life S ,fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R quired onsite,Const�uction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties 8�1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> '••'PROPERTY SURVEY required for all NEW consVu Uon. - <br /> Directtons: � <br /> Fill out applicatlon completely. � <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (AIC upg ades over 57500) <br /> •• Agent(for the conUactor)or Power of Attomey(for the owner)would e 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 Fence (Plot/Survey/Footage) _ , , , _ - � <br /> Driveways-Not over Counter if on public roadways..needs ROW - ` <br /> . .+ � � �•; � � <br />� - <br />