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a,s-���-u��u City of Zephyrh ils Permit Application Fax-813-780-0021 <br /> Buildl g Department <br /> Date Received Phone Contact r Permitting -- <br /> Owne►'s Name / , �a Owner Phone Number <br /> Ovvner's Address 3�33 3 a /1 Da O�mer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# r�� <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 �] OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAM � STEEL � <br /> DESCRIPTION OF{fVORK /�/OV� ��j L v i+ �e� �(f O C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATIO OF TOTAL CONSTRUCTION - <br /> �ELECTRICAL $ �� �� AMP SERV CE [� PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $ <br /> ��� <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION ;� <br /> QGAS Q ROOFING Q SPECI LTY 0 OTHER ���� <br /> FINISHED FLOOR E�EVATIONS FLOO ZONE AREA QYES NO ! <br /> BUILDER C MPANY <br /> SIGNATURE R ISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> ELECTRICIAN C MPANY �G/ /� �� /jC <br /> SIGNATURE R GISTERED Y! N FEE CURRE� Y/N <br /> f G <br /> Address � �� � License# � � v��p 3 <br /> PLUMBER C MPANY <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C MPANY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> OTHER C MPANY <br /> SIGNATURE R GISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br />--� - - — - - - - Minimum ten(10)working.days after submittal date. equired onsite;Construction Plans;Stormwater Plans w/Silt.Fence instzlled, <br /> Sanitary Faciflties&1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cons ctlon. <br /> Directions: <br /> Ffll out application completeiy. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (A/C up rades over 57500) <br /> •" Agent(for the contractor)or Power of Attomey(for the owner)woul be 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 �� Fenc s(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways,:needs:,ROW <br />