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��3-�o�-uuzu City of Zephyr ilis Permit Application Fax-813-760-0021 <br /> � Build ng Department <br /> Dale Receiaed � � <br /> Phone Contact or Permittin __ <br /> Owner's Name p�j o/(�S Owner Phone Number <br /> Owner's Address OHmer Phone Number <br /> Fee Simple Titleholder Name Ouener Phone Number <br /> Fee Simple Titleholder Add � <br /> JOB ADDRESS 3 D� ` !J C LOT# � <br /> SUBDIVISION PARCE ID# <br /> (OBTAINEDFROOMpROPERTYT�TicE)DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/AL [� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK (�vi {��EG�%�, C� ���S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ <br /> VALUATION F TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � �v^ pp AMP SERVIC Q PROGRESS ENERGY [� W.R.E.C. <br /> �7(�F <br /> QPLUMBING $ f <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION � <br /> � t <br /> n , R�� <br /> QGAS Q ROOFING Q SPECIA Q OTHER v� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PAMY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CO ANY S/ �r� �(GCIr�G <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# � C�C���� � <br /> PLUMIBER COM AiVY <br /> SIGNATURE REGI EREO Y/ N FEE CURRE� Y/IV <br /> Address License# <br /> MECHANICAL COM ANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COM ANY <br /> SIGNA'TURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new construction, <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Constriiction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 81 dumpster;Site Work Permit for sub ivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all ew proJects.All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians:-�, <br /> •'""PROPERTY SURVEY required for all NEW consUucti n. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appl(cation,notarized <br /> If over 52500,a Notice of Commencement(s required. (A/C upgrad s over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be omeone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERIVIITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(P oUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />