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����-��w���� City of Zephyr ilis Permit Application Fax-813-780-0021 I <br /> � <br /> Build g Department <br /> - ,• <br /> � Date Received Phone Contact or Permittin _. <br /> Owne►'s Name C � �i�'� Owner Phone Number �� 7� yS�� <br /> Oxvners Address lf 3� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address _ <br /> JOB ADDRESS Ss^+�- � <br /> LOT�t <br /> SUBDIVISION PARC L ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lNORK PROPOSED B NEW CONSTR e ADD/A 7 � SIGN [� Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAM �] STEEL Q <br /> DESCRIPTION OF 1MORK I�D✓G U(� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> �'ELECTRICAL $ ��� ,�o AMP SERVI E �� � PROGRESS ENERGY Q W.R.E.C. <br /> /~ r <br /> QPLUMBING $ �� <br /> � ,,�1 S <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN C MPANY � //I � C�`T�✓�L <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N . <br /> Address ,�� ,,,F� / Da�G �� �� � License# G �(� 3 <br /> PLUMBER C MPAPIY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C MPANY <br /> SIGNATURE � RE ISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGNATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 81 dumpster;Site Work Permit for ubdivisionsllarge projects <br /> COMMEFtC1AL 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 /> Minfmum ten(10)working days after submlttal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new proJects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""`PROPERTY SURVEY required for all NEW cons ctfon. <br /> Direct(ons: <br /> Fill out applicaUon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice ot Commencement is required. (AIC upgrades 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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />