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813-760-0020 City of Zephyrhi Is Permit Application Fax-813-780-0021 <br /> . " Buildin Department <br /> , • <br /> Date Received � .� (S-� phone Contact fo Permitting -- <br /> Owner's Name � f Owner Phone Number /�,3�J,23 <br /> Oamer's e4ddress �,20 Owner Phone Number <br /> Fee Sfmple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address 7,2c9 � �� fG !� <br /> JOB ADDRESS �2 D� G r LOT# � <br /> SUBDIVISION PARCEL ID# ��� - ^pODO - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONST� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � C.(t �,,,.. � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ n AMP SERVIC /�9 � PROGRESS ENERGY Q W.R.E.C. <br /> vo � <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDER COM ANY <br /> SIGNATURE REGI TERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COM ANY S JOl� G c G <br /> SIGNATURE REGI RED Y/ N FEE CURRE� Y/N <br /> Address ,�O� {✓, n ti� L �d License# O� <br /> PLUMBER COM ANY <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N - <br /> Address License# <br /> MECHANICAL COM ANY <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COM ANY <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> /4ddress License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, _ <br /> Minimum ten(10)wo[king_days after_submittal_date.-Req ired onsite,-Construction Plans,StormwaterPlanswl-Silt Fence instalied, <br /> � � Sanitary Facliities 81 dumpster;Site Work Permit for suqdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety 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&1 dumpster.Site Work Permif for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW constructi n. <br /> Directions: <br /> _ Fill out application completely. <br /> Owner&Contractor sign back of appNcation,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgra es over�7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be omeone 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 =�:Fences( IoUSurvey/Footage) <br /> Driveways-Not over Counter,if on public roadways:.needs,ROW � <br />