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813-780-0020 City of Zephyrhi Is Permit Application Fax-813-780-0021 <br /> -^ Buildin Department <br /> r <br /> S <br /> Date Received phone Contact f r Pertnittin -- <br /> � <br /> Obrner's fdame � � � t Owner Phone tdumber <br /> Oumer's e4ddress Owmer Phone Number <br /> F e � � Ovimer Phone tdumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /^ � v� C�+�-� LOT# �_� <br /> SUBDI!lISIOM PARCE ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/AL � SIGN o o DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF COMSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIOM OF 1fUORK �L l� l(/(/l Ci� G,`J"L° � /�(iCl+ �C� <br /> BUILDIPIG SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> TRICAL $ O � AMP SERVI E �ROGRESS ENERGY Q W.R.E.C. <br /> � �g� <br /> QPLUMBING $ � <br /> ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECI LTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGfdA1TURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPAIdY C /��� G��y ���`�`G <br /> SIGidATURE RE ISTERED Y/ N FEE CURRE� Y/(V <br /> Address � � License# .�-��U��0 <br /> PLUMBER COMPAMY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C MPANY <br /> SIG(dATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> dlddress License# <br /> tiESID�NTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum_ten__(10)_working_days after submittal_date._ quired onsite,Construction Plans,Stormwatec Plans w/Silt Fence-installed,-_--� <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for�ubdivisions/large projects <br /> COAAMERCIAL 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,5tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGM PERIYIIT Attach(2)sets of Engineered Pians. <br /> •'•"PROPERTY SURVEY required for all NEW cons ction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nota�ized <br /> If over 52500,a Notice of Commencement is required. (A!C upg ades over a7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would e someone wlth 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 /> . _ .. � _ . _ . <br /> ; i , , ,,., . ;, ; ;:�;;,`, , � ,_ • ,� <br /> Driveways-Not overCounter ifon public roadways.:needs ROW ,. , �., , • . <br /> � i . , ' . ' , . . � j . , _: i', � _ <br /> I <br />