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813-780-0020 City of Zephyr�illl Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ��3 Zl�o� -- �� L j <br /> Owner's Idame f�l��ll� � ��R�5 Owner Phone Mumber �o��' S- � <br /> Owner's Address �.E��� „`���/��� o?� Ovuner Phone Number <br /> Fee Stmple Titleholder ldame Oevner Phone tdumber <br /> I <br /> Fee Simpie Titleholder Address <br /> JOBADDRESS ���� �/lve21�� ��� /," -!�r /a �Zh<!L[d� �L a LOT# � <br /> SUBDIbISION �������5� �/,��P PARCEL I # �J �� �� D�`� ����/ ��� <br /> (OBTAItdED FROM PROPERTY TAX NOTICE) <br /> WOR6C PROPOSED B NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF COIdSTRUCTIOfd Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTIOM OF WORK ,��S�G-FtI� �� �//G� �//�EGf� �f�C� �C)t3 l -c f�Glri(,° <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATION O TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVIC � PROGRESS ENERGY Q W.R.E.C. <br /> ( �,, .��� � <br /> QPLUMBING $ �� �/ <br /> OI <br /> OMECHANICAL $ ��� �� VALUATION O MECHANICAL INSTALLATION � () <br /> � e � <br /> OGAS Q ROOFING Q SPECfAL 0 OTHER l� , <br /> � (� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO �i <br /> BUILDER CORA ANY <br /> SIGMATURE REGISI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAfd COM ANY <br /> SIGfdAYURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIlfleER COIlA ANY <br /> SICfdATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHA(dICAL j��,`,�,�/� � COM AMY �/'��S� !�/lf�C�7`� �� '�G� <br /> SIGfdATURE ��w//i-C_. REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# I�"e���07'd <br /> OTHER COM AMY <br /> SIGRlATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> e►ddress 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)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMRliERCIAL Attach(3)complete sets of Building Plans plus a Life Saf ry Page;(1)set of Energy Forms.ft-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 instalied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGId PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW consVucti n. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over SZ500,a Notice of Commencement Is required. (A/C upgra es over ST500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same <br /> O!/ER THE COUMTER PERMITTIRiG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />