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S�s-�saoozo City of Zephyrhi Is Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> Date Received Phone Contact f r Permittin -- <br /> Ov+rner's fVame • l 5 Q� Owner Phone Mumber <br /> O�nmer's Address J � � �P �� Ovuner Phone Mumber <br /> Fee Simple Titleholder IVam Obrner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDINISIOM 4 PARCE ID# <br /> - --- _ __ _ __ _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED B NEW CONSTR B ADD/AL 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SF�t � Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIOfV OF W RK <br /> BUILDIMG SIZE y� SQ FOO GE HEIGFlT <br /> QBUIL ING $ VALUATION F TOTAL CONSTRUCTIOM <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �^ <br /> S V <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALL.ATION J� ,� <br /> OGAS ROOFING Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGfdATURE REG STERED Y/ N FEE CURRE� Y/N <br /> 6►ddress License# <br /> ELECTRiCIAM CO PAMY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAABER CO PAMY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PANY <br /> SIGMATURE Re ISTERED Y I N FEE CURRE� Y/ <br /> Address License# <br /> OTHER C PANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address O `� License# <br /> RESID�MTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction, <br /> Mfnimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.Facllities 8 1 dumpster;Site Work Permit for. bdivfsions/large projects <br /> COMAAERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br />, Minimum ten(10)working days after submittal date. R qulred onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster..Site Work Permit for It new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. �-- <br /> ••'•PROPERTY SURVEY required for all NEW consUu tton. <br /> Directlons: -� <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appiication,notarized "�' <br /> If over 52500,a Notice`of Commencemen'�is requiredr..(A/C upg ades over 57500) . <br /> 4 _li � - <br /> •• Agent(for the contract,or)o�Fower of Attomey(for tfie owner)would e someone with notarized letter'from�owner�authorizing,same���• �---- <br /> OVER THE COUNTER PERMITTING`''':,.',(Fronf of Application�Only) , , � , ,�� ; <br /> Reroofs if shingles SevVg[s,.�,:;:w.:Senitce Upgrades�-A7G:��••���Fence (PIot/Survey/Footage) , . _ ,;. : . - �' ,., �; <br /> Driveways-Not over Counter if on public roadways..needs ROW ' ' "-` ��- ""' ""� "` '"` `"' "'"-' <br />