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e�aaeaoozo City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Dat�Received <br /> Phone Contact for Permittin __ <br /> �� <br /> Owner's Name � C� � p�, O�nrner Phone Mumber - 3 <br /> O�nmer's Address �j O�nrner Phone Nurnber <br /> Fee Simple Titieholder Mame Ou�mer Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2. LOT# � <br /> SUBDINISION PARCE ID# <br /> (OBTAINED FR�OM PROPERTYTO rice)DEMOLISH <br /> WORlC PROPOSED NEW CoNSTR ADD/AL Q SIGfV <br /> INSTALL 8 REPAI � <br /> PROPOSED USE Q SFR Q COMM � OTHER Q <br /> TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME Q STEEL � <br /> DESCRSPTIOM OF W06tK 1�, 0 S� p <br /> BUILDIfVG SIZE d� � _�. � SQ FOOTAGE HEIGHT �� <br /> QBUILDING $L� �'�rl O� VALUATION F TOTAL CONSTRUCTION <br /> (/(.J <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� •� �� <br /> � <br /> QMECHANICAL $ V UATION F MECHANICAL INSTALLATION W�,� <br /> QGAS Q ROOFING SPECIA TY 0 OTHER �� ��Y�-G�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PAMY <br /> SIGfd�4TURE REGI TERED Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> ELECTRICIAN CO PANY <br /> SIGtdATURE REG� TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COAA ATdY <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COM AfdY <br /> SIGMATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> i Address License# <br /> OTHER �"" ` COM ANY �D 6��3� <br /> SIGIdATURE ��W N � S � f REGIS ERED Y/ N FEE CURREA Y/N <br /> Address V l - C�t7 J , U`� License-# <br /> RESIDEMTIAL 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 FaGlities 8�1 dumpster;Site Work Permit for sub�ivisionsllarge projects ___ <br />- --- COilAiBiERCIAL ' Attach-(3)complete sets of Building Plans plus a Life Saf ty Page;('i)set of Energy Forms.R-O-W PermiCfor new constructfon. <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 P.ermit for all ri'ew projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> ••'"PROPERTY SURVEY required for all NEW constructf�n. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of appiication,nota�ized <br /> If over 52500,a Notice of Commencement(s required. (A/C upgrad s over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be omeone wlth notaNzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIMG (Front of Applica6on Only) <br /> Reroofs if shingles Sewers � Service Upgrades A/C.�_-=.-.Fences(P ot/Survey/Footage) <br /> Drivern�ays-Not over Counter if on�public roadways:.needs R011N <br /> .� .,.n, ,� _ - <br />