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813-780-0020 City of Zephy ills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> D�te Received� �hone Contac for Permitting 7 -- <br /> Owner's�dame _ � Owner F'hone Mumber <br /> Oxvner's e4ddress �' � O�nmer Phone Nurnber <br /> Eee Sienplc Titleholdec fdame Own�r Phone Riuro�ber <br /> Fee Simpie Titleholder l�►ddress - <br /> �. <br /> JOB 9►DDRESS _ d �� �� �� ��� �.OT# � <br /> SU@DINISIOR9 PARC L ID# ..{> d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMORFC 6'ROPOSED B NEW CONSTR e ADD/ LT� SIGfV Q 0 DEMOLISH <br /> INSTALL REPA R <br /> �ROPOSED USE Q SFR Q COM 0 OTHER <br /> TXPE OF COMSTRUCTIOfd Q BLOCK Q FRAM � STEEL Q <br /> DESCRIPTIOfd OF WORK y� �'j � 'L �' S <br /> Bl➢ILDIWG 51ZE SW FOOTAGE E�IEIGFBT <br /> QBUILDING $ >���,� VALUATIO OF TOTAL CONSTRUCTIOfV <br /> �� <br /> QELECTRICAL $ AMP SER ICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION D�'/ <br /> � <br /> OGAS Q ROOFING`� SPEC ALTY 0 OTHER f�/ � / <br /> /,� �� l <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA DYES NO � <br /> IBUILD�R C hAPAMY f� 'G .�5��?' L;G1���" <br /> SIGid�,TURE R GISTERED Y/ N FEE CURRE� /N <br /> �4ddress !�� /.� ,�,.t License# �.�rJ <br /> IELECTFtICIAfd C RAPAfVY <br /> SIGWt4TlDFZE R GISTERED Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> PLUAlIBER C IIAPAMY <br /> SIGId64TURE R GISTERED Y/ N FEE CURRE� Y/N <br /> E\ddress License# <br /> MIECHARIICAL RAPAMY <br /> SltafdATURE R GISTERED Y I N FEE CURRE� Y/M <br /> Address License# <br /> OTHER OAAPANY <br /> SIGfdATl1RE R GISTERED Y/ N FEE CURRE� Y I M <br /> elddress License# • - <br /> RESIDE�dTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster;Site VNork Permit fo subdivisions/large projects <br /> CORflIlAERCIAL Attach(3)complete sets of Building 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. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permft fo all new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> ••'"PROPERTY SURVEY required for all NEW const ction. <br /> Directions: � <br /> Fill out application completely. <br />, Owner&Contractor sign back of application,notarized <br /> 9f over 52500,a Notice of Commencement Is required. (A/C up rades over�7300) <br /> °• Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same <br /> ONER'THE COUMTER PERMITTIRlG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc s(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />