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813-780-0020 City of Zephyrhi Is Permit Application Fax-813-780-0021 <br /> Buildi Department <br /> Date ReceiverA Phone Contact i r Permittin __ <br /> Ouvner's Idame �Yl C`� � .e. Q ' Owner Phone Number <br />� / O e.�' <br /> �Obmer's Address Owmer Phone Mumber <br /> Eee Simple Titleholder Mame Ov�mer Phone Number <br /> Fee 5imple Titleholder Address <br /> JOB ADDRESS ' Z LOT# �� <br /> SUBDINISION PARCE ID# <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMORK PROPOSED NEW CONSTR ADD/AL � SIGM Q Q DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> 7YPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOM OF VVORK �. lO S F�S � �a+m c <br /> BUILDIMG SIZE S(�!FOOTAGE HEIGHT <br /> . �BUILDING $�' � �.� VALUATION OF TOTAL CONSTRUCTIOfV <br /> QELECTRICAL $ AMP SERVI E [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �,���v <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _ , AAPANY <br /> SIG(dATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN C MPANY <br /> SIGfdATURE RE �STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER C MPAMY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> MECHANICAL C IMPAfdY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGMATURE RE ISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ftESIDENTIAL Attach(2)Plot Pla�s;(2)sets ot Building Plans;(1)se of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. equired onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />�— -- - ----_ --Sanitary FaGlities-8 1-dumpster,-�ite Work-Permit tor- ubdivisions/large projects -- - - - -_- _ - - ---- <br /> COAAINERCIAL 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compiiance <br /> SIGId PERMIT Attach(2)sets of Engineered Plans. , <br /> •"'"PROPERTY SURVEY required for all NEW cons ction. ° <br /> Directions: � <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> Ef over b2500,a Notice of Commencement is required. (A/C up rades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> O!/ER THE COUNTER PERNIITTING (Front of Application Only) ._ ._ <br /> Reroofs if shingles Sewers Service Upgrades A!C Fenc (PIoUSurvey/Footage) : , - � , _ <br /> Driveways-Not over Counter if on public roadways..needs ROW , � , , . � � � <br />