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e�saeo-oozo City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Departrnent <br /> s <br /> Date Received - -Phone Contact f r Permittin ��3 7�`f' -- �p S3 <br /> Owner's Name 2�(Q l.- �1 e,�/V Z Owner Phone Idumber <br /> ONme�'s Address 3863� �� �} �A•�•� Owner Phone fVumber <br />� <br /> Fee Simple Titleholder IVame Owner Phone Number <br /> Eee Simple Titleholder Address <br /> JOB�1DDRESS 3S��T G�I� N � � ' Q L.OT# �� <br /> SUBDIbISION PARCE ID# ��-o�'�,� -O Q-O o0 O�� O�(o0 <br />' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MlORK PROPOSED NEW CONSTR ADD/AL �� SIGN Q Q DEMOLISH <br /> I B INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> T1fPE OF CONSTRUCTIOId Q BLOCK Q FRAME 0 STEEL Q <br /> DE�CRIPTION OF MIORIC <br /> BUILDING SIZE SQ FOOTAGE 3� HEIGHT <br /> QBUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVI E. � Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION -� ����� <br /> OGAS Q ROOFING � SPECI TY �] OTHER <br /> FINISHED FLOOR ELEVATIONS � � _ - FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CO PANY <br /> SIGtdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> PLUMBER CO PAMY <br /> SIGfVATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PAWY <br /> SIGfd�1TURE tte ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER` ' C PANY � � �� <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/ <br /> llddress 3 ,7 v ���SZ �. �. License# �-CC"'Q s7� �Z� <br /> RESID�MTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set f Energy Forms;R-O-W Permit for�ew construction, <br /> Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />___, ___ _ _ ___ __ .`_ SaNtary FaGlities 81_dumpster�Site Work Permit for s bdivlsions/large projects <br /> COMMEFtCIAL Attach(3)complete sets of Buiiding Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Pemiit�fo�new construction.------ -- <br /> Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.Alf commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)set5 oYEngineered Plans. --`• - - -- _ -- ' � , <br /> "•"PROPERTY SURVEY required for all NEW constru tton. <br /> Directions: <br /> Fill out applicatfon completely. <br /> Owner 8 Contractor sign back of application,nota�lzed <br /> If over E2500,a Notice of Commencement is required. (AIC upg ades over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for.the;owner),would e someone wlth notarized letter from owner authorizing same <br /> . . .r <br /> OVER THE COUNTER PERMITTING�`�,' (Front of Application:Only) <br /> Reroofs if shingles Sewers �Service Upg�ades'A%C,:- •,,Fe�ce (Plot/Survey/Footage) <br /> , . .. . .,.,. .�. , - _..s <br /> Driveways-Not over Counter if on�public roadways..needs ROW <br />