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813-780-0020 City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Buildmg Department <br /> � * <br /> Date Received Phone Contact or Permittin __ <br /> Ornrner's Mame ,^ e,w— Owrner Phone Mumber <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Plame Ovdner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U LOT# � <br /> SUBDIVISIOM PARC L ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/A T � SIGN Q Q DEMOLISH <br /> INSTALL B REPAI <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> 7YPE OF CONSTRUCTIOM Q BLOCK Q FRAM 0 STEEL Q <br /> DESCRIPTIOfV OF MIORK � c� /l ` �� <br /> BUILDIRIG SIZE SQ FOOTd►GE HEIGHT <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �� AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> 3oD , <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECI TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER C MPANY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN C MPANY 9 i ��/� <br /> SIGfdATURE RE �STERED Y/ N FEE CURRE� Y/N <br /> Address � 7 � � � License# G �v �.3 d <br /> PLUNIBER G AAPAIdV <br /> SIGNATURE �Re ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C INIPANX � <br /> SIGtdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> OTHER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy.Forms;R-O-W Permit for new construction, <br /> Minimum 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 s bdiv(sions/large projects <br /> - COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R quired onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties-&-1-dumpster.Site Work Permft for II new projects.AII commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans:__ <br /> ""PROPERTY SURVEY required for all'NEW constru tion. <br /> Directlons: <br /> Fill out applicatlon completely. _ <br /> Oumer&Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is required. (A/C upg ades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> OdER THE COUNTER PERMITTING � (Front of AppUcatiori Oniy) <br /> Reroofs if shingles Sewers "Service'Upgrades /VC Fences(Plot/Survey/Footage) <br /> � - . . -_ . . <br /> Driveways-Not over Counter.if.on public roadways..needs ROW <br />