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s�3aeaoozo City of Zephyr ilis Permit Application Fax-813-780-0021 <br /> Build ng Department <br /> Da.e ReceBv�Ed � ��'j��y� �'(�j 77$ l�/� <br /> /' Phone Contact or Permittin __ <br /> Owner's Name ��(( (�u�� Ourner Phone Mumber ��3 `77� l`�`o <br /> Obmer's Address � � j � S�r O�nmer Phone Number ��/'�77 g—av y7 <br /> Fee Simple Titleholder fVame Oumer Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��z° 1 �f`' � �� <br /> L.OT# <br /> SUBDINISIOM PARC L ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MlORK PROPOSED � NEW CONSTR� ADD/A T 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM 0 OTHER �t��� <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAM 0 STEEL Q <br /> DESCRIPTION OF VN06iFC ����0�t�, QKt� f� I/��J`c'll l � � //?�l/d.tL �Lb� D p;•� � <br /> BUILDING SIZE � SQ FOOTAGE �" liEIGHT �( ���4`'7' <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br />� [�ELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `S��� <br /> � <br /> OGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��I� ��5 C AlIPANY �� �'�`�� <br /> SIGfdATURE RE ISTERED Y/ IV FEE CURRE� Y/N <br /> e4ddress License# <br /> ELECTRICIAN CO MPANY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/M <br /> Address License# <br /> PLUMBER _ C MPAMY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C MPANY - <br /> SIGtdATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Alddress License# <br /> RESIDEMTIAL Attach(2)Plot Pians;(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.—R quired-onsite,-Construction Plans;Stormwater Plans-w/-Silt-Fence installed,---- - <br /> Sanitary Facilities�1 dumpster;Site Work Permit for ubdivisionsllarge projects <br /> COMIMERCIAL 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 onsite,Construction Plans,Stormwater Plans�w/Silt Fence installed, <br /> Sanitary Facillties 8 1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engfneered Plans. <br /> ""PROPERTY SURVEY required for all NEW constru tion. <br /> Directions: <br /> Fill autapplication comptetely. U TI-1�R1 Z�l� �`� t"���� l-I.O+�E Ow���� <br /> Owner&Contractor sign back of applicallon,notarized ��EL�-Y �'C W L S <br /> If over 52500,a Notice of Commencement is required. (A/C upg ades over 57500) 5'f�2�.- � �{ <br /> °' Agent'(for the contractor)or Power of Attomey(for.:the�owner,)would e someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PEF�MITTING ;;."�1(Front of Application Qnly) , � �� "'` ��` ` ` ��. -� - <br /> Reroofs if shingles Sewers;�,;; • Service Upg�ades;A%C ._,;Fence (PIoUSurvey/Footage) ' , <br /> � ;i�,: \, t, .�_ � :' ,,:. -' i ,1, �' ., • -- <br /> Drfveways-Not over Counter if on'public roadways„neetls-ROW ,,.+ � ��, ;, , =' ' ` --i - <br />