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813-780-0020 City of Zephyr ilis Permit Application Fax-613-780-0021 <br /> ti Build ng Department <br /> Date Received Phone Contact or Permittin ��3 7�2 __ 23�� <br /> Owner's fVame �� L-r �`�5 Owner Phone Rlumber <br /> / c 1. <br /> Ovener's Address �6 � [ � v Ovener Phone Number <br /> Fee Simple Titleholder Mame Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L.OT# �� <br /> SUBDIVISIOM PARC ID# <br /> (OBTAINEO FROM pROPERTY TAX NOTICE) <br /> HNORK P6tOPOSED NEW CONSTR ADD/A T 0 SIGN 0 Q DEMOLISH <br /> INSTALL 8 REPAI <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> �PE OF CONSTRUCTIOfd Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIOM OF VYORK � � G � V� <br /> BUILDIfVG SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 2/� <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � �� � <br /> ��.�T S� <br /> QGAS Q ROOFING Q SPECI TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES P10 <br /> BUtILDER CO PANY <br /> SIGMATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CO PANY <br /> SIG(dATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAA�ER CO PAMY <br /> SIGRlATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# <br /> MECHANICAL CO PANY �� �`'S-0G � ��r� Y� <br /> SIGIdATURE - rte� TERED Y/ N FEE CURRE� Y/N <br /> Address License# l <br /> OTHER CO PANY <br /> SlGidA'LURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />"__-. =RESIDEMTIAL-_. ._Attach_(2);Rlot P_lans;-(2)sets_of_Building P_lans;(1)set f-Energy Forms;R=0_W Permit for_new construction,,,_,____J__ _ <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary FaGlities 8 1 dumpster;Site Work Permit for s bdivisions/large projects <br /> COAANIERCIAL Attach(3)complete sets of Building Plans plus a Life S ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets�of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construc ion. <br /> Directions: <br /> Fill out application completely. j , �< < � <br /> Ovmer&Contractor sign back of application,notarized ' <br /> If over 52500,a Notice of Commencement Is re�quired. (A/C,upgr des over�7500) <br /> •' Agent(for the;coriUfictoYro�;Eower`:o'F;Attomey(fo�.;fhe;�iZwner)_would b someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTE6t P,ERMI7TING._.:'���(Front of Applfcation Only) <br /> Reroofs if shingles'� Sewers ; -•"�Servfce Upgrades;>A/C Fences Plot/Survey/Footage) <br /> Driveways-Not ove��Coun4er if on pu6lic roadways..needs ROVV <br />