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813-780-0020 City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> Date ReceiWed �. Z�� Phone Contact r Permittin �o� ��� __ ���� <br /> O�nrner's Fdame �� lT � /! n���S Oarner Phone Fdumber <br /> Oeaner's Address �D�� C%��� �✓� Oevner F'hone tdumber <br /> Fee Simple Titleholder Mame �vaner Phone idumber <br /> Fee Simpie Titleholder Address <br /> JOB�1DpRESS 7D�� ��� /�/ai,� �j.�If �G u LOT!t � <br /> SUBDINISIOM P�1RC� ID� <br /> - - - -- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOR6C PROPOSED B rvEw coNSTa B ADD/A � SIGN 0 � DEMOLISH <br /> INSTALL REPAI <br /> �FYOPOSEID USE Q SFR Q COMM � OTHER <br /> T1fPE OF COMSTRUCTIOM Q BLOCK Q FRAME STEEL � <br /> D�SCRI�TIOfd OF MlORK ���•D� ���' <br /> BUILDIfdG SIZE SQ FOOYAGE / `�� HEIGHT <br /> BUILDING $ ��? ���� / <br /> ,� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � �S " '� <br /> � j ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALL�4TIOIV R� <br /> � ��� <br /> OGAS Q ROOFING Q SPECI LTY � OTHER � ���� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��� � � � J�, S C RflPAMY - � <br /> SIGRIATURE 6 RE ISTERED Y N FEE CURRE� Y/N <br /> dlddress !(J��� � G°��� � �g License# <br /> ELECTRICIAM � � (�F COMpAfdY � `°!� ��, � <br /> SIGMAT'URE f RE ISTERED Y/ �V FEE CURRE� Y/N <br /> Address License# � <br /> PLURAABER `� � � C iMPA1dY Lf��� ��G��A•� • t` �'�' / <br /> SIGMv4TURE u � v RE ISTERED Y/ N FEE CURRE� Y/N <br /> �[(� <br /> E\ddress License# L FL 1 k a�� � <br /> MECH�11dICAL ����' � � .O C RAF'AfdY �� �ie �7�"". (;�"�i <br /> SIGRI�4TURE i!w"" RE ISTERED Y! N FEE CURRE� Y/N ,') G <br /> �' <br /> �lddress License# G Vn c'._) 2s'av� � <br /> OTHER C MPARlY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> RESIDEtdTIAL Attach(2)Plot Plans;(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 8�1 dumpster;Site Work Permit for ubdivisions/large projects <br /> COiMAAERCIAL Attach(3)complete sets of Building Plans plus a Life fety Page;(1)set of Energy Forms. R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities.&.1 durrapster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGRi PERAAIT Attach(2)sets of Engineered:Plans. <br /> ""PROPERTY SURVEY required for all fVEW cons tton. <br /> DirecQlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 5�500,a Motice of Commencement is required. (6UC 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 /> ONER THE COUMTER PERMITTIfdG (Front of Application Only) � <br /> Reroofs if shingles Sewers Service Upgrades i4IC Fence (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pufilic roadways..needs ROW <br />