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;� 813-780-0020 City of Zephyr ills Permit Application Fax-813-780-0021 <br /> ;� - � Build ng Department <br /> Date Received Phone Contact or Permitting -- <br /> Owner's fdame �,�Q � Q(,�' I�11 1'e- �c���i. Oevner Phone Mumber <br /> Owner's�lddress Ouuner Phone Number <br /> Fee Sirnple Titleholder Rlame Ou�mer Phone fdumbec <br /> Fee Simple Titleholder Address <br /> JOB e4DDRESS I � d—�L�.{�l, � (�� - LOT# �'J�D� ! ( <br /> SUBDIbISIOM PARC L.ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOR6(PROPOSED NEW CONSTR ADD/A T �1�] SIGM Q Q DEMOLISH <br /> B INSTALL e REPAI <br /> �ROPOSED USE Q SFR Q COMM [� OTHER <br /> TVPE OF COIdSTRUC'TIOfd Q BLOCK Q FRAM 0 STEEL Q <br /> DESCRIPTION OF�HOR6C ��. lO�k.. -e. l�-�� 2[� {.xJ� <br /> BUILDI(dG SIZE SQ FOOTAGE @iE1GF9T <br /> OBUILDING $ VALUATIO OF TOTAL CONSTRUCTIOIV <br /> ELECTRICAL $ AMP SERVI E � � PROGRESS ENERGY Q W.R.E.C. <br /> /�1�0.� l 5 <br /> OPLUMBING $ <br /> J�l�c <br /> QMECHANICAL $ VALUATIO OF MECHAIVICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECI LTY � OTHER � � lf/ �` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA QYES MO <br /> BUIILD�R C MPAMY <br /> SIGRIe4TURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> �►ddress License# <br /> ELECTRICIAN ) I�f C AAPAIdY I ��Cl .QG' (L � � � �' �U� <br /> SIGIdAt'URE (i C����`!J RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address �` � [:Z., � ll �� �J SK� License# <br /> PLUM�ER C AAPAfdV <br /> SIGfdATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> a4ddress License# <br /> NiECHe4NICAL C RAPAM( <br /> SlGfde4TURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> O�HER C �fIPA1VY <br /> SIGtd/4'iURE RE ISTERED Y/ N FEE CURRE� Y/IV <br /> 9lddress License# <br /> RESIDEMTIAL 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/Siit Fence installed, <br />= — —�- --- Sanitay-V�acllities-&-1-dumpster;Site-Work-Permit for ubdivisions/large=projects - -- — --— --- ___—--- _ <br /> COilAIaIERCIAL 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 te�(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm(t for II new projects.AII commercial requirements must meet compliance <br /> SIGM PERIVIIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all fVEVV constru tion. <br />' DirecQions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Motice of Commencement is required. (AJC upg ades over�7500) <br /> •° Agent(for the contractor)or Power of Aftomey(for the owner)would e someone with notarized letter from owmer authorizing same <br /> ONER THE COUNTER PERRAITTIMG (Front of Application oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C� Fences(Plot/Survey/Footage) � .. <br /> Driveways-Not over Counter if on publfc roadways..needs ROW , - <br />