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s�3aso-oo2o City of Zephyrh Ils Permlt Application Fax-813-780-0021 <br /> Buildi g Department <br /> Date Received- � � Phone Contact i r Permittin pl � -- '� <br /> Owner's fdame Owner Phone Mumber �t,3 7f�°c7�� <br /> Odvner's Address ��� i^ `ry ' � O�bner Phone Number <br /> Fee Simple Titleholder Name Ov�mer Phone Nummer <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I^ �n. LOT# C� <br /> sus�ivisior� PARCE io# (�{ �Ca �j 4G.30 QD ��� O C'�$C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MlORK PROPOSED NEW CONSTR ADD/AL � SIGN Q � DEMOLISH <br /> INSTALL B REPAI <br /> PROPOSED USE Q SFR Q COMM � � OTHER <br /> 7YPE OF CONSTRUCTIOM Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIOM OF WORK � � -��,,,^ ` rl�Yl @�,(e vl.� �[�I�P 1 <br /> BUILDING 51ZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ LUATION OF TOTAL CONSTRUCTION <br /> CZ p�. <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` �, • <br /> QGAS Q ROOFING Q SPECI LTY � OTHER <br /> �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> SIGfdATURE ' t R E ISTERED �����FEE CU�� % Y/N �— <br /> l .1�✓� 1�°C� <br />, Address License# <br /> ELECTRICIAN CO PANY <br />' SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO PAIdY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/IV <br /> Address License# <br />' MECHANICAL CO PAWY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY <br /> SIGtdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br />� dlddress 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)wortcing 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 bdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets af Building Plans plus a Life S 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 onsfte,Construction Plans,Stormwate[Plans w/Silt Fence instatled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for a I new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requfred for all NEW constru tion. <br /> Directlons: <br /> Fill out applfcatlon completely. <br /> Owner 8 ConUactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgr des over g7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> 01/ER THE COUNTER PERMITTING� (Front of Application Only);_ <br /> Reroofs if shingles Sewers, Service Upgrades A/C ,Fences(Plot/Survey/Footage) <br /> Drtveways-Not over Counter if on.public roadways:.needs ROW �° <br />