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s�saeo-oozo City of Zephyrhi Is Permit Application Fax-813-7B0-0021 <br /> Buildfn Department <br /> �ate R�ceived Phone Contact f r Permittin -- <br /> Ouvner's fVame Owner Phone fVumber <br /> Oxvner's Address O�n►ner Phone Number <br /> Fee Simple Titleholder Plame Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JO�ADDRESS %�� LOT# � <br /> SUBDINISION PARCE ID# <br /> - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1flloRK PROPOSED NEW CONSTR ADD/AL �] SIGN � 0 DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR �COMM � OTHER <br /> IYPE OF COMSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIOM OF WORK <br /> BUILDIMG 51ZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> LECTRICAL $ � ��� AMP SERVI E`Ua PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECI TY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIA - CO PANY � ~ <br /> SIGMA'LURE � RE IST RED Y/ N FEE CURRE� Y/IV <br /> Address d � License# ��Q l� <br /> PLUMBER CO PANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br />� MIECHANICAL C MPAMY <br /> SIGNATURE ' tte ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL 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 Fenoe installed, <br /> Sanitary FaGlities�1 dumpster;Site Work Permit for ubdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittal date. qufred onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> - Sanitary Facilitfes&1 dumpster.Site Work Perm(t for II new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cons ction. <br /> Directlons: <br /> Fili out application completely. <br /> Owner 8 Contractor sign back of application,nota�fzed <br /> If over 5�500,a Notice of Commencement is required. (A/C upg ades over�7500) <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 COUNTER PERMITTING (Front of Application Only). ,. � _ <br /> Reroofs if shingles Sewers Service_Upgrades A/C ; Fence (PIot/Survey/Footage) <br /> ,. ,. , . , „ <br /> Driveways-Not over Counter if on public'r'oadways.:needs ROW , <br /> I <br />