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813-780-0020 City of Zephyr ills Permit Application Fax-813-780-0021 . <br /> Build ng Department <br /> �ate Eseceived Phone Contact or Permitting -- <br /> ' ' W � � 13- 83�- ��Z�` <br /> Ovener's Idame ��F�G�L l, Owwner Phone Idtamber <br /> Owner's s�ddress 55�2— ��h�� Ovuner Phone fdumber <br /> Fee Som�le Titleholder fdame Obrner Phone Wummer <br /> Fee Simple Titleholder Address <br /> .DO�d►DDR�SS ���Z v �h l ! LOT# � <br /> SUBDIdISIOfN ' PARC L ID# <br /> --- -- - --- , -- - --- --- - _ — —--_ --- - -IOBTAINED FROAA PROPERTY FAX NOT.ICE)= — -----�- <br /> lRIOEt6C P6tOPOSED � NSTALLSTR 8 REPAfLT 0 SIGN 0 Q DEMOLISH <br /> I�1 <br /> ��dOPOSED USE [l/ SFR Q � COM 0 OTHER <br /> T�PIE OF COfdSTRUCTIOM Q BLOCK Q FRAAfl � STEEL Q <br /> D�SCRIPYIOtd OF HNORK Y C�LL �� ��C{�, I X . <br /> 19UILDI�dG SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATIO OF TOTAL CONSTRUCTIOM <br /> QELECTRICAL $ AMP SER ICE � PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATIO OF MECHAMICAL IMSTALLATION <br /> QGAS Q ROOFING Q SPEC ALTY 0 THE <br /> FINISHED FLOOR ELEVATIONS FLOO ZOfVE AREA QYES fV0 <br /> Bd11lLDER C IlAPAIdY <br /> SltafdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> 6ldc9ress License# <br /> IELEC'�B2ICIAId � OMPA�dY <br /> SIGfdA1TURE R GISTERED Y/ N FEE CURRE� Y/N <br /> �lddress License# <br /> PILUiMBER OAAPA1idY <br /> SIGWd1TURE R GISTERED Y/ N FEE CURRE� Y/IJ <br /> �lddress License# <br /> RAECHAIVICAL Oi1flE'.�fdY <br /> SIGIdATURE R GISTERED Y/ I�1 FEE CURRE� Y/f� <br /> Address License# <br /> OTHER OMPARlY <br /> SIGtdATURE GISTERED Y I �) FEE CURRE� Y/N <br /> Address License# <br /> RESBD�idTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit fo subdivisions/large proJects <br /> COAAIIAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction_ <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciUties&1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets bf Engineered Plans. <br /> ••'•PROPERTY SURVEY required for all NEW cons ctlon. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized _., <br /> If over 52500,a fdotice of Commencement Is required. (/�IC u gr�des over 57500) - ; �••� � - -. , - ... <br /> °° Agent(for the contrac{o�j o�Power of Attorriey-(fo�tfie`owne�)woul be someone with notarized letter from;owner•authoriiing same.,; • - <br /> � , <br /> OdER THE COUNTER PERAflITPING �' _{Front of Application:Only) � , , � ' �. �� � <br /> Reroofs if shingles Sewers - Service Upgrades;A/C: � Fenc s(PIoUSurvey/Footage) - .. :.._ .e „__ , : : _ . - <br /> . � , ,.: _.,. .. <br /> Driveu+ays-Not over Counter'if on public�oadways::needs ROW <br />