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813-780-0020 City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> Date Received —Z�j phone Contact f r Permitting `.Q __ � �� � <br /> Owner's Mame d' L�, Oevner Phone Mumber ' ����� 5 <br /> O�nrner's s4ddress (� �� Owmer Phone idumber <br /> Fee Simple Titleholdee Idame Ovaner Phone tdumber <br /> Fee Simple Titleholder Address <br /> JOB ADD6ZESS �Q, V 1 �'�(, ) 1/�+ f1 1( � �c��� LOT# � <br /> � <br /> SUBDINISIOR! PAPtCE ID# � l--a� -a,�-c��a -o�c.�b -�(.�� <br /> (OBTAIIdED FROM PROPERTY TAX NOTICE) <br /> r <br /> HNOR6C 6'ROPOSED NEW CONS7R ADD/AL � SIGN Q Q DEMOLISH <br /> . <br /> INSTALL REPAIR <br /> �ROPOSED USE SFR Q COMM � OTHER <br /> — 'fYP�OF COMSTRUC'TIOi� LOCK � FRAME 0 STEEL Q <br /> DESCRIPTIOfd OF WORIC � �i S i , (� G ��rp���, r�t <br /> � <br /> BUILDSfNG SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATION F TOTAL CONSTRUCTIOfV <br /> �LECTRICAL $ `��� ,� AMP SERVIC 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br />, QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION V <br /> � �� <br /> � <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER � C�Y�,�C� <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA DYES IVO �i J� 7� <br /> <�` / <br /> sui�o�R co� Arvv <br /> SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN ��� , COIlA AIdY ��� 'G �-l"� l� , � 1�C1� <br /> SIGfd�1TURE REGI ERED Y/ N FEE CURRE Y/N <br /> Alddress License# <br /> PLURfl�ER COM AfdV <br /> I SIGMd�TURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHARlICAL COM APlY <br /> SIGtdATURE REGIS ERED Y I N FEE CURRE� Y/N <br /> �4ddress License# <br /> OTHER COAII ARfY <br /> SIGfdATURE REGI ERED Y/ M FEE CURRE� Y/N <br /> �lddress License# <br /> RESIDEIdT1AL 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. Req ired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaGlities�1 dumpster;Site Work Permit for su divisions/large projects <br /> COMME6tC1AL Attach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGfd PERINIIT Attach(2)sets of Engineered Pians. <br /> "'"PROPERTY SURVEY required for all NEW constructi n. <br /> Directlons: <br /> Fill out application completely. <br /> Owmer&Contractor sign back of application,notarized ' <br /> Ef over 52500,a Idotice�of Comlmencem�nf is required:`(A1C upgra es over 57500) <br /> °• Agent(for the contractor)or Power�of Attomey(fo�;the owj�er)would be omeone with notarized letter'from"owne�au$io'rizing same ! <br /> OVEIt THE COUNTER PERIVIITTIfdG� (Front of Application;,Only) ` � � � ' <br /> Reroofs if shingles $ewers �_, '�.,Serviee Upgrades:;A/C<...� Fences( IoUSurvey/Footage) � � - � . <br /> Driveways-Not over Counter if on public roadways..needs ROW '','- �� � l � <br />