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813-780-0020 City of Zephyr ilis @'errnit,4pplication Fax-813-780-0021 <br /> Buil ing Department <br /> , �ate ReceiaecB � � � � - � <br /> Phone Contac@ for Permittin <br /> O�rner's R1ame � � Ov+rner�'hone fdumber �� - Z�-�i �3 <br /> mxuner's Address �1 ��� �(' �� ��rpho�ne'idum-ber <br /> Fee Sirnple TitleholcLer @Name Ovvner�hone tdurnber <br /> Fee Simple Titleholder Adciress <br /> .IOB ADpRIESS � (� LOT# "l \I" � <br /> SUBDIHISIOfd L PA1RC L ID# t,3-�1 � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> HNORE(PROPOSED e NEW CONSTR� ADDlA T [� SIGN Q � DEMOUSH � <br /> INSTALL REPAI <br /> �6iOPOSE�lDSE Q SFR Q COMM 0 OTHER <br /> TYP�OF COIdSTRUCTIOfd Q BLOCK Q FFZ4ME � STEEL Q <br /> 10E5CRiPTIOfd OF MIOitK � ` <br /> IBIDI�.IDIRAG SIZE O(�� SQ FOOY6IGE � P9EIGEiT <br /> �BUILDING $ ����j� VALUATIOIV OF TOTAL CONSTRUCTION <br /> [�]ELECTRICAL $ � Q AMP SERVI E o�GOI� [� PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBING $ p� �/� �V� <br /> � l � <br /> ���k y�D�,S <br /> �MECHAMICAL $ ��Op� VALUATION OF MECHANICAL INSTALLATION ���0 ,\�� �� <br /> �GAS Q ROOFING Q SPECI LTY 0 OTHER � `o �Q� <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ONE AREA DYES fV0 ��� <br /> l�°�'�H, {�,� <br /> sus�D�R ���v ri�! � �n <br /> SIGIdA7URE RE ISTERED Y/ N FEE CURRE� Y/M "�� <br /> Acldress y � O� S�� License# �'+-]I S�� <br /> �LECTRICIAfd CO ��,R�V �i�� , ' <br /> 51GR1ATURE RE ISTERED Y/ N FEE CURRE� Y/N � <br /> Address �t! 1�L . `e lV � License# �C ��`4 <br /> PLUflfl��R CO PAtdY �-T` 1 I + � ' ' KJI. S�J <br /> SIGfdATUPtE G STERED Y/ IV FEE CURRE� Y/I� �.� `� <br /> Address �� � � ����3 License# �f � �-1 <br /> {HIIECHds►MICAL CO PAfdY �� �I <br /> SIGMAT6IRE REG STERED Y I N FEE CURRE� Y/fV ��e- <br /> !1 � � <br /> Address �i`"�� �� ���� License# (� <br /> o�o-��R co �e►�v <br /> SIGid�4TURE RE ISTERED Y/ M FEE CURRE� Y/M <br /> dlddress License# <br /> RE�ID�iNTIAL 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)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />__ __ Sanitary Faciflties 8�1 dumpster,Site'�1Vork Permit for s bdivisfons/large projects.,_ _ _ `�. _ ____ <br /> C�RANAERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Ene�gy Forms.R-0-W Permit;for new consWction. <br /> Minimum ten(10)working days aftertisubmittal date. R quired onsite,Construction'Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary F.acilities�&•1,dumpster.-Site:,Work Permit for all new projects;A�I commerciaYrequirements„must meet.compliance <br /> SIGtd PERItAIT�` AttacH�(2)sets"of Engirieered Plans. '' . , _ ' , - <br /> , •��� °•"PROP..ERTY SURVEY required for all NEW constru Ition. • � - <br /> Directlons:� � � . � '; ,` :� . <br /> Fill out application completely: ��_- � �_, - . <br /> Owner&Contractor sign 6ack of application,notarized �`' � .; - <br /> If over 52500,a Motice of Commencement Is•'required. (AIC upgr des over�7300) _•_ . <br /> •° Agent(for the contractor)or Power of Attomey:(for the owner)would b someone with notarizetl letter from owner-aufhorizing same <br /> O!/ER THE COUMTER PERMITYIMG ��(Front,of Application Only) '� . . � F : <br /> Reroofs if shingles Sewers Service Upg�ades A/C Fences PIoUSurvey/Footage) • �... � <br /> :'�" - <br /> 9riveways-Not over Counter if on public roadways..needs ROW .`=r <br />