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813-780-0020 City of Zephyr ilis Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> �IDate R ceived Phone Contac for Permitting -- <br /> Ovtirner's Hame 1`�(� ��6� � �1�Q. Owner Phone Number $� ���S"I�� <br /> Ovimer's Address �� �S �� 3 � Owmer Phone Number <br /> Fee Sirv�ple Titleholder Mame Owner Phone tdumber <br /> Eee Simple Titleholder Address. <br /> JOB ADDRESS � B �A A.OT# � <br /> SUBDINISION PARC L ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMORK PROPOSED NEW CONSTR ADD/ LT Q SIGfV Q Q DEMOLISH <br /> e INSTALL REPA R <br /> �ROPOSED USE Q SFR Q COM � OTHER - <br /> TYPE OF CONSTRUCTIORI Q BLOCK Q FRA E � STEEL Q ' <br /> DESCRIPTIOM OF IMORK �/ !` <br /> BUILDING SIZE SQ FOOT�IGE HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPE IALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO <br /> IBUILDER —" OMPI�NY <br /> SIGfdA1TURE R GISTERED Y/ N FEE CURRE� Y/N <br /> 9lddress License# <br /> ELEC�'RICIAN OMPANY <br /> �IGfdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER OMPANY <br /> SIGIdATUItE GISTERED Y/ IV FEE CURRE� Y/N <br /> Clddress Ltcense# <br /> MiECHANICAL OMPANY <br /> SIGfdATURE EGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> I OTFIER �OMPANY <br /> SIGMATURE EGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# - <br /> RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Bullding 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 Facilities 8�1 dumpster;Site Work Permit fo subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lif 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 Facilities 8 1 dumpster.Site Work Permit foi all new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> °••"PROPERTY SURVEY required for all NEW cons�ructlon. <br /> Directlons: � <br /> Fill out application completely. ' <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (!UC u grades over�7500) _ ._ ,_ ,;..y s _,., ,: - �„,,,.1; <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized_letter from owner:authorizing same;:•, � <br /> u ::`+' �, -i:::.i•:,, ,.ri....; i -.. :,`2� <br /> OVER THE COUNTER PERMITTING (Front of Application Only) " ,, . � <br /> ::�,;x-: ' ;.,: €, <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(Plot/Survey/Footage) `� , , , ,_., , , , .. _ � � <br /> ....+�.M-�-. . .,.v_ ,,.,,.�R--'.e..ew�c-�,.,� ..vnr�. <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />