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813-780-0020 City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> Date Received Phone Contact f r Permittin __ <br /> O�nrner's fdame .�� ��O�V�- S ��� Oarner Phone Mumber U���7���S�O <br /> /��, 1 <br /> Owner's Address � `[i�Y� ,�� Owner Phone�dumber <br /> Fee Simple Titleholder Mame Owrner Phone tdumber <br /> Fee Simpie Titleholder Address <br /> � <br /> JOB ADDRESS S � � ' ���` LOT# �� <br /> SUBDINISIOM � PARCE ID# <br /> - _--.--. - - -_-,- •-._-- -- �__.`___ _ _ -� - (OBTAINED FROM PROPERTY TAX NOTICE) -- --- ---- ---- - <br /> NHOR�C PEtOPOSED � NSTALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> ,LJ <br /> �ROPOSED U�E t � SFR Q COMM � OTHER <br /> IYP�OF CONSTRUCTIOtd Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIOfd OF!lUORK � L��,S <br /> BIiILDIfdG SIZE SQ FOOTAGE FIEIGHT <br /> OBUILDING $ ��� VALUATION OF TOTAL CO(VSTRUCTION <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY 0 W.R.E.0 <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL IIJSTALLATION <br /> OGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AfiEA QYES NO <br /> BUILDER CO PAtdY ��'� \�.� b1�.S <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM COiflAPAfVY <br /> SIGfdATURE RE ISTERED Y/ IV FEE CURRE� Y/N <br /> c4ddress License# <br /> PLUMIBER C MIPAtdY <br /> SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y I(V <br /> 4lddress L(cense# <br /> MIECHAIdICAL C MPAfdY <br /> SICzPVAT�DRE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OYHER C iUPAMY <br /> SIGMATURE RE ISTERED Y/ RI FEE CURRE� Y I N <br /> Address License# <br /> RESIDEMTIAL 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. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facllities 8�1 dumpster;Site Work Permit for ubdivisions/large projects <br /> CONIIlAERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> '•••PROPERTY SURVEY required for all NEW cons ction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,nota�ized <br /> If over 3a500,a Rlotice of Commencement(s 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 /> OVER THE COUNTER PERMITTING (Front of Appiication Only) � � _ ' <br /> , ,. i: <br /> Reroofs if shingies Sewers Service Upgrades A/C Fence (Plot/Survey/Footage) , . ' � � - ,. <br /> ; <br /> '= -• � � ...,, �.>.. <br /> �riveways-Not over Counter if on public roadways..needs ROW _.: ., � " <br />