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ei3aeo-oozo City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> Date Received <br /> Phone Contact f r Permitting __ <br /> Owner's Name —�- �IDC �G oi'il°�S � Owner Phone Mumber p j�� 7�8—�U y <br /> Oubner's Address � W�( ���D � �� � � Owner Phone Number <br />� Fee Simple Titleholder Mame Owner Phone Idurv�ber <br /> Eee Simpie Titleholder Addres�" <br /> JOB ADDRESS �S �o�`J c�On` �' LOT# � <br /> SU�DIdISION PARCEL ID# <br /> ~ . (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORFC PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q ` SFR Q COMM 0 OTHER <br /> TXP�OF CONSTRUCTIOM Q� BLOCK Q FRAME Q STEEL Q ' <br /> DESCRIPTIOId OF HNORK � DE�2.S <br /> BUILDING SIZE �Q FOOTAGE HEIGHT <br /> QBUILDING $ �'l�� VALUATION F TOTAL CONSTRUCTION <br /> O{ <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> IBUILDER CO PANY ��� 'J���-k ��QS <br /> �IGMATURE REGI TERED Y/ N FEE CURRE� Y/M <br /> d�ddress License# <br /> ELEC�RICIAN COA�IPANY <br /> SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIMBER CO PAtdY <br /> SIGMATURE ' REGI TERED � Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> MECHAMICAL CO PANY <br /> SIGf�ATURE REG STERED Y/ N FEE CURRE� Y/fV <br /> Address License# <br /> OTHER ' � CO PANY <br /> SIGfdATURE REG STERED 'Y/ IV FEE CURRE� Y/N <br /> Address License# <br /> FtESID�MTIAL 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. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for s bdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S�fety 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&1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. - <br /> ••"PROPERTY SURVEY required for all NEW constru tlon. <br /> Directions: <br /> Fili out applicatlon compietely. <br /> Owmer 8 Contractor.sign back of applicallon,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgr des over�7600) i7:..:;,,., :,, ._- .. „� � _ � � � <br /> ..�....�,,.;.,.,.. <br />' •• Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized le'tter from owne�'authorizing, r.n�!. .: , • <br /> �, >.;`:;*;.,.•- ::;,. ,,,.,.�..� _ 4�;., . : <br />' ONER THE COUNTER PERMITTING (Front of Appl(cation Only) � ' _ _ , ',. �_ - .�; <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences PIoUSurvey/Footage) � •�� - . ,. , , „':;,".,: ' <br /> 5.......�.� . _..... .-.. .... � ... ,. ....._.....,.. <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />