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e�s-�eo-oo20 - Ciry of Zephyr ills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Date Re�sived Phone Contact for Permittin -- <br /> Oxvner's fdame ��,�, ,r Q�rner Phone Number � _ <br /> � , <br /> Owner's Address ��� Q Owner Phone Number <br /> Fee SPmple Titleholder f�ame Ovuner Phone tdurnber <br /> Fee Simple Titleholder Address <br /> . JOB ADDRESS SOS � �, LOT# � <br /> SUBDIbISION PARC L ID# <br /> (OBTAINED FROAA PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD! T � SIGN � Q DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSED USE Q SFR Q COM Q OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAM Q �STEEL Q <br /> DESCRIPTIOtd OF NVORK ►('� l!V� at wt� .¢ . <br /> BUILDIIdG SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ . �Oa AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION ! / '� ' � <br /> QGAS Q ROOFING Q SPEC LTY Q OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER C MPANY <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> t4ddress License# <br /> ELECTRICIAN ��in - C MPANY e e �L J.L <br /> SIGiNATURE �^'�`''`" R GISTERED Y/ N FEE CURRE� Y/N <br /> Address 2 Z— ' L�53 ��cense# �C�3ool3'S3 � <br /> PLUMBER C MPAfdY <br /> SIGfNATURE R GISTERED Y/ N FEE CURRE� Y/RI <br /> Address License# <br /> MECHANICAL T " � �� � C MPANY <br /> SIGR�ATURE � R GISTERED Y/ N FEE CURRE� Y/M <br /> Address License# <br /> OTHER OMPANY <br /> SIGMATURE R GISTERED Y/ IV FEE CURRE� Y/N <br /> I Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t 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 81 dumpster;Site Work Permit fo subdivisions/large projects <br /> COAAMEFtCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days aiter submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of..Engineered Flans. __ __ . � - <br /> ••'•PROPERTY SURVEY required for all NEW cons ctton. - ` <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back.of application,notarized <br /> ef over 52500,a Motice of Commencement Is required. (A/C up rades over�7500) <br />' •• Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING ' , ;(FronYof Application Only) <br /> Reroofs if shingles Sewers:• �, Service.Upgrades;ALC �' Fenc s(Plot/Survey/Footage) . <br /> , <br /> Driveways-Not overCounter•if�on public.roadways..needs;ROW <br /> , _. _. . � - ' <br /> II <br />