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813-780-0020 City.of Zephyr0�i Is Permit Application Fax-813-780-0021 <br /> F Buildin Department <br /> � <br /> Date Pteceived Phone Contact f r Permitting O �� /((� -- (�` <br /> Owner's Idame J` , /� / Owner Phone idumber <br /> Owner's Address ���((� ��5'j�� l l Owner Phone fdumber <br /> Fee Simple Titlehoider Mame Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS �� 7-v D�"�G � d J �� • LOT# � <br /> SU�DINISION �/'!� Lt�D� PARCE ID# <br /> (OBTAINED FROM PROPERTY TAX IdOTICE) <br /> W062K PROPOSED e NEW CONSTR ADD/AL 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br />' PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF COMSTRUCTIOfd Q BLOCK Q FRAME 0 STEEL � <br /> DESCEtIPTION OF WORK �'t �C C C o .+- 2�S`— 'T� a�+ <br /> BUILDING SIZE SQ FOOYAGE HEIGHT <br /> �BUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM NG $ ��;� <br /> MECHANICAL $ VALUATION F MECHANICAL INSTALLATION " � <br /> 3�g�, ov <br /> �GAS Q ROOFING Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/M <br /> ,4ddress License# <br /> ELECTRICIAN CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIlABER CO PAidY <br /> SIGtdATU62E REGI TERED Y/ N FEE CURRE� Y/N <br /> .4ddress License# <br /> SIGN TURE L � �� REOGI PT RED "`�If�i�-N /,DJOF�URR� � Y/N��� <br /> Address L°� /L�� 2�1�� � License# ��� �3� �" <br /> OTHER CO PAtdY <br /> SIGIdATURE REG TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESID�EMTIAI. Attach(2)Piot 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 installed, <br /> Sanitary Facflities 8�1 dumpster;Site Work Permit for s bdivisions/large projects <br /> COMMERCI�IL Attach(3)complete sets of Building Plans plus a Life S ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submfttal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permft for al new projects.All commercial requirements must meet compliance <br /> SIGId PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construc ion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commence,ment is.[equifed•,.-(!�UC,upgr des over�7500) '°~��- <br /> "" Agent(for the contracto�)or Power of:i4ttomey(for the ovvper)would b someone with notarized lettel from owner.authorizing'same: j - <br /> OVER THE COUNTER PERIJAITTING ,, (Front of�Application Only) ' : � __. _ j <br /> Reroofs if shingles Sewers� Service Upgrades A/C , 'Fences PIoUSurvey/Footage) ;,,_. ' � � _ ' ;' <br /> _..T...:.:.. ..... �..-.. , ,x.,,... ... ..� ,,t - � .... .._,..._.. . , .,.._. .� ,.._�._. ..h_�: <br /> Deiveways-Not over Counter if on public roadways..needs ROW <br />