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_ , <br /> aia-�eo-oozo City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> 1 ' r <br /> Date Receieed Phone Contact r Permittin -- <br /> Owrner's tdame V�"'�� �N��Mrrl� OvHner Phone tdumber / ����� <br /> Oevner's Address .�� ��� /✓�� O�er Phone Mumber <br /> Fce Simple Titleholder fdame Owner Phone Mumber <br /> Fee Simple Titleholder Address <br /> .IOB D►DDRESS �3��G�/I Lv L.OT# � <br /> SUBDINISIOkI r��U/`�Cv PARC L ID# S� 25��1��rG Gb �QG��JVI/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOEt�C PetOPO�ED B NEw CONSTR B ADD/A T [� SIGfV Q� Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM [—� OTHER <br /> TVPE OF COMSTRUCTIOId Q BLOCK Q FRAM � STEEL Q <br /> DESCRIPTIOId OF!lHORK <br /> BUILDIfdG SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATIO OF TOTAL CONSTRUCTIOM <br /> DELECTRICAL $ AMP SERV CE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FIfViSHED FLOOR ELEVATIONS FLOO ZOIVE AREA QYES NO <br /> BUILDER C MPANY <br /> SIGfdATURE R GISTERED Y/ IV FEE CURRE� Y/N <br /> e4ddress License# <br /> IELEC7'RICIAM C MPAfdY <br /> SeG(dATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMIBER C IlAPAMX <br /> SIGfdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> �►ddress License# <br /> MECHAMICAL OMPAfdY <br /> SIGfdATURE R GISTERED Y/ N FEE CURRE� Y/fV <br /> Address � License# <br /> OTFBER OMPANY <br /> SIGMATURE GISTERED Y/ N FEE CURRE� Y/N <br /> llddress License# <br /> RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, - <br /> Mfnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilit(es 81 dumpster;Site Work Permit fo subdivisions/large projects <br /> COIlAMIERCIAL 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 after submittal date. Required ansite,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 PERfl111T Attach(2)sets of Engineered Plans. <br /> °•""PROPERTY SURVEY required for all NEW cons ruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If oeer 52500,a Motice of Commencement(s required. (AIC u grades 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 /> ONER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen s(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />