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813-780-0020 � City of Zephyrh Ils Permit Application Fax-813-780-0021- <br /> Buildi g Department <br /> Date Receieed Phone Contact r Permittin -- <br /> Oxvner's fName J o l �c/ /�GL��J'1/�' /?�I' Ov+rner Phone Number /�- 7��—�� <br /> �nrner's Address � /�� / %' Ov+rner Phone Number <br /> Fee Simple Titleholder ldame Ouvner Phone tdumber <br /> Fec Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDINISION PARC L ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/A T Q SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED U�E Q SFR Q COMM 0 OTHER <br /> T1/PE OF CONSTRUCTIOM Q BLOCK Q FRAM � STEEL Q <br /> DESCRIPTION OF�k10RK C'ff n! r q/� �i/TT��3 �/9 L d� ✓���'S <br /> BUILDIfNG SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ CO � AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. <br /> J � [ S'��� � <br /> OPLUMBING $ p,�/1 <br /> �►�� <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION n(/�.1" �U'� <br /> I�' <br /> OGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> I�UILDER C MPANY <br /> SlGfde4TURE R ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> ELECTRICIAN C AAPANY � � �G!J'il/��/Z <br /> SIG(dATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> �� <br /> Address License# <br /> PLUAABER C MPANX <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> MIECHANICAL C MPANY - <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C AAPANY <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> dlddress License#,. ....: -� <br /> RESID�MTIAL 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&1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COAAAAERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permif 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 all new projects.All commercial requirements must meet compiiance <br /> SIGId PERMIT Attach(2)sets of Engineered Plans. <br /> •••'PROPERTY SURVEY required for all NEW cons uction. - <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of application,notar(zed <br /> If over 52500,a Notice of Commencement Is required. (AIC up rades over 57500) <br /> •• Agent(for the contractor)or Fower of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same. <br /> OVER THE COUNTER PERMI7TING. _(Front of Application Only) _ _ <br /> Reroofs if shingles Sewers �Service Upgrades-;A/C Fenc s,(Plot/Survey/Footage) - � ;= y <br /> Driveways-Not over Counter if on public roadways:,needs R01N " " : _ ' ; = <br /> ` � � ' � - , _ . . , , . <br /> I <br />