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813-780-0020 City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department ' <br /> Date Receieed �j <br /> l/� `� f Phone�Contact f r Permitting __ <br /> :. � � � <br /> Owner s Idame � (� Odvner Phone Idumb�r g 3� ��j� ��g.2 <br /> O�nmer's Address `� �S O�nmer Phone Mumber � �� 2_� <br /> Fee Simple Titleholder fdame � � � � f/�O Owner Phone Idurviber <br /> Fee Simple Titleholder Address .�o� � <br /> JOB�►DDRESS 5' �- L.OT# C� <br /> SUBDIVISION �`�� Q�, C.� �yr I����3 PARCE ID# �� '-�C%°" �! - ����.—� c3���- � j� � � <br /> (OBTAIMED FROM PROPERTY TAX IdOTICE) <br /> WOFtK�PROPOSED B NEW CONSTR e ADD/AL � � SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED U5E Q SFR Q COMM' 0 OTHER S NE <br /> TXPE OF CORISTRUCTIOM Q BLOCK Q FRAME Q STEEL Q <br /> D�SCRIPTIOM OF NVORK .5�� �_ � ' - <br /> BIDILDIRIG 51ZE� .2 ���_ SQ EOOTAGE &�' HEIGHT JO� - <br /> �UILDING $ VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ . AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , �� <br /> �f �.\ � <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALLATIOIV � <br /> j�� � <br /> QGAS Q ROOFING Q SPECIA TY 0 OTHER � <br /> FIfVISFiED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> �' i � <br /> BUILDER � CO PANY �� ������ <br /> SlGfde4TURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address ' C 5� ` License# <br /> ELECTRICIAM - CO PAfdV <br /> SIGM/!7'U6tE REG STEREO Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> PLUAABER CO PANY <br /> SIG9N61TURE REG STERED Y/ N FEE CURRE� Y/IV <br /> 4lddress L(cense# <br /> MIECH�4NICAL CO PAMY <br /> SIGNATURE REG STERED Y/ N . FEE CURRE� Y/N <br /> Address License# <br /> OTHER CA PANY <br /> SlGfdATURE Re STERED Y/ N FEE CURRE� Y/N <br /> dlddress - License# <br /> RESIDEMTIAL 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. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for s bdivisions/large projects - <br /> COMIMERCIAL 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. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 duinpster.Site Work Permit for a new projects.All commercial requirements must meet compliance <br /> SIGtd PERMIT Attach(2)sets of Engineered Plans. --- . - <br /> •"'PROPERTY SURVEY required for alf NEW constru tion: ' - '_ <br /> Directions: - <br /> Fill out application completely. ' <br /> Owner 8 Contractor sign back of application,notarized _ ' <br /> If over 52500,a Notice of Commencement is required. (A/C upgr des over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) � • -=-�1 � - . .�. ,: -_- -x •� ; <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences PIot/Survey/Footage) ` ' ` .,� - _ , • ,t . <br /> ,,= ,.,. .. , � .- ; <br /> Driveways-Not over Counter if on public roadways..needs ROW ; - - ��• � � _ - ;. <br /> i <br /> �.�.,.a ._... _ :. - .:,�,..R,,,,..,. ,. .��.�. ..�.... <br />