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813-780-0020 City of Zephyrhi Is Permit Application Fax-813-780-0021 <br /> , .� Buildin Department <br /> Date Received. Phone Contact f r Permittin __ <br /> Oarner's f�ame � ���(,�[it`(j7L ,Z Owner Phone Rlumber ��3 � y, . D �� <br /> Ornmer's Address �0 ��, l � O�mer F'hone IVurnber <br /> , <br /> Fee Simple Titleholder fVame Ou�mer Phone Mumber <br /> Fee Simple Titleholder Address <br /> JOB c4DpEtIESS CL�vvLQ, LOT# �� <br /> suBDIbISIOM / C3� �rpv PARCE ID# (� p2(� 0 Q' � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMORK PROPOSED e IVEW CONSTR 8 ADD/AL 0 SIGM Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> �'YPE OF CONSTRUCTIOM Q BLOCK Q FRAME �] STEEL Q <br /> DESCRIPTIOM OF lNORF( � � 1 �X l � !� yJ l��U <br /> BUILIDIPIG 51ZE SQ FOOTAGE HEIGHT G����'r^�_ <br /> QBUILDING $ VALUATION F TOTAL CONSTRUCTIOfV <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> PLUMBING $ <br /> I �MECHANICAL $ , �� VALUATION OF MECHANICAL INSTALLATION <br /> T� � <br /> OGAS Q ROOFING Q SPECI TY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDIER CO PANY <br /> SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> �4ddress License# <br /> ELECTRICIAM C PARIY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> PLUMBER C MPANY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address / L(cense# <br /> E n <br /> MECHANICAL � C AAPAfdY /`/S � C�.� <br /> SIGMATURE �' RE ISTERED Y/ FEE CURRE� Y/ <br /> Address License# (.: � �� <br /> OTHEEt C MPANY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se 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 FaGlities 8 1 dumpster;Site Work Permit for ubdivisions/large projects <br /> COMIfMERC1AL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> - nNinimum 4en(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 II new projects.Alf commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> "`"'PROPERTY SURVEY required for all NEW cons ction. <br /> Directlons: <br /> Fill aut application completely. <br /> Ovmer 8 Contractor sign back of appiication,notarized <br />� If over 52500,a Notice of Commencement is required. (A/C up ades over y7500) <br /> "• Agent(for the contractor)`or Power of Attomey(for the'owner)'would e someone with notarized lettec from owner authorizirng.same ;.-, , <br /> OVER THE COUNTER PERN�ITTING (Front of Application Only); � � ' <br /> Reroofs if shingles Sewers Service Upgrades AJC : .Ferice (Plot/Survey/Footage) . . _ _ ' <br /> Driveways-Not over Counter4if on public roadways..needs ROVV" '- � - - ° �- - <br />