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813-780-0020 City of ZephyP �ills Permit Application Fax-813-760-0021 <br /> Build ng Department <br /> Date Received Phone Contact or Permltting �� �Z - O <br /> Owner's Mame � ,' ,f O�nrner F'hone Mumber �rS� � �6�0 <br /> Owner's e�ddress � ��/ ,%L�/J O�nmer Phone idumber <br /> Fee Simple Titleholder Rtame Ouvner Phone idumber <br /> Eee Sienpie Titleholder Address <br /> JO�61DDRESS %'Y) L.OT# � <br /> SUBDlVISIOId PA6tC L ID# <br /> - ,_ (OBTAINED FROM PROPERTY TAIC NOTICE) <br /> FflfOR6C E'FtOPOSED e NEW CONSTR 8 ADD/A T 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSEID U5E Q ' SFR Q COM 0 OTHER <br /> tYPE OF CONSTRUCTIOtd Q BLOCK Q FRAM 0 STEEL 0 <br /> DIESCRIPTIOM OF WORK � ,� it/ � rOti <br /> BUIL�IfdG SIZE SQ EOOTAGE F7EIGHT <br /> OBUILDING � VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SER ICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �ECHANICAL $/ �O�' VALUATIO OF MECHANICAL INSTALLATION � � �7 3 3 <br /> D <br /> QGAS Q ROOFING Q SPEC ALTY 0 OTHER �� q �� <br /> FIIVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO � <br /> BUILDIER C MPAFIY <br /> SlGfdalTURE R GISTERED Y/ RI FEE CURRE� Y/N <br /> e4ddress License# <br /> ��.ECTRICIAM RAPAIdY <br /> SIGRIATURE R GISTEREO Y/ IV FEE CURRE� Y/N <br /> e4ddress License# <br /> PLURA�ER RAPARIY <br /> SIGIdA'TURE R GISTERED Y I M FEE CURRE� Y/N <br /> �1ddPess License# <br /> MECHAIdICAL OMPAfdY �/O 2� L G L. <br /> S�GBdd�Tl1RE R GISTERED Y/ RI FEE CURRE� Y/M <br /> Address License# GO ,� � <br /> OTF9ER OMPAMY <br /> SlGfdA7URE GISTERED Y/ N FEE CURRE� Y/M <br /> ,Address License# <br /> RESIDIEIdTIAL 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit fo subdivisions/large projects <br /> COAfl�iIERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,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 /> SIGld PERMIT Attach(2)sets of Engineered Plans. _ <br /> •'"°PROPERTY SURVEY required for all NEW cons ruction. � <br />, Direct(ons: <br /> Fill out applicatfon completely. " , . <br /> Owner&Contractor sign back of application,notarized <br /> •� !f over 52500,a Notice of Commencement is required. (�C u grades over�7500) �• <br /> Agent(for the contractor)or P.owerof�Attomey(for the own��nroul :be someone with notarized tetter from owner authorizing same � <br /> ONER THE COUNTER PERMITTItdG , (Front of Application.Only)•; . � _;r"'. -'' ` � �°` �''�° '�; '_��;,-°�,; -_ <br /> r. ., _ .-� <br /> Reroofs if shingles Sewers : Service.Upgrades,A/C -. Fen 5�(Piot/Survey/Footage) :. , - , <br /> �.� .- • : , ., -'�� , : . ,. ,_ .. �z <br />', Driveways-Not over Counter if bri"public roadways:needs�R01N���-..;.�. , „ , . - " <br />