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813-780-0020 City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> � � Buildi g Department <br /> Date Received Q -��� °�Gl ��7�_ �lD -- ,� J L/ <br /> i Phone Contact r Permittin v� G� <br /> Ovuner's Mame �' ^ ` ���'� Oevner Phone fdumber �f' �5^�f��� <br /> Owner's�4ddress �� � �� ,fA� S3"`►, . c , l <br /> Obmer Phone IVumber <br /> Fee Simple Titleholder fdame ; 'l� Owner Phone tdumber <br /> Fee Simple Titieholder Address � `��' �' <br /> JOIB ADDRESS � � I � c� # � �' A.OT� •7`-� lD <br /> SUBDIbISION P�462CE ID# f r ' �� ��-� 'UUG''D ^' U� �l3�(��� <br /> (OBTAINED FROM pROPERTY TAX NOTICE) <br /> WORI(PROPOSED B NEW CONSTR� ADD/AL � SIGiV Q Q DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSED USE Q SFR Q COMM [� OTHER <br /> 3YPE OF COMSTRUCTIOfd �� BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIOfd OF WORK Y'� P J�-c e V�i�' c�� E" �o�2 -✓y G�' f.�� � ��,✓ W,� . <br /> BUILDIii�IG SIZE SQ FOOT/!GE HEIGF9� <br /> �BUILDING $ ) •��� , d � VALUATION F TOTAL CONSTRUCTIOM <br /> / <br /> DELEC7RICAL $ AMP SERVI E � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ � <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION �,��� <br /> QGAS Q ROOFING Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA �YES NO <br /> i <br /> SUI�UER -- � - -�O�PAPiti'-— �� �� —--C.��J"���iC-.�/_�`'✓ _ <br /> SIGMd►TURE REG STERED Y/ N FEE CURRE� Y/N <br /> eAddress License# <br /> ELEC�RSC6AM CO PAMY <br /> SIGfdATddRE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIMBER CO PAIVY <br /> SIGIdATURE REG STERED Y/ N FEE CURRE� Y/IV <br /> e4ddress License# <br /> MECHANICAL CO PANY <br /> SIGfdA�URE RE STERED Y I N FEE CURRE� Y/fV <br /> Address License# <br /> OTHER CO PANY , <br /> SIGfdATl1RE RE ISTERED Y/ nI FEE CURRE� Y/N <br /> d�cldress License# <br /> ItESIDERlTIAL 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 installed, <br />_ - - Sanitary Facllities 8-1 dumpster;Site Work Permit for.s bdivisfonsllarge projects _ __ <br /> �OMMIERCIAL 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 /> Minimutn ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for a I new projects.All commercial requirements must meet compliance <br /> SIGId PERMIIT Attach(2)sets of Engineered Plans. <br /> ••"PROPERTY SURVEY required for all NEW constru•tion. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appiication,notarized <br /> !f over 52500,a Motice of Commencement(s required. (A/C upgr des over�7500) <br /> •° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> O!/ER THE COUMTER PERMITTIfdG (Front of Application Only) <br /> Reroofs if shingles Sev�rers . __,_S.er�,ice Upgrades_A/C y,. :Fences(Plot/Survey/Footage) <br /> s- - r <br /> Drive�nrays-Not over Counter if on p.ublic roadways..needs ROW <br /> ,_ , ...� � ., ..:. � <br /> , .._. :. �. .,,:�r . _.�...�., �"��..,.. . <br />