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813-780-0020 City of Zephy� ills Permit Application Fax-813-780-0021 <br /> Buil (ng Department <br /> p�te Eteceibed Phone Gontact for Permitting b�,7 ��� -- Z�� O <br /> Ouener's bame �Q�+'V`n ��-l'L� Owner Phone fdurr�ber � <br /> Owner's Address �/ ' D �St Si � '�'� Oevner Phone Mumber <br /> Fee Sirv�ple Titieholder fdame Ovt�eeer Phone idumber <br /> Fee Simple Titleholder Address <br /> JOB E1D�RESS ``I D f 5� S�'��`�''r LOT# � <br />, sueosbisiob C��-� o� Z�4..y���,�.5 �ARC �iD# d 1 - 2�-- 21 -d0 i �— I.S-t v c�P C�1�j o <br /> -- - �-^ _ - - - -� - -- -- -- -(OBTAIfdED FROFA PROPERTY TAX RIOTICE) - — --- -- - <br /> WORCC PROPOSED B fiIEW CONSTR B ADD/ LT 0 SIGN 0 � DEMOLISH <br /> INSTALL REPA R <br /> �fftOPOSED U�E Q SFR Q COM � OTHER <br /> . <br /> T1�PE OF COMSTRUCTIOfd Q BLOCK Q ,FRAM � STEEL Q <br /> D�SCR9PTlotd oF H1►oE2K f�D✓��t' ��l cs „7 i tl� �"�-c.z ���� ��2.�' �Q�k �j�c,� -rrb�v� �c�h (o ti�' . <br /> �IDILDIR�G SIZE S(d FOOTAGE HEIGHT <br /> /�BUILDING $ ��`_�� VALUATIO OF T07AL COIJSTRUCTION �f�L�/� ,7 �. r'�' <br /> QELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �� <br /> QMECHAPIICAL $ VALUATI OF MECHANICAL INSTALLATION � ,�� <br /> QGAS Q ROOFING Q SPEC ALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZOfVE AREA QYES fV0 <br /> ��s���� o�P��v b���,� <br /> SIGRlATUFtE �L� R GISTERED Y/ N FEE CURRE� Y/N <br /> 4lddress License# <br /> IELECTRICIAM OMPAfdY <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/PI <br /> Address License# <br /> PLUIMBER OIlAP�4MY <br /> SIGtdE►TURE R GISTERED Y/ �I FEE CURRE� Y/M <br /> e4ddress License# <br /> fH11ECHAtdICAL � Of1APAfdY <br /> SIGIdATURE R GISTERED Y/ N FEE CURRE� Y/(V <br /> Address License# <br /> O'6HER OMPA(dY <br /> SlGfdr4TUttE GISTERED Y/ N FEE CURRE� Y/M <br /> �Address License# <br /> CtESIDIEMTIAL 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 Facllities 8 1 dumpster;Site Work Permit fo�subdivisions/large proJects <br /> COMIMIERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit tor new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties�1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance <br /> �IGfd PERMIIT Attach(2)sets of Engineered Plans. <br /> °"""PROPERTY SURVEY required for all NEW cons ction. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Idotice of Commencement I�required. (AlC up rades oeer�7500) <br /> '° Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notaNzed letter from owner au4ho�iz'ing'same:"'°,"' ' <br /> ONER YHE COUNTER PERMI7TING {Front of Application Only) � � ',� � , - � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc s(Plot/Survey/Footage) <br /> ... _. '- . ' _." _.�. a. ,. .� y. ...., te..:.:2•� <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />