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s�3aso-oo2o City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Buildf g Department <br /> Date Recei�ed Phone Contact r Permittin -- <br /> Ovener's Idame � �� b�z� Oarner Phone Mumber ���" 3 �b <br /> Obmer's Address O�nmer Phone Number <br /> Fee Simple Titleholder Mame Owner Phone Mumber <br /> Fee Simpie Titleholder Address <br /> JOB E►DDRESS . � ���� �Q�h� � z �Z- � �o�# C� <br /> sueo�vlslok PARC ID# ll Z��Z/, 6U/G—�J�,jGb � �G 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> MlORK PROPOSED e NEW CoNSTR e ADD/A T � SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYP�OF CONSTRUCTIOM Q BLOCK Q FRAM � STEEL Q <br /> DESCRAPTIOfd OF WORFC I����-�G� /�I / �� �r ���� <br /> BUILDING 51ZE SQ FOOTAGE HEIGHT <br /> QBUILDING S VALUATIO OF TOTAL COMSTRUCTION <br /> QELECTRICAL $ AMP SERVI E � �] PROGRESS ENERGY Q W.R.E.C. <br /> CX� C�d <br /> QPLUMBING $ ��o <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION � `� <br /> QGAS Q ROOFING Q SPECI LTY Q OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES tV0 <br /> BUILD�R C MPA►PIY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> 9lddress License# <br /> ELECTRICIAM GG�� C AAPANY vOU � ,, l�z` C �1 C <br /> SIGtdE1TURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> �lddress ��f/�� �`�/</�y a a/����G/j' J"l. 3.� License# ; L� G(� O� <br /> PLUIMBER C MPAtdY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C INPANY <br /> SIGRfATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> llddress License# <br /> OTHEEt C MPAMY <br /> SlGfdATUFZE R GISTERED Y/ N FEE CURRE� Y/N <br /> Elddress License# <br /> RESIDEMTIAL 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 Facflities 81 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMAAERCIAL Attach(3)complete sets of Building Pians plus a Life afety Page;(1)set of Energy Forms.R-O-W PeRnit for new construction. <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciUties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br />' SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> •••'PROPERTY SURVEY required for all NEW cons ctlon. <br /> Directlons: <br /> Fill out applicatlon completely. „ <br /> Ovmer 8 Contractor sign back of application,notarfzed <br /> Ii oeer 52500,a Motice of Commencement Is requlred. (A/C up rades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ONER THE COUNTER PERMITTING�,;`_"°�(F�onf'of°applrcation Only) <br /> Reroofs if shingles Sewers,_, `�•' Service,Upgrades;A/C; Fenc s(Plot/Survey/Footage) <br /> . . , , ,.�,:�- , �� = ._; �d <br /> Driveways-Not o6er Counter if'on''pu6lic roadways.,�igeds{. ROW <br /> � ._ ; ._._ ..:.. . .. �:a, .•.e.�....4%^v-.�dt>^.n�C...`; <br />