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813-780-0020 City of Zephyr ilis Permit Application Fax-813-780-0021 <br /> Build g Department <br /> Date Received <br /> Phone Contact or Permitting __ <br /> � ti <br /> Owner's idame C� S � S' 2�p /L<�/l Oarner F'hone Mumber �%(�3 l c(�(� <br /> Oevner's Address �C�1 l �;7 ` � � � Owner Phone Mumber $�3 (�p� �� <br /> �ee Siraipte Titleholderfdame Oubner Phone Pdumber <br /> u <br /> Fee Simple Titleholder Address <br />� .DOB ADDRESS � � 3`� S ILOT# <br /> �� <br /> SUBDI!lISIOM PARCE ID# <br /> (OBTAINED FRORA PROPERTY TAX NOTICE) <br /> lMORE(PROPOSED B NEW CONSTR 8 ADD/AL � SIGN 0 0 DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSED USE Q SFR Q COMM 0 OTHER <br /> 1VPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br />� D�SCRIPTIORI OF HlIO�tK �-2ittid(J-Z� �q r I��1 S l� �P�D <br /> BUILDING SIZE SQ EOOTAGE �� NEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ��e�-� <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br />� QPLUMBING $ <br /> ��� <br /> � <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION � � <br /> �GAS � ROOFING Q SPECIA TY 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES tV0 <br /> BUILDER CO PalMY �Pl� J Y . �GC� <br /> SIGM�iTURE � REG STERED Y/ I�I FEE CUR E� Y/nl <br /> Address .� �U y� � License# <br /> �aECTRICIAM CO PAfdY <br /> SIGRIATURE REG STERED Y/ N FEE CURRE� Y/fV <br /> Address License# <br /> P�URlIBER CO PAfdX <br /> SIGEd�1TURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PAMY <br /> SIGIdATURE REG STERED Y I N FEE CURRE� Y/M <br /> Address License# <br /> OTFlER CO PAtdY <br /> SIGfdATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Alctdress License# <br /> I <br /> RESIDE(dT1AL 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. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster,Site Work Permit for s bdivisionsllarge projects <br /> COMiVIERCIAL 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 /> Minimum te�(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance <br /> SIGR1 PERflAIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW constru fon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If oeer 52500,a Notice of Commencement(s required. (AIC upgr des over$7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing_same <br /> OVER THE COUMTER PERMITTING (Front of Application Only) ° .� � • � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences Plot/Survey/Footage) , , _ ' - , - <br /> - - - � _ - <br /> , <br /> Driveways-Not over Counter if on public roadways..needs ROW � � '- - - _.. .- ., <br />