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, 813-780-0020 City�of Zephy hilis Permit Application Fax-813-780-0021 <br /> Bui ding Department <br /> Dat�Receivei� /O� .�� PhoneConta tforPermitting �� p ��- �S° / � <br /> ' J�Q/rl r ',L ri � ' �/� �/Q ��?f� <br /> Obrner's Rfame �"O � CG- Owner Phone Idumber � <br />� Oevner's�lddress �/vS o5 � � ��• Owmer Phone Rlumber � <br /> �ee Simple Titleholder fName Owner Phone Rlumber � - <br />�i - <br /> Fee Simpie Titleholder Address <br /> JOB EIDDRESS � a �� -�.tX- LOT# � <br /> SUBDINISIOtd PAR EL ID� ' <br /> (OBTAINED FROM P ERTY TAX NOTICE) <br /> W06t6(PROPOSED. B NEW CoNSTR 8 ADD/ LT � SIGN [] DEMOLISH <br /> INSTALL REP IR <br /> �ROPOSEID U�E Q SFR [� COM � OTHER <br /> TVPE OF COMSTRUCTIOM Q BLOCK Q FRA E -Q STEEL Q <br /> DESCRIPTIORI OF WORI( �A�� PJ k/� ,�( <br /> BUIL�IPIG5IZE SQ FOOTAGE FIEIGHT <br /> QBUILDING $��j� �j VALUATI N OF TOTAL CONSTRUCTION <br /> Of <br /> QELECTRICAL $ AMP SER ICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ - �\� <br /> QMECHANICAL $ � VALUATI N OF MECHANICAL INSTALLATION ( `w /', �� <br /> .x�� � �� <br /> QGAS Q ROOFING Q SPE ALTY � OTHER � r <br /> l <br /> FIIVISHED FLOOR ELEVATIONS FLOO ZOIVE AREA QYES NO <br /> IBUILDIER �ir�('� O� IMP�INY � `�it'� <br /> SIG(d/1TURE W R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> EILECTRICIAM C MPA�IV <br /> SIGId�1TURE R GISTERED Y/ 111 FEE CURRE� Y/N <br /> dlddress � Lfcense# <br /> PLUAABER " C MPAtdY <br /> SIG(dATURE R GISTERED Y/ M FEE CURRE� Y/N <br /> �ddress License# <br /> VNIECHAMICAL C MPARlY <br /> SIGfdATURE R GISTERED Y/ N FEE CURRE� Y/I� <br /> Address License# <br /> OTHER ��A� <br /> SIGfdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Adiiress - License# <br /> RESIDEtdTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wo�lcing days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> CORIIMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life afety.Page;(1)set 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 Facilities&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 ction. <br /> Directlons: <br />� Fill out application completeiy. , <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Motice of Commencement Is required. (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 COUMTER PERMITTI(dG (Front of Application Only) - <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc s(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ���/'� �=��Q ��a /�r� <br /> � I����-- (� �� ��� <br /> � � � <br /> �� � , <br /> ��� � <br />