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813-780-0020 City of Zephyr ilis Permit Application Fax-813-780-0021 <br /> Buil ing Department � <br /> � <br /> Date Fieceieed Phone Contact for Permitt(ng <br /> . , , _ <br /> Oubner's IVame � �' �J Y �i ) � Owner Phone Mumber � �� � ���' -/ 1 7 <br /> ) � � <br /> Owner's Address 3� �3 �i l � Lk- ��'. � �nrner Phone Number <br /> Fee Simple Titleholder Mame Owner Phone Mumber <br /> Eee Simple Titleholder Address <br /> JOB ADDRESS 3� b �� - 3��b 1� ✓ � b /�/� � �� 3a��/�- LOT# � <br /> SUBDINISION �- PARC L ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORG(PROPOSED NEW CONSTR ADD/ T � SIGN Q Q DEMOLISH <br /> INSTALL e REPAI <br /> � �EtOPOSED USE Q SFR Q COM 0 OTHER <br /> TXPE OF CONSTRUCTIOfd Q BLOCK Q FRAM 0 STEEL Q <br /> S � Q <br /> DESCRIPTION OF WORK d e�a �� X U� <br /> BUILDIRIG SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ �0 �` Q� VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SER CE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ S•'C� <br /> ;� I� � <br /> OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECI TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER C AlIPANY <br /> SIGfd/1TURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> EILEC7'RICIAM C MPANY <br /> SIGtdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> PLUMBER C MPAMY <br /> SIGIdE►TURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Alddress L(cense# <br /> RHECHANICAL C MP�1NY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGRlA�URE R GISTERED ' Y/ N FEE CURRE� Y I I� <br /> �lddress License# <br /> RESIDEtdTIAL Attach.(2)Plot Plans;(2)sets of Building Plans;(1)s 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 for subdivisions/large projects <br /> CORAINERCIAL Attach(3)complete sets of Building Pians plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construct(on. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />, Sanitary Facitities 8 1 dumpster.Site Work Permit for all new projects.All commerc(al requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> "`•PROPERTY SURVEY required for all NEW cons ctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> li If over 52500,a Notice of Commencement Is required. (AIC up rades over��300) <br /> •• Agent(for the conUactor)or Power of Attomey(for the owner)would be someone with notarized letter:from:owner authorizing sam�,.,,,,,,;,,,,,,, <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ,' � ,., ��� � _ _ _ � _ ° <br /> r ='� ;' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc (PIot/Survey/Footage) - - _- . � .. ; <br /> :; <br /> Driveways-Not over Counter if on public roadways..needs ROW "`� ' ' " �"�`�•- °-°°-°�--°�-=M� �-•-• <br />