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813-780-0020 City of Zephyr ilis Permit Application Fax-813-780-0021
<br /> ; , ; -� Buildi g Department .
<br /> Date Receieed Phone Contact or Permittin ��� _.�D��j
<br /> Obrner's Idame [J �, ,;v L Owner Phone Idumber �p� ^ ��� �
<br /> Owner's dlddress �6� ,� c 0�£f�C' Obmer Phone Number
<br /> Fee Simpte Titleholder ldame � Owner Phone Mumber
<br />' -- - - --- -- - - —
<br /> - - - -- - - -
<br /> Fee Simpie Titleholder Address
<br /> 5�G Z 3 C-V R S S
<br /> JOB ADDRESS [ P � �.OT# ��
<br /> sueDidisioN PARC L ID# I� ' 2 6 — 2� � ��6 r3 � �O�Op — O f 7 C�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) ,
<br /> WOR6C PROPOSED e NEW CoNSTR e ADD/A T � SIGN Q Q DEMOLISH
<br /> JNSTALL REPAI
<br /> �RO�OSED USE Q SFR Q COMM 0 OTHER
<br /> T1fPE OF CONSTRUCTIOM Q BLOCK Q FRAM � STEEL Q
<br /> DESCRIPTIOfd OF IMORK L.�� !T -
<br /> BUILDING 51ZE SQ FOOTAGE HEIGHT
<br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION
<br /> QELECTRICAL $ AMP SERV CE � PROGRESS ENERGY Q VU.R.E.C.
<br /> QPLUMBING $ ^ b�
<br /> / 1
<br /> MECHANICAL $ � y.D� VALUATIO OF MECHANICAL INSTALLATION � `S '
<br /> OGAS Q ROOFING Q SPECI LTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO
<br /> BUILDER C MPANY
<br /> SIG(d�►TURE R GISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> �ILECTRICIAM C NiPANY
<br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> PLUAf�BER C MPAMY -
<br /> SIGIda4TURE R GISTERED Y/ N FEE CURRE� Y/N
<br /> Address � L(cense#
<br /> MECHAfVICAL � C MPANY �p��2 � /10 ,a�iti£ G.4,S � �
<br /> SIG�dATURE �� R GISTERED Y/ N E CURRE� Y/N
<br /> Address License# �D ,3 ��
<br /> OTFlER C AAPANY
<br /> SIG(dATURE R GISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Bullding 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 for subdivlsions/large projects
<br /> CORAAAERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon_
<br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit fo all new projects.All commercfal requirements must meet compliance
<br /> SIGId PERMIT Attach(2)sets of Engineered Flans. , __
<br /> •••"PROPERTY SURVEY required for all NEW cons ction. � -
<br /> Directions:
<br /> Fill out applicat(on completely. �
<br /> Owner&Contractor sign back of application,notarized
<br /> If over 52500,a Notice of Commencement is required. (AIC up rades over 57300)
<br /> °• Agent(for the contractor)or Power of.Attomey(for the owner)woul be someone wlth notarized letter from owner authorizing same
<br /> ONER THE CUUNTER PERMITTING (Front of Application Only) . • - �- - =--�- _ _::,..,��.�_. ..,� _,...,
<br /> Reroofs if shingles SeW�ts�� ''"" "8eivice Upgrade5`NC;�,-'"�-Fenc s(PIoUSurvey/Footage) , � _ _ ,_, �
<br /> a +.;,, ::..: = : ,�.�� ..�y;:,":�. : ; °' , ,-: - , -.
<br /> �: - - : .. , ".i- .,�'. ..�, 'r-t;
<br /> Driveways-Not over Counter ifon,public`roadways..needs`R01N ` , '°,�• - � -
<br /> :1 _��� .� ��,_I �."_. ., _ � ' . , ._ _.. . _., ..-o , _�... � ,�I\.t'j b
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