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813-780-0020 City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Build ng Department <br /> Date Receieec& phone Contact or Permittin -- <br /> Owner's R1ame _ Ouener F'hone IduPnber � � �G7�J( <br /> Oevner's eAddress � J� l,� Ouener Phone Mumber 0 '� "l�J� � `-��p <br /> Fee Simple Titleholder fdame Ovener Phone Idumber <br /> Fee Sfmple Titieholder Address <br /> JO�ElDDRESS � � � ' �:.J LOT# � <br /> SU�DINISIOM P�4RC L ID� <br /> � (OBTAIFIED FRORfl"PROPERTY TdX NOYICE) - "% <br /> FMOREC P6tOPOSED � NEW CONSTR e ADD/ T 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSED U�E Q SFR � `COM � OTHER <br /> TYPE OF CONSTRUCTIOtd Q BLOCK Q FRAM � STEEL Q <br /> DESCRIPTIOfd OF WOEtK �� � � SS J�e� ��� � - U 0' k <br /> BUILDIIdG SIZE SW FOOTAGE �IEIGFlT <br /> QBUILDING $ �Q� O-O VALUATIO OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SER ICE � PROGRESS ENERGY Q W.R.E.C. <br /> J <br /> OPLUMBING $ J�f �j5 <br /> ��S � <br /> �MECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPEC ALTY 0 OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER �r C MP�11dY �-{,l`1 M(� (�W V'v l�,'�" <br /> SIGfdATURE J��F ���� R GISTERED Y/ M FEE CURRE� Y/IV <br /> Address License# <br /> ELECTRICIAM f�IPARIY <br /> SIGtdA'YURE R GISTERED Y/ 1�I FEE CURRE� Y/(V <br /> e4ddress License# <br /> PLUMIBER OAAPAtdY <br /> SIGR1E►TURE R GISTERED Y/ I� FEE CURRE� Y/1�I <br /> Mddress License# <br /> AtiECHANICAL OMPARlY <br /> SIGRIATURE GISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> O'�tdEEi OMPAIdY <br /> SIGfdATURE EGISTERED Y/ RI FEE CURRE� Y 1 N <br /> Address License# <br /> RESIDEtdTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms:R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster;Site Work Permit fo subdivisions/large projects <br /> COMIMERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance <br />, SIGM PERIlAIT Attach(2)sets of Engineered Plans. �- - , �� <br /> "'"PROPERTY SURVEY required for all NEW cons ruction. �; - <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> !f over 52500,a Idotice of Commencement is required. (�A1C u grades over 57500) \ <br /> °° Agent(for the contractor)or Power of Attomey(for the owner)woul be someone wlth notarized letter from owner authorizing same <br /> Ol/ER THE COUMTER PERMITTING (Front of Application Only) . _ , • <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(PIoUSurvey/Footage) r_ - • . ', <br /> r <br /> DPivevuays-Not over Coun4er if on public roadways..needs ROW , ,. ," , . <br />