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' 813-780-0020 City of Zephyr ilis Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Date Recgived �- � ✓�y Phone ContacQ for Permitting -- <br /> Oubner's fdame wz �°p�1 P(� Owner Phone Idumber <br /> Oevner's�lddress (� � � Owner Phone Mumber <br /> Fee Sianpte Titleholder Fdame �i�;�,,.�- �EB�I�iV-' Ovener Phone idurs�ber <br /> Fee SiPnple TitleholderAddress ��j 0��7 ��f� C e �!\;��S L- 33s1( � <br /> JO�61DDRESS �{h � � • ,� ��lS- 33s�f..L LOT# � <br /> SU�DINISIOId PARC L ID# �-� `" � - OO�O`- " � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMOR4�6'ROPOSED �EW CONSTR 8 ADD/ LT � SIGN Q Q DEMOLISH <br /> STALL REPAI <br /> �6iOPOSED USE Q SFR Q COM � OTHER ^ � T � .J <br /> TXPE O�CONSTRUCTIOId Q BLOCK Q FRAM [� STEEL �] <br /> DESCRIPTIOM OF WORK P. �CCe 1� I�f �4,$S 01QG S Lv�rl1 �j S t" Q EY���n !/UO ti� <br /> BUILDIfdG SIZE SQ FOOTAGE ?#EIGHT <br /> BUILDING $ f s,/'O` �� VALUATIO OF TOTAL CONSTRUCTION <br /> -�J <br /> ELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> QPLUMBING $ <br /> �, ��-�rt <br /> QMECHANICAL $ VALUATIO OF MECHAMICAL INSTALLATION � <br /> � ���� <br /> QGAS Q ROOFING Q SPEC ALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZOfVE AREA DYES NO ,�/��2 <br /> � <br /> BUILD�6d • i � l�C MP9ltdY �•GL'{�� '7'�Gt C. S(�f bUf C� <br /> SIGfdATURE R GISTERED / N FEE CURRE� N <br /> s4ddress U fGvtic,? cU Ue. 1 . G w I��_3 3S�3 License# ��C Q�j(��j�' <br /> IEILEC4RICIAM C RAPAMY <br /> SIGM�4TURE R. GISTERED Y/ N FEE CURRE� Y/IV <br /> Alddress License# <br /> PLUI!lIBER C AAPAMY <br /> SIGMATURE R GISTERED Y/ 1�I FEE CURRE� Y/M <br /> �lddress License# <br /> iHiIECHAfdICAL C MPAMY <br /> Sl�a[dATURE R GISTERED Y I M FEE CURRE� Y/N <br /> Address License# <br /> OTHER OMPANY <br /> SIGR9A7URE R GISTERED Y/ R� FEE CURRE� Y/M <br /> �lddress License# <br /> RESIDIEfdTIAL 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 aRer submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit fo subdivisions/large projects <br /> CORARAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety 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 wl Silt Fence instalied, <br /> Sanitary FaciUties�1 dumpster.Site Work Permit fo all new projects.All commercial requirements must meet compliance <br /> SIGtd PERMIT Attach(2)sets of Engineered Plans. <br /> ••"PROPERTY SURVEY required for all NEW cons ction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Idotice of Commencement is required. (A/C up rades over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same <br /> ONER THE COUNTER PERMIITIMG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc s(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />