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813-780-0020 City of Zephyr ills Permit fOpplication Fax-813-780-0021 <br /> Build ng Department <br /> Date Received Phone Contact or Permi4ting ;3� � �/ � -- ��J � <br /> Owrner's Idame /�'lC�y` 1 /� �c��1�S Ovaner Phone Idumber ��3 V ��.� U 3�� <br /> Obmer's Address S^�r�� ���t-S��'J � U� Oeamer Phone tdumber <br /> Fee Sira�ple�itleholder Mame �j'`� / � J�,t�n S o n Ovdner Phone Rlumber <br /> Fee Sfmpie Titiehoider Address ��'�a(�� ��" �v�� �f• <br /> JO�ADDRIESS S�I,�� S�'�JvM �t Ef�� LOT# �� <br /> SU�DIbISIOR9 PARC L ID# <br /> (OBTAINED FROM PROPERTI"TAY NOYIGE) �- <br /> HNOEdC=PROPOSED NEW CONSTR ADD/A T 0 SIGN Q Q DEMOLISH <br /> INSTALL e REPAI <br /> PROPOSED USE Q SFR Q COM � OTHER <br /> TYPE OF COMSTRUCTIOfd Q BLOCK Q +RAM � 0 STEEL � <br /> D�SCRA�TIOFd OF WORi( a" r C�'1�1:A.I111I� ✓I� � hI <br /> BUILDIfdG SIZE SQ FOOTAGE FIEIGHT <br /> OBUILDING $�/,�� VALUATIO OF TOTAL COMSTRUCTIOIJ <br /> l`� <br /> �ELECTRICAL $ AMP SER ICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ ��� v U <br /> �MECHAfVICAL $ VALUATIO OF MECHANICAL INSTALLATION v ` <br /> OGAS Q ROOFING Q SPEC ALTY 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO i ��y' <br /> 6 � <br /> BUILDER� .� C MPAfdY I�U✓t'e- �LV✓�er <br /> SIGId�i�U � R GISTERED Y/ N FEE CURRE� Y/N <br /> c4ddress License# <br /> ELECTRICIAM OAflPANY <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAfl�EFt ORAPAfdV <br /> SIGR9dsTURE R GISTERED Y I N FEE CUFtRE� Y/N <br /> Address Lfcense# <br /> i��CHE►MICAL ���m+�v <br /> SIGWATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OYHER OMPAMY <br /> SIGR9ATURE EGISTERED Y/ IV FEE CURRE� Y I N <br /> E4ddress License# <br /> RESID�MTIAI. 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)uvorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit fo subdivisions/large projects <br /> COMIIlAERCIAL 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 /> SIGfd PEI2MIT 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 Sa500,a fdotice of Commencement is required. (A/C u grades over�7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owmer authorizing same <br /> ONER THE COUMTER PERMITPIbC: (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />�, <br />