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813-780-0020 City of Zeph hills Permit Application Fax-813-780-0021 <br /> ' Bu Iding Department <br /> Date Recelved Phone Conta t for Permittin • 13 1 S d — ���(O <br /> Owner's Name �e t ��� • Owner Phone Number <br /> Owner's Address �0 3ox 5 a� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS UOt-I �or kh; \\ -'C' f��C Q �r t ✓�'Z-- LOT# � <br /> SUBDIVISION PAR ELID# �(+�l� -��—V�� � U�3��'��Q <br /> (OBTAINED FROM PROPERNTAX NOTICE) <br /> WORK PROPOSED e NEW CoNSiR e ADD ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REP IR <br /> PROPOSED USE Q SFR Q CO M � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA E 0 STEEL Q <br /> DESCRIPTION OF WORK �J��� �Q `� 0� <br /> BUILDING SIZE L� S�1 SQ FOOTAGE HEIGHT � <br /> QBUILDING $� �� VALUAT ON OF TOTAI CONSTRUCTION <br /> QELECTRICAL $ AMP SE VICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ t � <br /> � ��` <br /> QMECHANICAL $ VALUAT ON OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SP CIALTY 0 OTHER <br /> FINISHED FLOOR EL FL OD ZONE AREA QYES NO <br /> 1 <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED / N FEE CURR N <br /> Address �� �) � License# �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllll � <br /> RESIDENTIAL Attach(2j Plot Plans;(2)sets of Building Plans;(1 set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertni for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Sil[Fence installed, <br /> Sanitary Facllities&1 dumpster.Site Work Permi for all new projects.All commerclal requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW co struction. <br /> Directtons: <br /> Fiil out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> Ii over 52500,a Notice of Commencement Is requlred. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)w uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI771NG (Front of Application Onl ) <br /> Reroofs if shingles Sewers Service Upgredes A/C F nces(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RO <br />