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813-780-0020 City of Zeph�rhil�s Permit Application Fax-813-780-0021 <br /> Bl�ilding Department <br /> Date Receivec9 ��� �� <br /> Phone Cont ct for Permitting � -- 5Q�� <br /> OwneP's Mame L 7J�7TCG'� � �. ��!-//UZ s � "Lll� ' �j-�Owrner Phone�umber UL�'�Ov� o�T� <br /> �nrner's�+ddress �� � l���v�//3-/J `��'e LJU �'�� / pyy�er�hone idumber <br /> �ee Siru�ple Titleholder ldame Ovvner Phone Idurnber <br /> Fee Simple Titleholder A►ddress <br /> JO�ADD7�ESS ���� ��� ��i �r/,`<S LOY# � <br /> SUBDI�lISIOId PA6tCELiD# �� �� �I ��I� DO��Q D�`� <br /> - ' _ __ _. (OBTAIkED FROM PROPERTY TAX NOTICE) <br /> WORE�P6tOPOSED B NEw CONSTR� ADD/ALT �] SIGN � 0 DEMOLISH <br /> INSTALL RE�AIR 1 <br /> PfiOPOSEID U�E Q SFR Q CC1N� iM � OTHER <br /> TVP�OE COIdSTEtUC'p'IOM � BLOCK Q FRAME � STEEL Q <br /> DESCRIP�IOR!OF t�NORK I�7 C C��N � �- 64�� " � 7° ��C � C l �a�-,-� �,ve,�� <br /> � <br /> �UILDIidG SIZE SQ FOOTAGE� FIEIGFlT <br /> OBUILDING $ VALUA ION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS EPVERGY Q W.R.E.0 <br /> OPLUMBING $ <br /> / � <br /> QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION � � <br /> �i/� �'d,� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINI5HED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO <br /> �UIILDEPt COflflPAPIY <br /> SIGRf�►TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �LECTI21CIAfd COHflPAfdY <br /> SIGY�IA�l1P�E REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> P�URflBER CORAPAPdY <br /> �IGR1peTURE REGISTERED Y/ N FEE CURRE� Y/IV <br /> �ddress License# <br /> �+�c�o,a�oc�►� ` vyyc.�. ��Z�Qsr�r��, co�PA�v �/�-�¢� S P���N�� � ��� <br /> SICxR�d�TIDRE REGISTERED Y/ N FEE CURRE� Y/M <br /> Address ��-7� /�E/i/�CI , 3� 'J��� License# ���� ���T� <br /> �T��� COBAPAIdY <br /> �A������E REGISTERED Y/ N FEE CURRE� Y/N <br /> c�dc9ress I License# <br /> i <br /> 9tESIDEi�T1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1I)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal da�e. Required onsite, Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permi�for subdivisions/large projects <br /> COMI41fIERCUAL Attach(3)complete sets of Build(ng 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 da�e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permi for all new projects.All commercial requirements must meet compliance <br /> SIGR9 PE6FfNl9T Attach(2)sets of Engineered Plans. <br />' •°""PROPERTY SURVEY required for all NEW coi struction. <br /> Directions: <br /> Fill out application completely. � <br /> Owner�Contractor sign back of application,notarized <br /> Ef over 52500,a fdotice of Commencement Is required. (AJCIupgrades over$7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)wbuld be someone with notarized letter from owner authorizing same <br /> ONER TE1E COURlTER PERMII�TIfdG (Front of Application Onl�) <br /> Reroofs if shingles Sewers Service Upgrades A/C F�nces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RO� <br />