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eia-�saoozo City of Zeph irhills Permit Application , Fax-s��-�saooz� <br /> Bu�lding Department <br /> � ' „ �1 <br />� � DateReceived 1 p`' �a.' PhoneConWCtforPertnilting ��� V� _�� � � <br /> Owners Name Kml'�a CJ'J I Owner Phone Numb r` ��� 0 � <br /> Owners Address � � wl I Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple TitleholderAddress, I <br /> �j I � <br /> JOB ADDRESS U I �. LOT# �� <br /> SUBDIVISION PARI ELID# � � � � �� � ��V` � ��O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALL57R e R PfAL�T � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q CO MIM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME Q STEEL Q <br /> DESCRIPTION OF WORK � JS I �� I� U "" �+ <br /> BUILDING SIZE SQ FOOTAGE �; HEIGHT � <br /> Q BUILDING $ VALUAT ION OF TOTAL CONSTRUCTION ' <br /> QELECTRICAL $ AMP SE I VICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ QO� VALUAT ON OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SP ICIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLdOD ZONE AREA QYES NO <br /> BUILDER COMPANY• <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> /�'� e� <br /> MECHANICAL COMPANY L(� / �( e <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# � �3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1�set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit�for subdivisions4arge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construclion. <br /> Minimum ten(10)working days after submittal dat8. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW co�struction. <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C I pgrades over$7500) <br /> i " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only�) <br />' Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />