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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> . � uilding Department <br /> ti � <br /> Date Received <br /> Phone Cont ct for Permitting — <br /> Owner's Name �c�V\�./� 1�• ��Q �� I Owner Phone Number — 17' CP`7 3 �C�� <br /> Owner's Address � � (�j c r�J Owner Phone Number dj/ ��L! ��p5C9 ( (J���e. <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION � P CEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e AD /ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL R AIR <br /> PROPOSED USE Q SFR Q C MM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL � <br /> DESCRIPTION OF WORK p� �l� 5' ` e /� S,`ef e �1.�(� ��i�l� �e <br /> � <br /> BUILDING SIZE �d X r� �� SQ FOOTAGE � �/ HEIGHT 7' J� 1 <br /> QBUILDING $ //� VALUA ION OF TOTAL CONSTRUCTION <br /> � Wv <br /> �ELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> ��$� <br /> QMECHANICAL $ VALU ION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q S ECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS F OOD ZO E AREA DYES NO <br /> BUILDER �' COMPI�NY ���.�� ���Q��J�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � I • License# <br /> ELECTRICIAN COMP/�(VY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I ' License#• <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPAIINY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# � <br /> � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;O set of Energy Forms;_R=O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, — <br /> Sanitary Facilities&1 dumpster;Site Work Perm t for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians 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 d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm t for all nei projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW nstruction. <br /> Directions: � <br /> Fiil out application completely. ' �, <br /> Owner 8�Contractor sign back of application,notarized ' ' ' <br /> If over$2500,a Notice of Commencer�ent fs re.qui�ed..,,(q/ .upgrades over$7500) � <br /> " Agent(for the contractor)or Power of Attomey(forthe owne�), ould'be someone with notarized letter ftom owner authorizing same=�" " , <br /> OVER THE COUNTER PERMITTING (Front of Application`.On y) ' ' • _ : � ` , • � ' <br /> Reroofs if shingles Sewers • ; Service Upgrades FJC� � "nces(Plot/Survey/Footage) �� , �� `- - _ - _ <br /> - � � _ . .� , , <br /> Driveways-Not over Counter if on pul5lic roadways..needs RO �� ' � ' '° ---• , - -� <br />