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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> uilding Department <br /> i <br /> Date Recei�ed� Phone Con act for P�ittin - <br /> 9 <br /> Owner's Name ` � � �//2 Owner Phone Number �� ��Z b <br /> Owner's Address ��T � -S/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - LOT# � <br /> . <br /> SUBDIVISION P CEL ID# <br /> ~ � � I (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR B A D/ALT_ i0 SIGN Q Q DEMOLISH <br /> INSTALL R PAIR � ' <br /> PROPOSED USE Q SFR Q C MM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME ;0 STEEL Q <br /> - � � <br /> DESCRIPTION OF WORK S c1 d� � , <br /> � <br /> BUILDING SIZE �FOOTAGE HEIGHT <br /> � <br /> QBUILDING $ � �r Q� VALUA ION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL �a�` <br /> 0 $ VALU ION OF MECHANICAL INSTALLATION � , <br /> QGAS Q ROOFING Q S ECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO <br /> BUILDER COMPANY �� P �7 Ce <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7� <br /> License# �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# � <br /> PLUMBER COMP I Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP I Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPAINY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;( )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 subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife SafetylPage;(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 /> SIGN PERMIT Attach(2)sets of Engineered Plans. i <br /> '*`"PROPERTY SURVEY required for all NEW co struction.i <br /> Directions: <br /> , i <br /> Fill out application completely. , <br /> Owner&Contractor sign back of application,notarized\ ' <br /> If over$2500,a Notice of Commencement is requireti. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey:(for the.':own2`r, w uld be someone with notarized letter from owner authorizing same <br /> ,. ���.. ,,. <br /> OVER THE COUNTER PERMITTING (Front of�Ap'plication Onl ). . :'�: <br /> I Reroofs if shingles Sewers , S,eryice Upgrades A/C , F nces(PIo�Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW I <br /> � � <br />