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i <br /> 813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> �� � Building Department <br /> Date Received Phone Co tact for Permitting — <br /> Owner's Name � • � Owner Phone Number Y / � ' <br /> Owner's Address �,/`� �� 1 1,.�'vV ,W`CJ�+ �w�r Phbne Number 'I <br /> Fee Simple Titleholder Name Wt Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � '' LOT# � <br /> SUBDIVISION P CEL ID# <br /> - -- (OBTAINED FROM PROPERTY TAX NOTICE) _ _ <br /> WORK PROPOSED NEW CONSTR A D/ALT � SIGN Q Q DEMOLISH <br /> INSTALL R PAIR <br /> i PROPOSED USE Q SFR Q C MM 0 OTHER Q <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME 0 STEEL Q <br /> DESCRIPTION OF WORK R���� r' SN 1 C?L� � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ G � VALU ION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> �q�S <br /> ME HANIC L ` <br /> Q C A $ VALU TION OF MECHANICAL INSTALLATION <br /> � <br /> QGAS Q ROOFING Q S ECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS F OOD ZONE AREA DYES NO <br /> BUILDER COMPANY � �'�� �' �Q � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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/ N FEE CURRE� 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 J N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Pians;(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 8�1 dumpster;Site Work Perm t for subdivisions/large projects - <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife 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/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm t 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 c nstruction. I <br /> Dlrections: <br /> Fill out application completely. . <br /> Owner&Contractor sign back of application,notarized, , <br /> If over$2500,a Notice of Commencement is require.{i,,_.(Al., upgSades over$7500) � <br /> " Agent(for the contractor)or Pouver of Attomey(foc the owner)w,uld be someone with notarized letter from owner authorizing same � , � <br /> OVER THE COUNTER PERMITTING (Front of Application Onl ) ; • � i � � , � <br /> Reroofs if shingles Sewers Service Upgrades AIC F nces:(Plot/Survey/Footage) ' , . � <br /> Driveways-Not over Counter if on public roadways..needs RO e <br />