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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> 1 uilding Department <br /> 7 <br /> Date Received p o C nt ct fo P mitting <br /> // v <br /> Owner's Name � v Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tltlehoider Name Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDIVISION P CEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR AD /ALT 0 SIGN Q Q DEMOLISH <br /> B INSTALL B R PAIR ` <br /> PROPOSED USE Q SFR Q C MM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q F ME STEEL Q <br /> DESCRIPTION OF WORK � ` v ,I y/ �`� � , � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUA ION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL ( AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING 'Sa l� <br /> �MECHANICAL $ VALU ION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q S ECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ✓ � � � <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/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of-Building Plans; 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 Pe it for subdivisions/large projects <br /> COMMERCIAL _Attach(3)complete sets of Building 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 d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pe it 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 nstruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. �,(A/ upgrades over$7500) <br /> *' Agent(for the contractor)or Power of;Attomey(for th'e�owner), ould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application'On y):. �. � - - � -� •� � <br /> Reroofs if shingles Sewers �" Service Upgrades A/C:- =• ences(PIoUSurvey/Footage) �- - -- ' � .' �` ' ,, <br /> , �. � � 't � .. � ,. , � � , <br /> Driveways-Not over Counter if on public roadways..needs RO a -�� - • ��-. , . <br />