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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> uilding Department <br /> Date Received �j -�`j <br /> � � Phone Con act for Permitting — <br /> Owner's Name � C� C• �� �}� Owner Phone Number g13—���— � <br /> Owner's Address g7� � %C�� ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � � _ <br /> ,_ <br /> JOB ADDRESS � p�h �� � LOT# � <br /> - -SU9QIVISIOR! P CEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� A D/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL R PAIR <br /> PROPOSED USE � SFR Q C MM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME �' [�] STEEL Q <br /> DESCRIPTION OF WORK �S�� �• �,ui�'2 -4— 6G'f� — � fiQ�,� <br />� BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I �BUILDING $ , D�o VALU ION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � a`�� (� 2��i� <br /> OPLUMBING $ .y �j I �^ ?, <br /> �� I.f'•' <br /> �MECHANICAL $ VALU ION OF MECHANICAL INSTALLATION ��� <br />' � � <br /> .� <br /> GAS ROOFING S ECIALTY OTHER <br /> 0 � � 0 � <br /> FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO <br /> BUILDER � COMPANY �� Ol� {r <br /> SIGNATURE c/'`� 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/N <br /> Address License# <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 subdivisionsflarge projects <br /> -CO�dMERCIAL- 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/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. <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/C upgrades over$7500) <br /> " Agent(for the wntractor)or Power of Attomey(for the owner)w uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onl ) <br /> Reroofs if shingles Sewers Service Upgrades A/C F nces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RO <br />