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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> uilding Department <br />, Date Recai�ed — � � Phone Cont ct for Permitting Z/ 7`S�- � <br /> Owner's Name fY�dY'd1! + ���� ` Owner Phone Number <br /> Owner's Address � /,�/�e� f{�o`. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �7� 5 �' / � � -�a �` •c,�It, I C . LOT# � <br /> SUBDIVISION P CEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B AD /ALT � SIGN Q Q DEMOLISH <br /> INSTALL RE AIR <br /> PROPOSED USE Q SFR Q C MM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME 0 STEEL Q <br /> DESCRIPTION OF WORK Gv�-�X9-u� � � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br />, �BUILDING $ VALUA ION OF TOTAL CONSTRUCTION <br /> Z� 1�(J <br /> DELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ )r��� �P�.� � <br /> �� GC__� � <br /> QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION �1„�p��S' <br /> 1����on <br /> QGAS Q ROOFING Q S ECIALTY 0 OTHER ��. <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA YES NO <br /> 0 9 <br /> , -� � <br /> �� C <br /> � <br />' BUILDER 2S 1 COMPANY ��U-r �� h (�L <br /> SIGNATURE REGISTERED Y/ N FEE C RRE� Y/N <br /> il <br /> Address � �v O �,�,e.i-, � '�� License# e�����-S���� <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 construcdon, <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 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 8�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 contractor)or Power of Attomey(for the owner)w uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING, � ��(F[ont;of Appl'ication;Onl ) <br /> Reroofs if shingles Sewers ,��3eryice,Upgrades, NC' :. -.E nces(PIoUSurvey/Footage) <br /> Driveways-Not over Counterif on public roadways..needs RO ' <br />