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813-780-0020 City of Zephy hilis Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> :� <br /> Date Raceivad Phone Contac for Permitting �2 SO -�j _ /��� <br /> Owner's Name O s�� f�'��j" ����'�'� Owner Phone Number ���' '��• ��" <br /> Owner's Address Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 3 a �A�eJ.� • ' LOT# � <br /> JOB ADDRESS �C <br /> SUBDIVISION PAR EL ID# -— ---- — <br />- - - - - '' - - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ LT � SIGN Q Q DEMOLISH <br /> INSTALL REP IR <br /> PROPOSED USE Q SFR Q COM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA E� 0 STEEL Q <br /> DESCRIPTION OF WORK ��v✓� � 7'-���'0 S�'E�L �00/� <br /> BUILDING SIZE �� X �S O SQ FOOTAGE HEIGHT <br /> QBUILDING $ /�oQ v VALUATI N OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SE ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � ����� <br /> OMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION " �� � �,� <br /> N ���C .���� <br /> QGAS � ROOFING Q SPE IALTY 0 OTHER ,I „� i � `�„�� <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO �' <br /> �p�_ t�', <br /> t� <br /> BUILDER l �PANY i5/LL ST���L ��� <br /> SIGNATURE EGISTERED Y I N FEE CURRE� Y/N <br /> Address License# CCC D�� � � (� <br /> ELECTRICIAN OMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> DTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ZESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit r subdivisionsAarge projects <br /> �OMMERCIAL Attach(3)complete sets of Building Plans plus a Li Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Pertnit r all new projects.All commercial requfrements must meet compliance <br /> iIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW con truction. <br /> )irections: <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 u grades over$7500) <br /> ' Agent(for the conVactor)or Power of Attomey(for.the:awne�wo_,Id.be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING ` (Front of Application Only) :� '�`'• . ;t <br /> teroofs if shingles Sewers Service Upgrades AIC �Fe ces.(PIoUSurvey/Footage) <br /> �. ' a . � <br /> Driveways-Not over Counter if on publiaroadways..needs ROW . •• � <br />