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813-780-0020 City of Zephyrh�lls Permit Application Fax 813-780-0021 <br /> ,- � Buildi g Department - <br /> Date Recelved Phone Contact fpr Permittin �� 3 7�°� - s��� <br /> n � ��� � l p <br /> Owner's Name �1 � e !� Owner Phone Number g ��7�0 _a-�� <br /> Owner's Address ����� �/�uN �� Owner Phone Number <br /> Fee Simple Tltleholder.Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS �/ ��D �"K,/�� t f�'-�!LL� LOT# � <br /> SUBDIVISION PARCE ID# 3�- °2°�� ����6d� �� 3� DI� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEW CONSTR[^�ADD/A Q SIGN Q Q DEMOLISH <br /> INSTALL Q REPAI <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK L' G`ff/9/� L' `dL��- G D� (����T S 3 I�''� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �( � <br /> b ��a <br /> QMECHANICAL $ 23��- � VALUATIO OF MECHANICAL INSTALLATION �(� <br /> J <br /> QGAS Q ROOFING Q SPECI LTY Q OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE�_ Y/N . <br /> Addres� License# <br /> ELECTRICIAN C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> I <br /> PLUMBER C�MPANY <br /> SIGNATURE RE ISTERED . Y/ N FEE CURRED Y/N <br /> Address License# � � <br /> MECHANICAL � ^ c�MPANY ���2�5 ��,tJe � �'�i c-�'`�/J� <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address' �Tl l� _ 2'+�f/�LS' � 54� License# ��� ����o <br /> I <br /> OTHER CORAPANY <br /> SIGNATURE R�GISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of=Building"Plans;(1)se of Energy Fortns;R-O-W Permit far new construction, <br /> Minimum.ten(1U):working days after_submittal date. equired onsite,Construction Plans;Stortnwater Plans w!Silt Fence installed, <br /> SaNtary FacillUes&1.dumpste.r,SIte�Worlc•Permit for ubdiVisionsAarge.proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life�uafety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days'aftar submittal date. Requlred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilitles 8 1 dumpster.Site Work Pertnit for II new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans.,, � , <br /> "'•PROPERTY SURVEY required for all NEW const i cUon. <br /> Directions: ,. _. l , ' ` t� <br /> Fill out applicatlon completely. � � � � + <br /> Owner 8 Contractor sign back of applicatlon,notarized �,_ ' �'',. �' �� ! <br /> If over 52500,a Notice of Commencement•is required. (AIC up'r�des over 57500) ,_.,,,, _ _ __ , _'� - �,.'' <br /> �w � .: ` �.,. . <br /> Agent(for the contractor)or Power of Attomey(fo[`tNe�owner)�would,ti;e,someone with notarized letter from ownerauthorizing.same .�_����' <br /> DVER T,HE COUNTER PERMITTING '� (Front of Ap'plicationi.Only);ti:` �,`. �"�'`„`' ' , � � ,•r-��, , '" �"`"`' , �,�,; . ; <br /> Reroofs if shingles Sewers Service Upgrades_"A!C-': �Fences?(PloUSurvey/Footage) .� - ._ , . ' - � � <br /> Driveways-Not over Counter if on putilic roadways..needsROWry-,T " ' v - � � � � ����+ <br />