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B13-780-0020 City of Zephyrhill5 Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received LI Phone Contact for Permittin - <br /> Owner's Name �11 Iy l Owner Phone Plumber <br /> Owner's Addressiguco C r e J J U ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 11//�-� `! <br /> JOB ADDRESS ag 5 mould--en O�l aA.) r LOT 8 <br /> SUBDIVISION "Odry) 'hHEI PARCEL ID#13 31 —ONO C_DDW" ®_� <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT' = SIGN. _ = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE = SFR Q COMM ® OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F= SO FOOTAGE=. HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ t <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� [ �� <br /> =GAS ROOFING .0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N_J FEE CURREP Y/N <br /> Address License# <br /> ELECTfRICIM COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREP <br /> Address Qrn License# <br /> PLUMBER COMPANY �1' 1 1�1 . (s1T 1 <br /> SIGNATURE REGISTERED Y/-N FEE CUR`RENN /N <br /> Address 5 1 License#- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I - FEE CURREF Y/N <br /> Address License# <br /> OTHER .COMPANY <br /> SIGNATURE- REGISTERED Y/ N_ FEE CURREP Y/N <br /> Address License# <br /> RESIDENTIAL'" Attach(2).Plot Plans;(2)sets.of Building_PIa (1)set of-En <br /> R-O-W Permit for new construction,. <br /> Minimum ten(10)working days after-'submittal date.:Required onsite,-Constructlon Plans,Stormwater'Plans w/Silt Fence installed, <br /> Sanitary Facilities.&.1 dumpster;Site Work Permit for subdivisionsnarge projects ; <br /> COMIMItRCIAL 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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 construction.. <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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..n®eds ROW <br />