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01 1-f t3U_UUZU City of Zephyrhill'S Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> .................rr Phone Contact for Permitting =6943 0 <br /> ryrm ..... I <br /> Owner's Name � Ct � M Owner Phone Number <br /> �f >�-OT <br /> Owner's Address q 12 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SUBDIVISION F PARCELID# (D 3<nVCV,)0Aa0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F-1 ADDIALT SIGN, DEMOLISH <br /> e INSTALL L_j REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> % I <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME' STEEL <br /> 7CV�� Cg3C ZZ <br /> DESCRIPTION OF WORK <br /> -BUILDIING;SIIZE SCI FOOTAGE= HEIGHT <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 1$ PROGRESS ENERGY =IWW.R. C. <br /> =PLUMBING 1$ MI6 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS 0 ROOFING- Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> HHHHH : ....... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN YM <br /> Address <br /> I P License# <br /> /-haa C <br /> ELECTRICIAN COMPANY& <br /> SIGNATURE REGISTERED L <br /> Y/ N. FEE CURREN- <br /> [Address License# 7-- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED- Y/ N FEE CURREN <br /> Address License_# F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y] W FEE CURREN Y/N <br /> Address <br /> License# <br /> .OTHER;,. -COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN. L_YLN J <br /> Address License# <br /> ..`RESIDENTIAL Attach,(9)Plot,Pipris;:(2)i.etlsof Building Plans;,(I).set of Energy,Forms;R--0-W Permit for new construction, <br /> Minimum 166:(10)working days after sdbmittaldate. Required dftite�,Construction Plans,StormwaterPlans..W.Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisio'nsAarge projects <br /> COMMERCIAL Attach(2)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' ,riays after submittal date..Required onsite,Construction Plans,.6tormwater Plans w/,SIIt Fence installed, <br /> 'Sanitary-Facillities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet Compile.nce <br /> 'SIGN PERMIT 'Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractorsign.b ack of application,notarized <br /> s. <br /> If over$2500,a Notice of Commencement Irequired. (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 /> OVitfUTHE.COUNTER PERMITTING (copy of contract required) <br /> Retdofs 4f shingles Sewers Service Upgrades A/C Fences(PlottSurVey/Footage) <br /> .Driveways-Not over Counter if on public roadways..needs ROW <br />