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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-002i <br /> Building Department' <br /> Date Received Contact for Permlffln MN' <br /> Phone 7LT01nA <br /> A K LL&LUAL 1y1nrrrrT3= <br /> t;s. <br /> Ownees Name Owner Phone Number <br /> Owner's Address 1H W AM Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS DaLof�W Mokc � LOT# <br /> SUBDIVISION PARCEL 10# 0 1 DD-O)ODD,01 CEA")1 <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW coNsTit ADDIALT- SIGN DEMOLISH <br /> e INSTALL VLJ REPAIR <br /> PROPOSE04SE = SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAMEQ STEEL <br /> DESCRIPTION OF WORK- 11 toy) <br /> BUILDING SIZE SQ_FOOTAGE HEIGHT] <br /> .....I <br /> [BUILDING <br /> VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING - <br /> 1$MW OD <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Y L N <br /> Address F_ License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y t N FEE CURREN <br /> Address License# <br /> I I it <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED j_YLW — FEE CURREN-__ <br /> Address License i�ng a <br /> MECHANICAL COMPANY <br /> SIGNATURE+ REGISTERED Y I N FEE CURREN: <br /> Address License#'F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> ...................... ...........................I. Ll I .......... <br /> RESIDENTIAL,.- Attach-(2)Plot,Plans;(2)iits'bf 6611dihil:;Pla ns; 1)sai of,Eire r§y*orms";R-O,W Permit for now construction. <br /> -CohathictlimPlans Stormwateeplans,,W SlItFence Installed. <br /> Minimum.teri:(.I-O)-wckrkipg,4ayr..after.�§iibrhlttat'datii.;Required ohillb.' <br /> Sanitary-F�a Was pl as-&144Mpster,;SIteWork:Perm1t for subdIVIsIonS/Iargwpmject$_ <br /> plate dfBuildingpla,:L0JU aUfeSafet <br /> COMMERCIAL Attach(3)corn sets Plans 5 y Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.,Site Work Permit for all new projects.All commercial requirements-must meet compliance <br /> SIGN PERMIT Attactf(2)`st)tsbfEfigineet.id=Pidns. <br /> ""PROPERTY SURVEY.req <br /> uited 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. (A/C upgrades over$7500) <br /> to Agent(for the contractor)or Power of-Attomey(for the.owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING . .(Front,of Application Only) <br /> Reroofe If shingles Sewers Service Upgrades-A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways*..needi ROW <br />