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613-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2 Phone Contact for Permitting <br /> Owner's Name Owner Phone Number 3_3i5l_451 11& <br /> Owner's Address Ej 2- R,&Ir V')a-CA V Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> Youx-,Vf Zvi <br /> —2 SUBDIVISION PARCELIDN-1 03 4 _/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> r-1 INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK 01-�IY15+0-1 ICS I D_ X /0 <br /> BUILDING SIZE [_ "7 - SO FOOTAGE= HEIGHT t�2 <br /> i N I i v 2 v i h i f <br /> 17-71BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1)Y%o,\t!�_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY L N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I' FEE CURREN <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lly N_J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_X1 N_J <br /> Address License# I <br /> HHHHHHHH+ <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivisions/large 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 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 conMruction. <br /> ............ I............44; ........... <br /> : ...... ... ---- .... <br /> D ct'i c:,,ons <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 /> 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. ..:(copy of cbntracf`required) <br /> rvI -Fences(Plot/SurveylFo6tage) <br /> Rerool's if shingles Sewers Se 'ceW0di6d69-A/C' ­'­ <br /> Driveways-Not over Counter if;oripublic roadWays.-',_A46ds-.k6W­ <br />