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813-780-0020 City of Zephyrhiils Permit Application rax-o ia-rau-uu/ <br /> Building Department <br /> Date Received' - 5 / 9 Phone Contact for Permitting =9D <br /> Owner's Name �� t �� '�d�Z- Owner Phone Number - S-6 �-3 iS_- i <br /> Owner's Address Z 1 74 t Owner Phone Number <br /> Owner Phone Number �— <br /> S Ss z 5 J 7 Afi 5 t ��'-e 1- Z_ LOT# <br /> JOB ADDRESS 7 <br /> SUBDIVISION PARCEL ID# —2�2 r� 120(0 i d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR� ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL —� REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK /= FRAME 4 � STEEL Q <br /> DESCRIPTION OF WORK2+V`.C��-- <br /> BUILDING SIZE F SQ FOOTAGE t9, r HEIGHT <br /> ---�BUILDING $ECS ALUATiON OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ � <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANYx <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address r License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY L— <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N �j <br /> Address 7 License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN J Y/N <br /> Address License# <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 subdivisionsharge 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 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$7500) <br /> Agent(for the contrac#or)or Power of Attorney(for the owner)would be someone with notarized_Letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING,p;},,c,-(copyof;oonfrac.(:regUit•ed) +,? <br /> Reroofs if shingles } Sewers ;,_;;1�;$ )aiFe trdes:iYC:;:. ;Fences(Plot/Survey/Foota(ae) <br /> �p <br /> rtF `• .:- 1-11 k ; .� ,5,i " ,�i:r,' :ii?i:`ti7•.4 ;i <br /> Driveways-Not 9Ja'r,C6Unterrif orb, ybiic�oa}tl'yi�a s, eedFQW <br />