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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner,;s Name. d..��il�l(.t c� 1220 r Owner Phone Number <br /> Owner,'s Address We E[ (P sk, t r Owner Phone-Number . <br /> �CDLe 1/e/ Owner Phone Number <br /> JOB ADDRESS 3 8®Ll I Z1"'I AVQ_ 2 1-, rr Val S 3'- °�Z LOT# <br /> SUBDIVISION PARCEL,ID# // — 26 d 0)0' 0 5'700 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE' = SFR 0 COMM = -OTHER <br /> TYPE OF`:CONSTRUCTION Q BLOCK Q FRAME, Q �STEEL 0 <br /> DESCRIPTION'OF WORK I2t�O GLiT) cS�GJ�� �Ur Zl" c5f'VI IF— <br /> BUILDING,SIZE SQ FOOTAGE=. HEIGHT 1. <br /> =BUILDING , . . $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL. $ AMP SERVICE = DUKE ENERGY = W.R E,C. <br /> =PLUMBING ©o <br /> =MECHANICAL $ l9 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY .Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO:...' <br /> BUILDER COMPANY <br /> SIGNATURE . REGISTERED Y P,N',- `FEE CURREN Y,/.N <br /> Address License# <br /> ELECTRICIAN _ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address LL License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENF-Y4.11 <br /> Address 3ZI O rlUt /1 RZA P C.t �335' S License# .c 246Z)" <br /> MECHANICAL COMPANY ` <br /> SIGNATURE REGISTERED Y/-N - FEE'CURREA ? -.Y,/.N, J. <br /> Address License.#. .-. .. <br /> + <br /> OTHER COMPANY.,. <br /> r <br /> SIGNATURE REGISTERED Y VN I FEECURREN. Y/.N: <br /> Address- License;# _ <br /> RESIDENTIAL Attach:(2)Plot Plans;•-(2)'sets.•oUBuilding'Plans;:(1)set-of.Energy Forms;:R-b-W.Permit,for:new construction, <br /> Minimum ten(10)working days after`su6mittal-date. Required onsite;Construction Plans;'Stbrmwater Plans w/•Silt'Fence'installed <br /> , <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2),cornplete sets.of Building Plans plus a Life_Safety Page;(1)set of Energy Forms.R-OwW 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 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 contract required) <br /> Reroofs if shingles" `Sewers ­Service,Upgrades A/C ' Fences(Plot/Survey/Footage) <br /> Driveways-Not over'Counter,if.on public.roadways..needs ROW <br />