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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 ` ff 4 _.N6,17V20/a 7 , Owner Phone Nu or <br /> Owner's Address 674✓ f CPIr11Y' �If'K10, DOr? Owner.Phone Number <br /> Y�ft/LL S /�'L• J�c Owner Phone Number <br /> JOB ADDRESS 'c/- !�� ('I� . LOT* vC 7 <br /> SUBDIVISION PARCEL ID# 8J7 a& <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN 0 0 DEMOLISH, <br /> INSTALL REPAIR <br /> PROPOSED USE- = SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0• STEEL = <br /> DESCRIPTION OF WORK Az � TT/Oivj/Z,) 0 a l 5•57at/ S:SC6 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL is <br /> VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA. =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/:.N FEE CURREN <br /> Address' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y'/ N. FEECURREN YLN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEEECURREN- " <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE /� REGISTERED Y/.N FEE CURREN .Y--/N <br /> Address l O & 2 License#, �JS?f <br /> OTHER COMPANY ,�% Co/VD� / i NS/NL• <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;,(2)sets of Building Plans;,(1)set.of Energy Forms;A-O-W Permit for new construction;;_,; <br /> Minimum ten(10)working days after submittal-date. Required ronsite,-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 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. (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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on'publio roadways..needs ROW <br />