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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department rt <br /> Date Received .Phone Contact for Permitting <br /> Owners Nam® C.(�� G« ) Owner Phone.Number <br /> Owner's Address 2 (A 6 !6 Owner Phone Number �— <br /> Owner Phone Number <br /> JOB ADDRESS �+J © G / /91 Z� r- ; LOT# <br /> SUBDIVISION PARCEL ID# 03- 4 - 21- 026(J " Of 06zr- 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED <br /> e NEW CONSTR ADD/ALT =] SIGN 0 �] DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q - SFR Q. COMM OTHER -77777-1 <br /> TYPE OF CONSTRUCTION Q- BLOCK = FRAME STEEL <br /> ' 0 <br /> DESCRIPTION OF WORK '�"_ o fT old A c, 7"`' 100(✓') e(1 -5 'n `"e <br /> BUILDING SIZEE <br /> SO FOOTAGE G--S HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0, DUKE ENERGY Q W.R.E.C. <br /> j <br /> =PLUMBING $ <br /> =MECHANICAL $ 0 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 Y/N <br /> .Address'. License it <br /> ELECTRICIAN COMPANY. <br /> SIGNATURE REGISTERED, Y/ N FEE CURREN <br /> Address "License.#. <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y%N <br /> Address License#,,1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N" ' <br /> Address License#, <br /> LSIGNOTHER COMPANY I <br /> ATURE REGISTERED. Y/ N FE C6RREP . Y/N <br /> Lk <br /> Address 7 Ogde FZ License#: : e6 <br /> RESIDENTIAL Attach.'(2):Plot Plans;-(2):sets of Building Plans;(1).set of Energy.Forms R=O-W Permit for new construction, • .. <br /> Minimumten(10)working days after submittal date.'Required onsite,Construction Plans,Starmwater Plans•w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/farge projects- <br /> COMMERCIAL Attach(2)complete sets of Building Plans-plus a tft 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-instalied, <br /> Sanitary,,Faciiities&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 ifrbn public roadvvays..rieeds.ROW <br />