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s: 813-780-0020 City of Zephyrtills Permit Application Fax-813-780-0021 <br /> Building Department . <br /> Date Received Phone Contact for Perm! ing <br /> Owner's Name am Pj ) I Owner Phone Number:, <br /> Owner's Address 3 E' - F) I Owner Phone Number <br /> Owner Phone Number <br /> ` ' l_ <br /> JOB ADDRESS � t. ! 3 l�(.�' LOT# Q <br /> SUBDIVISION N e 1c) M PARCEL!D# -- o�I-Ofo7 -QC00 D- <br /> 41 (OBTAINED FROM PROPERTY TAX NOTICE)- <br /> WORK PROPOSED NEW CQNSTR ADD/ALT t_1J SIGN = = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK G OV A rL, re-DInce- �Li "Jc�BUILDING SIZE E SO FOOTAGE HEIGHT �� <br /> =BUILDING r° VALUATION OF TOTAL ICONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . <br /> Address License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L.LN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREN <br /> Address License# �- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly2N <br /> Address License# <br /> OTHER COMPANY + Ehhe n U (aY7 I- 0 l v19SIGNATUREAeAleREGISTERED i Y/ N FEE CURREN Y/N v <br /> Address ��) License# r� i <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 subdivislons/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.Al!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 I <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$750Q) <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) I - <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 />