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$13-7e0-0020 City of Zephyrhilts Permit Application Fax-813-7e0-002, <br /> Building Department <br /> Date Receivod Phone Contact for Permitting <br /> Owner's•Name lM �J rive i Owner Phone Nu <br /> mber <br /> >-;•Owner's Address f t/ (� ��� Owner Phone.Number <br /> Owner.Phone Number <br /> JOB ADDRESS S� LOT# <br /> ;SUBDIVISION /y el-�� 5 �l ��f�<. PARCEL ID# <br /> (08TAiNED'FROKPROPERTY TA00TIC0 <br /> ;WORK PROPOSED . NEW CONSTR ADD/ALT SIGN �'DEMOLISH' <br /> R' INSTALL. 8 REPAIR <br /> PROPOSED USE, Q SFR COMM . u OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q. FRAME <br /> DESCRIPTION OF WORK � �' '`�',s did- <br /> BUILDING SIZE ..� OQTAGE.= HEIGHT. <br /> F <br /> � ,.=BUILDING $ • <br /> 20 '-Q ,dU VALUATION OF`TOTAL CONSTRUCTION' <br /> =ELECTRICAL rr$ AMP'SERVICE = DUKE ENERGY` Q W.'R;E.C. <br /> =PLUMBING $' <br /> .., ' <br /> =MECHANICAL $, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0• : ,.SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE'AR1=A AYES NO ft� <br /> BUILDER COMPANY Ole <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREt+ <br /> Address �� 137 License# / / 7�y- <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED• Y/•'.N FEE CURREN j Y/.N <br /> Address License#'F"­_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED -Y7-N FEE CURREN <br /> Address. License# F7, <br /> MECHANICAL .:.; COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN L YIN — <br /> Address, License#.,I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 'Y/.N,,,. .. FEE CURRET. <br /> Address License# <br /> RESIDENTIAL Attach'(2)=Plot Plans;(2)`sets'of'Bufldirig,Plans;(1).set,of Energy'Forms;;R=,0=1N Permit for new constructon, <br /> >•Miniii uum•ten=(70)workirig.'lays after subrriittai date:�Requlred•onslte;Ci nstructio'mPlans;Stormwater Plans w)Slit Fence installed, <br /> Sanitary-Facilities&�dumpster,Site Work!Permit1dr subdivisionsliarge 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.cohstruction. <br /> Minimum ten(1t))yucrking;days-after„submittal date:,Required-onsite;Construction Plans;;Stormwater Ptans�w/Sill Fence installed, <br /> Sanitary Facilities&1 dump ste�.Site(!1loi�k•Permit for ail'new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SUitVgY.required for all NEW construction. <br /> 4:• <br /> --------------- <br /> Directions: <br /> .Fill out application completely. <br /> Owner:&.Contractor sign.back of,application,notarized <br /> 'If over$2666,a Notic®of Commencement is required. (A/C upgrades over$7500) <br /> *' Agent(for the.contractor.)or.Powerof,Attomey,(for the owner).wouid be someone:with notarized-letter from-owner authorizing same <br /> OVER THE COUNTER PERMITTING ?' (ggpyof contralct required)• <br /> Reroofs if shingles:` Se"w"eis' ;`Service:Upgrades,AtG•`` Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if oii.public roadways;needs'ROW <br />