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x 813-780.0020 Fax-813-780-0021 <br /> City of Zephyrhiils Permit Application <br /> Building Department <br /> x Date Received Phone Contact for Permitting <br /> �Ownees.Name Owner Phone Number . <br /> ::Owner's Address Owner Phone Number. <br /> Owner Phone Number <br /> !. JOB ADDRESS LOT# <br /> SUBDIVISION Dav— PARCEL ID# <br /> (OBTAINED'='FftOM.P.ROP.ERTY TAx.NOTtCE). <br /> WORK PROPOSED NECONSTR ADD/ALT SIGN [� Q `,DEMOLISH <br /> eW. <br /> INSTALL 8. REPAIR <br /> PROPOSED USE 0 SFR COMM' [�� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK .0 FRAME C] STEEL = <br /> DESCRIPTION OF.WORK <br /> .BUILDING SIZE SQ•FOOTAGS.= .HEIGHT. - <br /> BUILDING $ <br /> • � VALUATION OF'TOTAL CONSTRUCTION' <br /> ' =-ELECTRICAL $ AMP'SERVICE Q DUKE ENERGY' [� W.R.E.C. <br /> � 7 <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPE%C LTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLQOD ZONE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU(RRENY•/'N <br /> Address License# <br /> ELECTRICIAN "COMPANY . <br /> SIGNATURE REGISTERED= ,Y7'�N - FEE CURREN <br /> Address . License <br /> PLUMBER "� COMPANY <br /> SIGNATURE �' .REGISTERED Y%=N 'I FEE CURREE <br /> Address Ucense.# <br /> MECHANICAL ..; -COMPANY <br /> 'NSIGNATURE REGISTERED Y/ N I . . <br /> Address License l, 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YlrN,,:. ... FEE,CU(RRREN: • Y';N:•, <br /> AddressLicense# (.. <br /> -. <br /> RESIDENTIAL i4ttacti'(2}Pio#'Piaris;.(2)'sets o#'i3uiiding'Plans;,.(i). et.of Energy,For' 'R--O'W Permit for new construction- <br /> Minimum•ten-(I'0)Working days'affei submittal"date:�`Regi)ired onsite;'Co'nstruchon Plaris;8tormwafe�Plan's w!Silt Fence installed, <br /> Sanitary:Facilities kl�,dumpster;Site Work�Permit�forsWbdivisions/large-prdjects' <br /> COMMERCIAL Attach(2)complete,sets'of...Building'PlansYplus'•a:Life:Safety Page;(1,yset•of1Energy•Forms.R-O-W Permitfor:new construction. <br /> Minimum-ten.(10)working;day,s:aftersubr►.Ittal date..Required=onsite;Construction.P.J, s�;Stomzwatet Plan <br /> s_w/$ilt'Fence.installed, <br /> Sanitary Facilities&1 dultlpste-E Site'WA Perinft-for a'Ifnew projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered'Plang <br /> ""PROPERTY'S.UR1lEY required for all'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner:,$Contractor slgn.back of app�icaGon,notarized <br /> 'If over$250t1,a Notice of'Comrnencement is requlred. (AiC upgrades oven$7800) <br /> " Agent(for the contractor,)or Power,of Attorney,(for the owner)would be someonevith notarized-letter from•owner authorizing same <br /> OVER T.l_COUNTER:P..ERMITTING -- (capy;ofrontract required) . <br /> Rerocfs if shingles Sewers Service upgrades-A/C Fences(Piot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />