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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> P . <br /> 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 - PARCEL ID# <br /> (013.TAINED=FROKP.ROPERT1r TAXADTICE)•. <br /> -WORK PROPOSED e NEWCONSTR ADD/ALT [[� SIGN = 0 ;DEMOLISH'INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM. OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE SQ•F001AGE; HEIGHT. _ <br /> =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION, <br /> i <br /> =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY' 0 W.R.E.C. <br /> =PLUMBING ($' —� • <br /> =MECHANICAL �$• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING [�., SPECIALTY F--1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD-ZONE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE '' REGISTERED Y 1 N FEE CURREN . LY•/N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED 'Y'VN FEE CURREN <br /> Address • License# r� <br /> PLUMBER f COMPANY G <br /> SIGNATURE REGISTERED Yi=tJ FEE CURREA <br /> Address License.# � <br /> MECHANICAL .:.,;' COMPANY <br /> SIGNATURE' REGISTERED I Y/ N FEE CURRE`N �Y I N. <br /> •#..� ' . <br /> Address License ., r '� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 'Y/,•N,,,., •.. FEECU(RRRER� 4N, <br /> Address License# !. I <br /> .Y <br /> RESIDENTIAL Attach(2)Plot-Plaris;(2)`Sets bituiiding-.Pie is (1)".set.of Eherg Forins;'R-O4V Permit for new;construction,: . <br /> Minimum•ten-(70).wartsing-Abys'aftet subnilf#aF•date�`Reiquifed onsite;'Gonsiructlon Plans,s6mi Na#er Pians-'i rl Silt Fence installed, <br /> Sanitary:Facilitles&;,1�dumpster,;�Site Wbrk�•Permit:fbhs ibdivisions/large•prdjects <br /> COMMERCIAL Attach(2)complete,sets,of.Building•Plans,plus•a,Lifei$afety,Page;(1.)'.set"ofiEnergyFo�ms.R-O-W Permit'for:new construction. <br /> Minimum ten.(1t!) ror.king,day&aftersubrnItIaI date..Requ)red onsita;Construciton•.Riansj Starrwater,Pians'w/Siit'Fenca instaliecl, <br /> Sanitary Facilities&1 durripster.Sf(d V&k Permit for 611'new projects.All'commercialsequirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of Engineered;Plans. <br /> ""PROPERTY S.U'RYEY'required for all NEW construction. <br /> „,.. <br /> Directions: <br /> Fill out application completely. <br /> Owner.&Contractor sign.back of:•appiication,notarized <br /> 'if over$250Q,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!PFRMITTING -• (copy;'of contrabt,required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />