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813-780-CM City of Zephyrhllls Permit Application Fax-e13a80-0021 <br /> Building Department <br /> Date Received Phone Contact for Permlttin <br /> Owners Name l'Z Q'� $ 7 Owner Phone Number <br /> Owneft Address V� 3:, ` Owner Phone Number <br /> Fee Simple 7l me .tteholder Na Owner Phone Number <br /> _ I <br /> Fee Simple Mi tleholder <br /> JOB ADDRESS 2 LOTS' <br /> SUBDIVISION PARCEL ID# <br /> (01MAINED FROM PROPERrYTAX NOMOM <br /> WORK PROPOSED El <br /> coNSTR e ADD/ALT [� SIGN 0 DE►UIOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION _ BLOCK = FRAME. <br /> STEEL Q <br /> DESCRIPTION OF WORK C 6 / <br /> BUILDING SIZE S4 FOOTAGE o HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP'SEtVICE ® PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ vv//� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =* = ROOFING 0 ;SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CORE% Y/N <br /> Addra)cs License# <br /> t'•FLECT`RI`C'i�-ICI ,�? COMPANY + Q LLC1 <br /> SIGNATURE REGISTERED I Y/N FEE CURREn Y/N <br /> I <br /> License# <br /> PLUMBER; COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CCRREA Y/N <br /> Address Lkensa# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREt LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE �wTEREn Y/N FEECURREA Y/N <br /> Address License# <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/Stit Fence Installed. <br /> Sanitary Facilities•&1 dumpster,Site Work Permit for subdivlNonsllarge projects _ <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new consWellon. <br /> Minimum ton(10)worldng days after submitlal date. Re iulred onsite,Construction Plans,Stormwater Plans WWI Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet cmplhmce <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. - <br /> -PROPERTY SURVEY,required for all NEW construction. <br /> Dlreetions: <br /> Fill but application completely. <br /> Owner&Contractor sign back of application_notarjzed. <br /> If over$2500,a Notice cf.Ccmmerfcemen l• .required'." (AIC upgrades over$7500) <br /> Agent(fair the contractor)or Power of Attomey'(for ths`awrier)Would be someone with notarized letter from owner authod dng same <br /> OVER THE.COUNTER PERMITTING` '(copy of oontract'iekiuired) <br /> Remold If shingles Sewers. Service Upgredes'A/C' Fences(Plot/Survey/Footage) <br /> Driveways Not over Counter If on public roadways..needs ROW <br />