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813-780-0020 City of Zephyrhilis Permit Application rax-ola-1ov-vuzI <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name M C 1 Owner Phone Number _ <br /> Owner's Address 38715 Lonsin"V9... Ownerr Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION �� 40110 1 PARCEL ID# V A- 6—2 1 —V 2- 0 — 00000- 0 F <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN �] DEMOLISH <br /> INSTALL R <br /> REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0M FRAME [� STEEL <br /> DESCRIPTION OF WORK a i t a C VcimpYerV }c e pole- <br /> BUILDING SIZE SO FOOTAGE HEIGHT �— <br /> =BUILDING 1$ _ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 1 , AMP SERVICE 200 OVI DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBlNG 1$ „ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l <br /> =GAS ROOFING SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY =Mar+in E1 P_c4 , G Inc, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address -7 Dgdp Q 3352 License# W 13 0013$3 —] <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y I 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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/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.All 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 <br /> If over$2500,a Notice of Commencement is required. (AfC 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 PERMITTING (copy of contract required) <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 />