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813-780-0020 City Of ZephyrhiUS Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> .Phone Contact for Permitting <br /> •Ownees.flame Owner Phone Number " <br /> ;�:.Ownaes Address Owner,Phone.Number <br /> Owner Phone Number <br /> (rL ` <br /> JOB ADDRESS" -.LOT# " <br /> ' F SUBDIVISION PARCEL ID# <br /> (OBTAINEWF'AM PROP.I RT,Y TAXA.UTIGEi•. <br /> .-WORK PROPOSED NEWCON$TR ADD/ALT. SIGN- -DEMOLISH' <br /> e INSTALL'- B REPAIR <br /> PROPOSED USE Q SFR Q COMM.* OTHER 77777771 <br /> VPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL [� <br /> DESCRIPTION OF.WORK <br /> ,BUILDING SIZE •����� SQ•FOOTAGS :HEIGHT•. <br /> F <br /> BUILDING $ <br /> VALUATION OF'TOTAL CONSTRUCTION' <br /> i =EL'ECTRICAL ($� AMP'SERVICE Q DUKE ENERGY' Q W.R.E.C. <br /> []PLUMBING �_�� "• ' <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS Q ROOFING C] SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS -.FLO.OD-ZONE AREA ]YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN . Y•/N <br /> Address . License# ^� <br /> J <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED' Y'/ N , FEE CURREN <br /> Address . License <br /> PLUMBER '� ._ COMPANY �°"� <br /> SIGNATURE ��� �- REGISTERED. <br /> Address License.# i" <br /> MECHANICAL .:; • COMPANY 1. <br /> SIGNATURE" REGISTERED FEE CURREN Y/'N. . <br /> Address License•#."� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I `Y),•N,,,,", ,,. FEECURREN• <br /> ,Address License# <br /> RESIDENTIAL Attach-(2)PloU0Ian'i;(2)"•Se%vC)f` U'i I g:Plarts;,t1)';sgt•.of Eriergy.Forr'rls;'R40- i Perri 0fornow,construction„ <br /> Mihiia�um•teri.{ 0.}working.444 ss'af 4 stibrriifta(date:,,,,eqt iretl orrsite,`Gonii' cfiori Ptans,s rnifwater Plans-1 Silt Fence installed, <br /> Sanitary:Facilities&4.;dumpster•,••,Slte Work+Pere it�for" tffidivi'sionsliargia•prdjects' <br /> COMMERCIAL Attach(2)complete,sets af,.Building Ptans,�pitas a Life Safgty:}?age;'{9)'.sat'ofFEnergy:Fo�ms.R-O'-W Permit fdr,:new construction. <br /> Minimum tern(10),working c!Rys,aFftors•,ubrMlttai•datg;,i equiredsr�nsite;Canstrucfion•Riarisy Stormwater.Plans:w/Silt Fence installetl. <br /> Sanitary Fadilit3es&1 durnpsteF.Sit`e"WA Permiff8r a17*4w projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2.),sets.of'Eng1peere);I Plans,*. <br /> ****PROPERTY•SU' VEY•i equiretl for ail'NEW cofistruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&:Contractor sign,back of,,application,notarized <br /> If ever$25i1t1,a Notic®of:Commencement is required. (A/C upgrades.over$7500) <br /> Agent(for the contractor.)or.Power.•ofAttorney,(for the owner)would be someone:with notarized--letter from-owner authorizing same <br /> OVER TFjECOUNTER,PERMITfING -• (cop.;of•contractrequired) - - <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 />