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813-780-0020 City of Zephyrhiiis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> i Hit <br /> Ownees•N•ame Owner Phone Number <br /> ' ";;•.Owner's Address Owner Phone•Number <br /> 1. <br /> Owner Phone Number <br /> 3 <br /> ' <br /> JOB ADDRESS" ..LOT# <br /> �. <br /> `. SUBDIVISION ��1 r PARCEL ID# <br /> (OBTAWED FA04,P.RORERTYTAXd andE). <br /> - <br /> WORK PROPOSED NE•WCONSTW ADD/ALT 0 SIGN 0. 0 DEMOLISH' <br /> WORKe INSTALL El REPAIR <br /> PROPOSED USE 0 SFR COMM C] OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL 0 <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE SQTOOTAGE;= :HEIGHT: <br /> BUILDING $ <br /> � • 0 VALUATION OF'TOTAL CONSTRUCTION' <br /> =ELECTRICAL $ AMP'SERVICE Q DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING $ �� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0'. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS F,L0.OD-20NE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE -" REGISTERED Y/-N FEE CURREM1 <br /> Address License# <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE .REGISTERM5' 'Y-/'-'N FEECORR6 Y N <br /> Address . License# <br /> PLUMBER _._ COMPANY F <br /> SIGNATURE .REGISTERED. Y% N FEE CURREA <br /> Address 77. License.#T' <br /> MECHANICAL COMPANY. s. <br /> SIGNATURE REGISTERED Y/ N I FEE CURREP I Y/'N• <br /> r �"' <br /> Address V License .I. <br /> •#. ^� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I •-Y'/.•N,,,; ,.. FEE,CURRET`• <br /> -Address License# <br /> y <br /> RESIDENTIAL Attac )'Plot-Plans;(2)-sets Qf'E uiidiF,g:P(ar5s;.(1): etlof Energ -Forms,'WO-W Pemjlt,fornew=construction,, <br /> Ml iimum•ten<(JI0).- king:'days'affeh'subn(ift;31 date:,'Ret�tifred orisito;`ConstrUctiori Plans,8tdrniil)ater Plans,iN/Silt Fence installed, <br /> Sanitary:Facilities k1dumpster„Site WbrkPerrt it for•sUbdivi'sions/latge•prdjects- <br /> COMMERCIAL Attach(2)romplete.sets.gf.•SLkilding•Plansiplus•-a.,Lif?i:Safetw,,Pgge;(1)•.set•ofiEnergy:17orms.R=O=W Permit fdrrnew construction. <br /> Minimum ten.(10),working,day�a,after•s.,ub�nlittgl o,pt�,.t3equdred=pnsite;Construction-RlarJsti Starmwater Rians:w!Siit'Fence'instaiieii, <br /> Sanitary Fadilit<es&1 durrip§ter.Slk'Vl&k Permit for a new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of Engineered,'Plang. <br /> ""PROPERTY•$.Ui2VI Y•requiretl for ail'NEW cofistruction. <br /> y.. <br /> Directions: <br /> Fill out application completely. <br /> Owner,&6ntractor slgn.back af,,appiication,notarized <br /> If over iAU,a Notice af'Corr mlrjcement Is required. (AIC ypgrades.aver$7500) <br /> " Agent(for the contractor.)or.Power.of Attorney,(for the owner)would be someonewith notarized-letter from-owner authorizing same <br /> OVER THECOUNTER=PERMITTING -- (copy;of,contract•required) <br /> Reroofs if sfiingies Sewers Service Upgrades,A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.,needs ROW <br />