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813-780-0020 City Of Zephyrhil)s Perniit•Application Fax-813-780.0021 <br /> Bu0jo'g_Department <br /> Date Received Phone Contact for Permitting- <br /> q: 1 d1 <br /> Owner's Name r vy\ Owner Phone-Number <br /> Owner's Address � j! Ir` Owner Phone Number <br /> � .•C <br /> Owner Phone Number <br /> JOB ADDRESS' 'S c- LOT# . <br /> SUBDIVISION s101 t�� �. PARCEL ID# �`��'�•i ' 61)So "4 a 0.0 °" to 1 .3 <br /> (OBTAINED'FROM-PROPERTY TAX NOTICE) <br /> WORK PROPOSE.0 Ej NEW CONSTRR ADD/ALT �� SIGN Q 0 DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK �� �;n- cr.t t Cl sq. t i-11 t IDN, <br /> .BUILDING.SIZE SO FOOTAGE-= HEIGHT <br /> t <br /> =BUILDING L.._ VALUATION OF TOTRL CONSTRUCTION' <br /> { <br /> =ELECTRICAL AMP'SERVICE 0 DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOA ?0 r <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . <br /> Address' License# F <br /> ELECTRICIAN', COMPANY <br /> SIGNATURE REGISTERED` YY'N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREN <br /> Address License# F <br /> MECHANICAL . . COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Y/N <br /> Address Licen$e# � <br /> OTHER COMPANYj� <br /> SIGNATURE REGISTERED Y/ N,..; FEE CURREA - I YIN) <br /> t^ <br /> 'Address P(� v�i vc: � ,� License#. CU-6s .�, <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building'Plans;(1)set of Energy Forms;R- -W Permit for new construction, <br /> Minimum ten(10)working days after submittai'date. Reou-!red onsite,Cons Plans;St6rmw1ater Plans w/Slit Fence Installed, <br /> Sanitary,Facilities&1..dumpster,:Site Work Permit*for subdivisionsAarge-projebts- <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.submlttal date:.Requiredtonsit%Construction Plans,.Stormwater Plansw/811t Fence installed, <br /> Sanitary Facilities&1 dumpsteE 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 /> Rollo <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. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or.Power of Attorney.(for the owner).would be someone with notarized fetter from owner authorizing same <br /> OVER..THE COUNTER PERMITTING (copy of contract 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 />