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r 813-780-0020 City of Zephyrhiils Permit Application Fax_813-780-002 <br /> Building Department <br /> Date kecsived <br /> F Phone Contact for Permitting <br /> kj .. . <br /> Ownees,Name Owner Phone Number. <br /> ' r •Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> � 1/. <br /> JOB ADDRESS' ..�S S JOn/N 1�3 n//Jr,J .Av �u f �°� 33S* LOT# �Q <br /> SUBDIVISION . �h PARCEL ID# <br /> Y � (OBTAINED EROgRikOP.ER iY TAX,CfQTldE). <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN = [� ',DEMOLISH*' <br /> R .INSTALL 8. REPAIR <br /> PROPOSED USE: SFR Q COMM C�. OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK CJ FRAME �� - STEEL Q <br /> -DESCRIPTION OF WORK <br /> BUILDING SIZE •� SQ-FOOTAGE;= :HEIGHT <br /> I <br /> { =BUILDING $ <br /> i VALUATION OF'TOTAL CONSTRUCTION* <br /> =!:LMCTRICAL:, $ AMP'SERVICE DUKE ENERGY' W:R.E.C. <br /> [=PLUMBING �__�__� • • <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q _ SPECIA OTHER" <br /> FINISHED FLOOR ELEVATIONS FL-O,OIaZQNE•AREA =YES . NO <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRES. <br /> Address License# i <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED' Y/ N FEE CORRE& <br /> Address • License# <br /> PLUMBER '� - COMPANY SIl <br /> SIGNATURE -"' •REGISTERED• Y i-N FEE•CURREA <br /> Address License.# F. <br /> MECHANICAL <br /> SIGNATURE" REGISTERED Y/ N FEE CURREN <br /> 'Address License#.• — <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED" Y/.•N,:.., FEE•CURREN <br /> .Address License# <br /> RESIDENTIAL. iAttacti(2)=Pl6t P.ians;_(2}sets ofBulldilg Plans;;. ►).sat of EriergyWForms;'R=0s1N:Pert>2it foP new,construction,, <br /> Miriihzum:ten(1:0').Working`.`days affel}subrriittal'd4'#e:t`Raq�i ire d onsite;'Cons rt lJctioti Piaris,Stormwa(e'r-Plans-_' SIM Fence Installed, . <br /> Sanitary:Facilities 8�,,.dumpster,Stte Wor'k.Permitforsubdivlsionsilafige prdjects <br /> COMMERCIAL Attach(2)complete,sets of.;Building•Planstiplus•aat;ifbi9afgtj Page,(1:)'.set'of:Energy.Forms.R-O=W Permit for.new construction. <br /> Minimum ten(1a)working;day aftgtsubmitta(date^y F equ r•,ed-onsite;Construction.Plansl;Stormwater•Piansv/811fFence•installed, <br /> Sanitary Facilities&1 dunipster.Sita I(ltork'Permit for afl••new projects,Alt oommercial.requirements must meet compliance <br /> SIGN PERMIT Attach(P,)sets.of Enginaered;'Plans�. <br /> *"**PROPERTY S,.1�f21%E,Y.'required for ail'NEW construction. <br /> LsT fill <br /> Directions: <br /> Fill out application completely. <br /> Owner,&:Contractor sign,back of,,appjication,notarized <br /> 'if over$2506,a Notice bf pommencement is required. (A/C upgrades over$7600) <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,PE:RMITTING • (copy;of,contract.requiyed) <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 />