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813-780-0020 City of Zephyrhifls Permit Application Fax 813-780-00 <br /> Building Department <br /> Date keceived Phone Contact for Permitting <br /> .Owner's.Name Owner Phone Number <br /> .,Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> n <br /> :JOB ADDRESS ..LOT# <br /> 'SUBDIVISION •• c7 rf— (?9 }zaY'�� PARCEL ID# <br /> V (OBTAINED ER0iZP.ROPERTYtAK. b.T,ICiE)•: <br /> -WORK PROPOSED NEW CONSTR ADD/A>aT [� SIGN 0. [� ;DEMOLISH' <br /> R <br /> INSTALL 8 f3EPAIR <br /> PROPOSED USE. Q SFR Q Comm OTHER y <br /> TYfPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF.WORK _ <br /> .BUILDING SIZE SO FOOTAGE..= -.HEIGHT <br /> j =BUILDING VALUATION OF'TOTAL CONSTRUCTION* <br /> I <br /> i <br /> QEL'ECTRlGAL s � AMF'SERVICE 0 DUKE ENERGY' Q W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL $- —� VALUf�TION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0. SIDE IA Y OTHER <br /> FINISHED FLOOR ELEVATIONS .FL0O5"2()NE-AR5AL YES . NO <br /> .; <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN•. Y•/'N <br /> Address License# <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE —REGISTERED' Y/'N FEE cuRREn <br /> Address , .,lLc0hse'J <br /> PLUMBER COMPANY �\ <br /> SIGNATURE REGISTERED- Y7:N' FEE'CURREN {"Y/-N <br /> Address License.# - <br /> 1 <br /> MECHANICAL ;' -COMPANY <br /> SIGNATURE` REGISTERED Y/ N FEE CURREN LjjN• ' % <br /> r <br /> Address License-#f <br /> OTHER COMPANY <br /> SIGNATURE RCzISTERFe Y/,•N,,,•::•. FEE,cuRREn• Yt;, . <br /> ,Address License# L <br /> RESIDENTIAL ',. �, v,. <br /> A'ttacfi-(2)=Plot P.i'fitl ;.(2 bets of Bui[ding.P.,laris,,�1).sert of EnergKryForms;'RYQ�VI!Perritfor.new construction,, <br /> =Mifiimtim:fen;(10):Working:`dapsaf# F sub>ii}£tef!tlatslr`Re401 red onsite;`Gonst- lotion Pidtis,S1drmi7Vater PI hs-_W%S it Fence Installed, <br /> Sanitary•Facllities SQkdumpsterf Slte Work:.PermitYor-&ubdivisions/large•prdfects' <br /> COMMERCIAL Attach(2)•.complete,sets-of,BWldi(tg•Plans plus•'agi:ife;:$afety Page•'{1=}'.set'af Energ}r•Forms.R-0=W Permit for new cohstr�Iction. <br /> Minimum ten(10)augrkingoday0aatersubm-Ittal.date.,13equjr6dt nsite;Constructien,R.tgn�:Stormwater Plans w/Siit'Fen.e installed, <br /> Sanitary Facilities&1 dotrj step.� &' d?k Permlt for alf'new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach R),sets.af B•ng1peered,"Plans: <br /> """PROPERTY$R)'OEY.'requifed for ail'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner.&:Contractor sign.back of,,�qp11catign,notarized <br /> 1f bver$2Stl0,a Notice bf:Camrnertcement is required. (AlC upgrades.over$7500) <br /> "t Agent(for the contractor,)or.Power,of.Attorney,ffor•the ownet).would be someone,with notarized-letter from-owner authorizing'same <br /> OVER THE COUNTER•,PERMITfING • (capyy;of,coratWdt.required) <br /> Reroofs if stiingfes Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />