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"13-780-0020 City of Zephyrhllls permit AppllCClLlUII Building Department Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address I 5 I ~ 5 Fee Simple Titleholder NamJ ,,.- Fee Simple Titleholder Address PROPOSED USE TYPE OF CONSTRUCTION B o D NEW CONSTR INSTALL SFR BLOCK I LOT# I PARCEL ID# II ~ - ;1. to - ~ 1- 00 I 0 - 00 I 00 - 0 I Lj.o (OBTAINED FROM PROPERTY TAX NOTICE) SiGN D MOVE D DEMOLISH JOB ADDRESS I c=J..,- ADD/ALT D C0 REPAIR o COMM D o FRAME D DESCRIPTION OF WORK lCh~ DAit k/G Sj-SfefIA BUILDING SIZE I \../ I SQ FOOTAGE I I HEIGHT I I .....11.11.11....111....11....11........11.:.1111......11......11.11..........11.....111......11.111..111.....11........11..1111.......11.1111.111. o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY o PLUMBING 1$ I ~ MECHANICAL 1$ 4-1 DO. 00 I o GAS 0 ROOFING 0 FINISHED FLOOR ELEVATIONS I I SUBDIVISION WORK PROPOSED OTHER STEEL I D OTHER I o W,R.E.C. SPECIALTY D FLOOD ZONE AREA OTHER DYES VALUATION OF MECHANICAL INSTALLATION DNO '...1111111.'.."'..1111'11.11....'...11..111.1111....11,1"'.1"""""'11111"1""'1'1""'111111111""....111.....111,11...11111111111111... BUILDER COMPANY SIGNATURE REGISTERED Y I N FEE CURRENT Address License # ELECTRICIAN I COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Address I License # PLUMBER I COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Address I License # Y/N Y/N Y/N Address MECHANICAL SIGNATURE OTHER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # I I I , I I I I , I I I I I I II III I I I I , I I I I I I I I III I I I I I I I , I I I I I I , II II II I I I , I , I I I II . , . I I I I I II . IIII II1I I II II III II III IIII1 II I III , , I I I II I I I II I I I IIIII ~ II III II I I I I I I I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date, Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of BUilding Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111..111111111111111111111111111111111111IIIIIIIIIIIjlllllllllllllllllllllllllllllllllllllllll11111111111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500. a Notice of Commencement is required. (AlC upgrades over $5000) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW