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e�saeo-oozo : City of Zephyrhill Permit Application Fax-813-780-0021 . I <br /> Building epartment <br /> : <br /> Da4e Received � � Phone Contact for Permitting I 3 � �2 -- ��$ � <br /> Owner's Name 1 Owner Phone Number <br /> Owner's Address � �-�( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���� LOT# � <br /> SUBDIVISION PARCEL D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE i/� SFR Q COMM" 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Ye-V� W�x — <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ O VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �a��V <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION v�r� �✓/ <br /> ( C�`��-� <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER \� <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER � � �00 PANY � � � <br /> SIGNATURE r REGI TERED Y/ N FEE CURRE� /N <br /> Address License# <br /> ELECTRICIAN CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO PANY <br /> SIGIdATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PANY � <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, - <br />' Sanitary Facflities 81 dumpster,Site Work Permit for su divisions/large projects . <br />__---GOMIlAERCId1L—rAttach_(3)complete sets_of Building PI_ans_pl_us a Life Sa ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Const�uction Plans,-Stomiwater Plans w/Sitt Fence-installed,-- ---- <br /> Sanitary Facilities&1 dumpster.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 construc ion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement(s required. (AIC upgr es over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences( lot/Sunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />