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813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 <br /> Building epartment <br /> Date ReceWed phone Contact for ermitting -- <br /> Owner's Name � � �W Owner Phone Number � �'/`7�— 3�lS <br /> Owner's Address � / I ��. f�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � � c. 1 S LOT# � <br /> SUBDIVISION ' PARCEL I # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION �� BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � OO� <br /> BUILDING SIZE D �J SQ FOOTAGE �`7 S HEIGHT 1� '�" <br /> QBUILDING $ v�5OD a� VALUATION F TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ '`�� <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION � `�`+1/ <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD NE AREA DYES NO <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> ELECTRICIAM CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License#_ <br /> MECHAPlICAL CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> - <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 f 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 Facllities&1 dumpster;Site Work Permit for s bdivisfonsAarge projects <br /> COMIMERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R uired onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW constru ion. <br /> Directtons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement is requtred. (A/C upgr des over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would b someone wlth 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 Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />