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e�saeo-oozo City of Zephyrhill I Permit Application Fax-813-780-0021 <br /> 7 Building Department <br /> D�te Received � <br /> Phone Contact for ermitting -- <br /> Oxvner's Name S � Owner Phone Number <br /> Owner's Address C �' • Ovvner Phone Number <br /> Fee Simple Titleholder Ma Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> � <br /> SUBDIVISION � PARCEL 1 # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VYORK PROPOSED e NSTALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ OTAGE PiEIGHT <br /> QBUILbING $ � � VALIJATION O TOTAL CONSTRUCTION <br /> QELECTRICAL � $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> i - <br /> QPLUMBING ' $ . <br /> QMECHANIC L $ VALUATION OF MECHANICAL INSTALLATION ,�� <br /> ��� <br /> XY <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED_FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> I <br /> ELECTRICIAM COMPANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# ' <br /> I <br /> MECHAIVICAL COM�ANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N . <br /> Address License# <br /> OTHER � _ COM ANY <br /> SIGNA ` REGIS RED N FEE CU RE� Y/N <br /> Address I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Req.ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8�1 dumpster;Site Work Permit for sub�divisfons/large projects = <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Req�ired onsite,Construction Plans,Stormwater Plans w%Silt Fence installed, <br /> Sanitary Fa,cilities&1 dumpster..Site Work'�ermit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERI�IIT Attach(2)sets of Engineered Plans. ` • � <br /> ""PROPERTY SURVEY required for all NEW constructi n. . <br /> Directlons: <br /> • � . <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized . a, <br /> If over 52500,a Notice of Commencement Is required. (A/C upgra es over 57500) , <br /> " Agent(for the conUactor)orPower of Attomey(for.the owner);would be omeone with notarized letter.fr.om,owner-authorizing_same- �_;,,_.;�� ,; j <br /> OVER THE COUNTER PERMI7TING,, '� �(Front•of A'pplication�Oniyj', i = � ,,��,;,,�: � ' ° '', '�' <br /> Reroofs if shingles Sewer�; Seniice�Upgrad'es'A/C..'�-� ,Fences( lot/Survey/Footage) `" ° °- . . � ' <br /> � .. ., , . . . ... �. ,.'.,. : . . ; ,�,:, ., . , . ,= <br /> Driveways-Not over CountePif'on`public roadways..needs ROW `-r� , -- .,-. -:__ - -:_ ."``"''�''``-`"" <br /> I <br />