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813-780-0020 City of Zephyrh�lls Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> ' o <br /> Date Received / /� <br /> '�( �` Phone Contact f r Permitting _ <br /> Owner's Name . � � Owner Phone Number <br /> Owner's Address 3 / Q� � T� �/1�►'Q-� - Ovvner Phone Number <br /> Fee Stmple Titleholder ldame Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 y� a � / Q�'� LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED e NEW CONSTR B ADD/ALT � C] SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �'�-c9"�'►'� �� �9- � �C�t_1;� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> BUILDING $ , VALUATION O TOTAL CONSTRUCTION ��� ��$' 77 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �j � �� � <br /> s' � � , �`�—��r'`w�/ <br /> _ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U Z �� � <br /> �, —�//�v / './/� <br /> S� (`'J` '�'j�"` <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � `�'� G �C��i•- <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO \'�J ��e�� <br /> q v � <br /> I <br /> �..�, � <br /> BUILDER � �vCOMP�ANY � ('1�'� <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> ELECTRICIAN �_ �r COM�ANY ��s� �L.,r r��, (��"��. <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/N <br /> i <br /> Address I License# <br /> PLUMBER COMP�1fdY <br /> SIGNATURE REGIST�RED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL COMP�INY <br /> SIGNATURE REGIST�RED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPf►NY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitfes 81 dumpster;Site Work Permit for subd visionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all niw projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••"'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized � <br /> If over�2500,a Notice of Commencement(s required. (A/C upgradei over 57500) <br /> .. � ;..•_.. - <br /> Agent(for the contracto�)`o�Pouver of Attom"ey(fo�:fhe owne�)would be someone with notarized letter„f�om„owner authorizing_same_:__.,,.,_., <br /> ; _ , � � � <br /> OVER THE COUNTER PERMITTING -� "; (Front�of Appli_`cation Only) ° �. `� - ' • , •-•. ^ <br /> Reroois if shingles Sewers _Ser.vice;Upgrades A%C°`..''Fences(PI USurvey/Footage) ` ''''_'' "'• " '"''J' � " � <br /> . �, <br /> ; :. .. - : .: ;;,, ` - - , <br /> , _ ..,_..._�.._. .,...�r., -_._. : . - .. ,, , <br /> .. , <br /> .� �. ., � .. �� V <br /> Driveways-Not over Caunter if'on putilic roadways..needs ROW ,, . � - ,,,.,-:a..,.Y x. �_. . . �._: t. .` <br /> � �/ <br /> I <br /> I <br /> I I <br />