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813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting �/3 7�� 5��� Z <br /> Owner's Name l^/� (J%�/d/}%�,/L i1�l�!-�� G I����� Owner Phone fdumber <br /> Owner's Address .j�y Z J v�N� l/E� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br />' Fee Simple Titleholder Address <br /> JOB ADDRESS � Z� p� �/✓,� UC LOT# C� <br /> SUBDIVISION . PARCEL D# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ` NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> � INSTALL e REPAIR <br />_—--P-ROPOSED-USE--- — Q-—-SFR Q COMM - --�-- OTHER- --- ' —- - - -� - ` -- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WO�tK � �C/�/�//✓ G i N�� F�N G�C,� <br /> r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> 10 (�S � Oo <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION (���� <br /> � <br /> QGAS Q ROOFING Q SPECIAL Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDER COM ANY A C � ���G� ., <br /> SIGNA�URE REGI RED Y/ N FEE CURRE� Y N <br /> Address License# <br /> . <br /> ELECTRICIAN COM ANY <br /> SIGNATURE REGI RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COM ANY <br />' SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PANY <br /> SIGNATU6tE FtEGI 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 Pians;(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 Fac(lities 81 dumpster;Site Work Permit for su divisionsAarge projects � <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ty 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •""'PROPERTY SURVEY required for all NEW construct on. <br /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgra es over 57500) <br /> "' Agent(for the conUactor)or Power of Attomey(for the owner)would be 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( Iot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />