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813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 <br /> Building epartment <br /> Date Received � IQ+ � Phone Contact for ermitting � �� � <br /> Owner's Mame �h n� t�u�bc�r �h �(J��(� Owner Phone Mumber �(�� �Z( <br /> Owner's Address ,U1�Q � �,��1��h Q, IUY � Owner Phone fdumber <br /> Fee Simple Titleholder Mame Owner Phone Number <br /> Fee Simple Tttleholder Address <br /> JOBADDatESS ����� L��C� t� ' � h �(��'I�J � ���-I'L LOT# � <br /> SUBDINISION PARCEL 1 # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lM06iK PROPOSED e IN TALLSTR 8 REPAIR � SIG Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF COMSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCEtIPTION OF lNORK l,G� o � � Cj �n S <br /> BUILDING SIZE SQ FOOTAGE ��� HEIGHT <br /> QBUILDING $ i1 +�/1r-� VALUATION 0 TOTAL CONSTRUCTION <br /> VV <br /> �ELECTRICAL $ AMP SERVIC � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ` <br /> �( i5 �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'Y' ` <br /> �GAS ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDEFt COM ANY <br /> SIGMATURE REGI RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM COM ANY <br /> SIGfdATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIUIBER CO PANY <br /> SIGNAYURE REGI TERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHAIdICAL CO PANY <br /> SIGtdATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER l� CO PANY � i.Vi I V� <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address � J�J I License# l.C�, ��2-�j� <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 Facilities 8�1 dumpster;Site Work Permit for su divisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Pertnit 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGId PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construc on. <br /> Directfons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over aa500,a Notice of Commencement is required. (A/C upgra es over 57500) <br /> "• Agent(for the contractor)or Power of Attomey(for tfie ovmer)would b someone with notarized letter.from:owner authorizing-same. - �- <br /> Ol/ER THE COUNTER PERMITTING (Fr'ont.of Application Oniy) ; , ; , '_ � - , . <br /> Reroofs if shingles Sevirers ' Seryice Upgrades;,A/C Fences( lot/Survey/Footage) - • ,, . - � � <br /> Driveways-Not over Counter if on`public roadways..needs ROW 'u„._,. .... . ....... . .. �.� .-.;--• -- .. <br />