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813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 <br /> • Building epartment <br /> Date Received Phone Contact for ermitting 813 '1�3 Z __ b��,5 <br /> Owner's idame �i � S�� ONrner Phone Number �1 3����"�a�� <br /> Obrner's E►ddress 3�Zg ���� �AbP i �`i'h i�• Owner Phone Number � <br /> Fee Stmple Titleholder Nam� Own�r Phone Mumber <br /> Fee Simple Titleholder Address ' + <br /> JOB�1DDRESS 3 g�L� L--C��-^-��`' �P LOT# � <br /> _ sueoivisioN Y�C'�W�*"d� !�( �r1d� ���c�!� � �`����- 2 l- �5►bb-� �S c�a c --OI b G-------.__ _ � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR � �,�,..� <br /> PROPOSED U�E � SFR Q COMM �] OTHER Cvu7►�i 1z �.,b�-y,� <br /> TYPE OF COMSTRUCTIOId Q BLOCK Q FRA.ME � STEEL Q <br /> DESCRIPTIOIdOFWORK 'KU`� Dk-�r' G:tvt� r�- (a�-� � IZ � ��2Y�5 Cb(�r'11n� 5hif��� �SkL,`���}" <br /> �e� e�e.,�,- <br /> BUILDING SIZE SQ FOOTAGE 11EIGHT <br /> 0 BUILDING $ ��/' s ,pp VALUATION O TOTAL CONSTRUCTION <br /> b <br /> QELECTRICAL $ AMP SERVIC 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ �� <br /> QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION ��S� GC`�,�Yj p <br /> � oq� �(i� <br /> QGAS [� ROOFING Q SPECIAL Y 0 OTHER � J� � <br /> FINISHED FLaOR ELEVATIONS FLOOD Z NE AREA �YES NO <br /> BUILDER COldl ANY <br /> SIGfdATURE REGIS ERED Y I N FEE CURRE� Y J N <br /> Address License# <br /> ELECTRICIAN COM AfdY <br /> SIGIdATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIVIBER COM ANY <br /> SIGPIATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAPIICAL COM AIdY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ' // � ' CO PARfY �y�°'�'�" ����'S y �c' <br /> SIGNATURE '� REGI TERED Y/ N FEE CURRE� Y/N <br /> Address ����3 5�'�� i ��IP�;�"�""��s � 33 5-1 License# C CC 1 3 Z JS�� <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 Facllities 8 1 dumpster;Site Work Permit for su divisions/large projects <br /> COMRAERC44L Attach(3)complete sets of Build(ng 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 ail ew projects.All commercial requirements must meet compliance <br /> SIGId PERMIT Attach(2)sets of Engineered Plans. <br /> •'*'PROPERTY SURVEY required for all NEW construct on. <br /> Dfrecttons: <br /> Fiil out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over��500,a Notice of Commencement is required. (A/C upgra es over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUPITER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences( IoUSurvey/Footage)' <br /> Driveways-Not over Counter if on public roadways..needs ROW� � � <br /> , , . ,. ., ;. <br /> I� , � .. , � , , ` /,' -h1 � , , ,� ,' �F_ <br /> � , „ - � � ' , ,.� , � . , � ' <br /> t; . , <br /> . . , - . , t . ., -�� .-.- . � ..- : . ,- -- _ ..,,..:_.. - <br />