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a��-Tao•ooao C�ty af Zephyr iils Permit Applicatian Fax-813-784-0421 <br /> t m Buil ing Department <br /> ; <br /> ,- _ <br /> Date Received� , �j �� /r • p ��,.�Qntact�or FeRntt#in <br /> Owner's Name Owner Phane Num�ber _ <br /> 2 I �Owner's Address .! � ner Phane Number ��.. <br /> Fee Slmple Titleholcler,Mame Owne'r Phone Number �— r� <br /> Fee Sfmple Tttlehotder Address 1 <br /> JOB ADDRESS LOT# C_� <br /> SUBDIVISION �— � -PARC L ID# <br /> (087AINHD FROM PROPERTY TAX NOTICE) <br /> WC}RK PtiOP{7SED , NEW CaNSTR ADD/AtT � SICaN Q Q DEMOLISH <br /> e lNSTAI� 8 REPAt�R <br /> PROPQSED USE Q SFR Q COM Q OTNER <br /> TYPE!?F CQNSTRUCTIOPt Q SLQCK � FRANI Q STEEI Q � <br /> DESCRIP710N OF WORK <br /> SU1lDING SIZE � SQ FOOTAGE HEIGHT ��� <br /> �����'Q���' ,�/_�' '�"I�VALUATIb OF TOTAL CONSTRUCTION <br /> QE�ECTf21CAl $ � AMP SERtIICE Q PRt�GRESS ENERGY Q W.R.E.C. <br /> QPlUMBlNG $ --�� �C_��„� <br /> � vr . � <br /> Q MEGHANICAL $ ��) VAIUATiO QF MEGHANICAL iNSTALLATiON `� <br /> J �' � <br /> QGAS ROOFING Q SPEC A�TY �] QTHER ('1 ,� <br /> FINISHED PlOQf2 ELEVA IQNS F1.00 ZONE AREA QYES NO����J <br /> BUILDER COMPANY <br /> StGNATURE R GISTERED Y 1 N FeE CUt�h Y t N <br /> Address License# � � <br /> ElECTRiCtAN � C�OMPANY <br /> SIGNATUEtE R cESZe�a Y! N FE�cu�fi Y!N <br /> Addre�� Lfcense# � !� <br /> P!.#JMBER GOMPANY <br /> SIGNA7URE R Gt3TERED Y t N FE�cu�s+ Y 1 N <br /> Address License# �_ I <br /> MECHAPltGi4L OMPANY <br /> SIGNA7URE R GtSTERED Y/ IU FEE GURREt+ Y i N <br /> Addre�s se# <br /> OTHER fi,ItOMPANY <br /> SIGNATURE REGI3'fEREQ Y! N.. FEe euR�R Y J N. <br /> Address `� Llcense# � � <br /> RESlDEN'TIAL Attach(2}Ptot'Plans;.(2}sets of Building Pians;{1 j s t of Energy�Farms;.R-t)-W Fermit fcr new constructian, <br /> Mintmum ten(10)worlting days after submittal date. equlred onsite,ConstrucUo�Plans;Stortnwaker Plans w!SAt Fence installed, <br /> Sanitary Facifities&,1.dumpster Site Work;ReRnit for subdivisions/large projects _ <br /> - CQMMERCIAl. Attach(3)com'plete seCs af Buili3irig Plans plus a l.ifel5afety Page;{1}set of Energy Forms.F2-O-W Permit for new constructian. <br /> Min(mum ten{10)worktng days'aftar submittal date. Required onsite,ConsWcHon Plans,Startnwater Plans w!Sflt Fencs instaffed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projecis.All commercial requlrements must meet compliance <br /> SIGH PERMIT Attacti'(2)sets af Engineered Plans, ° <br /> "`"PROPERTY SURVEY required for ai!NEW cons i ction. <br /> dErectlons: <br /> Fill out appAcatlon comple#ely. <br /> Owner&Contractor sign back of applfcatlon,notarized � <br /> if ovar$2500,a Notice af Cammencement is requlred. (A►C up rades aver 57500) � <br /> '• Agen#(for the cantractor)or Power of Attomey(far the owner)woul be someone with notarized let#er from owner autharizing same <br /> OVER TFIE COUNTER PERMiTT{NG (FroM of Appllca#ion Qnly} <br /> Reraafs if shingles Sewers 3ervice Upgrades A!C �en s(PtottSuroeylFoahage) <br /> driveways-Not over Counter if on pubilc roadways..needs ROW <br />