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813-780-OQ20 City af Zephyrh 11s Permit Application Fax 813-780-OQ21 <br /> BuAdi g Department <br /> � _ . <br /> Date Recelved phpn$.Contaat f r Permfttln - <br /> Owne�'s Name C.��•� �����m�'`� � �-�-I�`� Owner Phone Number ��� '� 6� -��-� �-.�" <br /> Owner's Address C� ���" c�'�l�'( �� +���� L Owner Phone Number � .- � <br /> Fee Simple Titlehalder Narne � Qwner Phane Number �— � <br /> Fee Sfmpte Tltlehoider Address <br /> JOB ADDRESS �v`� �� ` l a ��� 21��i 4�� �C.. c� ( �oT# �__� <br /> SUBDiVIS10N � � PARCE ID# ''� <br /> (OBTAINED FROM PRdPERTY TAX H0T10Ey <br /> Wf3RK PROPOSED tVEW CONSTR ADDJA T Q 31GN` Q Q DEMdLISH <br /> e lNSTALL 8 REPAI <br /> PRQPQSED USE Q SFR � CQMM Q t�THER <br /> 'fYPE OF CQNSTRUCTlQN Q B�4CK Q FRAM � STEEI. Q <br /> DESCRIPTION OF WORK � � �V � �- <br /> BtlILDINC,SIZE r� � SQ FQOTAGE HEIGHT ��� <br /> QBtlIt,DING �� VALUATIO OF TOTAL CONSTRUCTION <br /> ELECTRICAI $ ��� AMP SERV CE Q PRCIGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING � � � <br /> QMECHANIGAL $ VALUATiQ OF MECNANICAL tNSTALLATlON � "" � <br /> � <br /> QGA3 Q ROOFWG CJ SPECI LTY � QTHER <br /> FINISHED FLOOR ELEVAT{ONS (��� FLOQ� ZC?NE AREA [�YES NO <br /> �. <br /> BU1lDER G MPANY <br /> SIGNATURE �3TEREa Y 1 N FsE cuttt�ti Y.J N <br /> Address Lfcense# �— ��� <br /> ElECTRICIAN {(��( C M PANY CA�t'���b ��t'..'�i C. ��tJ C,� <br /> SIGNATURE ! Y\�-`_�� � GISSERED Y 1 N F�cutzRen Y!N <br /> Address l( 2.r( �e�..� �- c3�YSZ��y,` Ltcense# ���jba 3QC�� � <br /> P�UMBER C MPANY <br /> SIGNA?URE ��s7��o Y/ N FEE CuRr� Y i N <br /> Address License# i � <br /> MECHANICAl, C MP.ANY <br /> SICiNATURE GISTERED Y/ N FEE GUf{REE Y/N <br /> Address License# j ` � <br /> OTHER C MPANY <br /> SIGNATURE R GISTERED Y/ N FEE GURRER Y/N <br /> Address � L,icense# �— �^� <br /> RESIDENTIAL Attach(2?Plot Plans;,(2}sets.of:Building Plaas;(1}sef of Energy Forms;R-O-W Pemilt far new construction, <br /> Minimum te�(10)working days after.submittal date. Required onsite,Construction Plans;Startnwater Plans w/Siit Fenae installed, <br /> Sanitary Fac3liUes,&1,dumpster,Site Work•Pertnit for subdivistonsllarge projects <br /> GbMMERCIA�L AtEach(3}carrtplete sets vf Buitdlrig Ptans pius a�.Ife afety Page;{1}set af Energy Fomts.R-O-W Pemnit for�ew constnsction. - - _ <br /> Minimum ten(10)working days'after submlttal date. �tequired onsite,Canstructton Plans,Starmwater Plans w!Silt Fence installed, <br /> Santtary Feciti8es&1 dumpster.Site Work Permlt for all new proJects.All commercial requtrements must meet compliance <br /> � StGM PERMlT Attach(2}sets af Engfneered-P.lans.. �-: , . ' <br /> """PROPERTY SURVEY required for all NEW cons ction. <br /> Dlrestfans: <br /> Ffli ouk applicadon completely. <br /> Owner&ContracMr sign back of applicaUon,nota�ized <br /> If over 52800,a Notice of Cammencement is reguirsd. (A/C up rades avar 57500) <br /> "' Agent(for the contractor)or Pawrer af Attamay(far the awner)would be someone with notarized ietter ftom ov+mer authorizing same <br /> DVER THE COUNTER PERMi'F1'iNG .(Front af;Application tJnly} ":; <br /> Reraofs!f sh3ngles Sewers � Serviae',.Upgrades,A'G;, Fenc s:(PIoUSurveylFootage} <br /> � ,;i; <br /> .- , . 'r�,' . . - . <br /> Driveways-NotaverCounterifon'pubiic•roadways.:needs�ROW;..,;_ • � <br />