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__.._ � <br /> 813-780-0020 City of Zephyrhilis Permit Applica#ion Fax-813-780-0021 <br /> Buildi�g bepartment <br /> � , � <br /> Date Reaeived Phone Contact for t�ermtttin <br /> C}wner'�Name �� ! u�2� Owner Phane Numbe� ��V ^� <br /> Owner's Address a Owner Phone Number ��� ��a a lagl <br /> Fee Simple Titleholder Name Owner Phone Number � _� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> �� <br /> SUBDIVISION �� � PARCE ID# <br /> (OBTAlNED FROM PROPERTY TsIC NOTICE) % <br /> WORK PROPpSED tdEW CONSTR ADD/AL� �'� SIGiV Q Q DEMOLISH <br /> INSTALL • REPAI <br /> PROPQSED USE Q SFR Q COMM � QTNER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q. <br /> DESCRIPTION OF WORK � I <br /> � <br /> BUILDING SIZE �- � SQ.FOOTAGE HEIGHT C___�_� <br /> QBUiLpiNG I$ � VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRiCAL �� AMP SERVI E Q PROGRESS EtVERGY Q W.R.E.C. <br /> �PLUMBING $(�'�� J ( �7 <br /> � ��� <br /> QMECNANICAL $ VA�UATIO pF MECHANIGA�.INBTALLATlQN <br /> QGAS Q ROOFING Q SPEGI(�TY � OTHER • <br /> FINISh1ED FLOOR EI.EVATIONS FLOO�24NE AREA QYES. NO <br /> , <br /> BUiLDER �1 C MPANY <br /> SIGNATURE l RE 137ERED Y/ N FEE CURRE� Y/N <br /> � <br /> �4ddress Ltcense# �� �� <br /> ELECTRIClAN ' C MPANY <br /> SIGNATURE RE ISTERED Y/ IV FEE CURRE� Y/N <br /> Addre�s � Ltcense# �` � <br /> PLUMBER CQMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Addre�s License# �� � <br /> MECHANIGAt. C I MP,ANY - <br /> SIGNATURE R GISTERED Y./ N FEE CURRE� Y/N <br /> Address� Licanse# � � <br /> OTNER C MPANY <br /> SIGNATURE R GISTERED Y/ N .. FEE CURRE� Y/N. <br /> Address License# � � <br /> RESIDENTi1�t; Attach{2)Plot Plans;(2}sets-of:Buitding'Plans;(1}set of Energy�Forms;R-O-W Petmlt far new construc4ian, <br /> Minimum,ten,(1.0),working"days,after.submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fenae installed, <br /> Sanitary�acillUes&�1 dumpster Site Work Permit for�subdivlsionsAarge.?proJects -. -- � <br /> COMMERCIAL Attach{3}aampterte�sefs of 8uilding Plans plus a l.ife Safety Page;{1}set o#Energy Forms.R-C}W Petmit for new construcUon. <br /> Min(mum ten(1Q)working days after submittal daks. Required ansite,Construation Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacilfUes&1 dumpster.Site Work Permit for al)new proJects.Al)commercial requlrements must meet corripltance <br /> Sl�N PERMIT Attach(2}sets of"�ngineered Plans.u. ��� � <br /> ""'"PROPERTY SURVEY required for all NEW cqnstr�ction. <br /> Qicactians: <br /> Ffll out applicatian completely. <br /> Qwner&Gontractos sign back of appiica8on,naWrized <br /> if over�2500,a Notice af Commencement is required. (AtC upgrades over$7500) ,.. . .:.�,:-.••_ � ° ° ` ' � � <br /> .. �,....--: . <br /> Agent(far the contracfor�or Power of Attomey(far'the awner)wauld be someane with�otarized letter from owner authbriifng'same,,,� <br /> DVER THE GOUNTBR PERMITTiNG (Front of Appiicatlon O�ty} ' , �., . ,,,. "„ f <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc (PIoUSurvey/Footage) ;, � :, � � .. "' ,.s: _�•w, <br /> �,.._ ..... s.. -�•,_r -,. <br /> dr)vewaya-Not aver Counter if on public roadways..needs ROW <br />