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e�a-�SO-ao�o City af Zephyr ills Permit Application Fax-813-780-0021 <br /> � ' Buil ing De�rartment <br /> Date Recefvad ' '�" � Phane�Contact for RerrttltEin 6(� $�� - �f q <br /> Owner's Name � Y G Owner Phone Number g13 , G q.- ��s3 <br /> Owner's Address l (� t�' SF, Owner Phone Number � � <br /> Fee Simple Tltleholdar.Name � � Owner Phane Number �� � <br /> I <br /> Fee Blmple Tl+kleholder Address <br /> JOB ADDRESS CJ �1 ��.-�' �''� LOT# �J �I S <br /> SUBOiViSION PARCEL ID# l 1 ^a�- �I- bD I�- a y pu~- �U30 <br /> (OBTAINED FRdM PROPERTY TAX NOTICE� <br /> WORK PROPOSED EW CBNSTR ADDlA T � SIGN Q [� DEMOI.ISH <br /> INSTALL 8 REPAI <br /> P[tOPOSED USE Q SFR � COMM [� QTHER <br /> TYPE OF CONSTRUC710N [� BLOCK Q FRAM C� STEEI. Q <br /> DE3CRIPTION OF WORK ��,1) d� UC. �,,. ��' � �1 r �,; � L t(,�f �, q�( e .K � �� t f <br /> BUILDING S1ZE �� � SQ FOOTAGE HEIGHT C t '�1�'I <br /> '---'-���iN�" � � VALUATION OF TOTAC CONSTRUCTION <br /> b � <br /> QE�.ECTRlGA� �� AMP SERV CE Q PRCIGRESS Et�IERGY � W.R.E.C. <br /> QPtUMBING �>� � G ,�1 �'�� <br /> QMECHANICAL �� VAWATIO QF MECHANICAI.INSTALLATION <br /> QGAS Q RQQFING Q SPECI�I.TY � OTHEF2 <br /> FINISHED FLQOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUI�DER { �� _ COMPAFIY �.k <br /> SIGNATURE � q �w� . RE�ISTERED Y/ N FEE CURRE� Y/N <br /> Address �(1� 1t�n � License# � � <br /> E�ECTRICIAN C�MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address ( � License# �� � <br /> PLUNIBER CC�MRAMf <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � , <br /> , � <br /> MECifANICAL C�MPAFtY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address Ucense# � � <br /> 4THER �(��ypp�}( <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � I Lic�nse# �i � <br /> i <br /> RESIDENTIAI: Attach(2}Plof Pians;.{2)sets.of:Bultding"Plans;(1)set�of Energy�Forms;R-0-W Permlt Eor new constructton, <br /> Minimum�ten(•10),working;days:after.subrriittal date. R�qulred onslte,Canstruc8on Plans,Stortnwater Plans w/Silt Fence instalied, <br /> Sanitary Eacilitles&.1 dumpste_r,Site Worlc�Fermit for subdlvisionsAarge proJects <br /> COMlIAERCIAL Attach{3}camgle#e sefs of Bail�icig P1aris plus a�ife S� fety Page;{1}set o#Energy Forms.RA-W Petmit for new conshuction. <br /> Minimum ten(10)working days after submittal date. R quired onsite,Canstructlon Plans,Stormwater Plans w/511t Fenae installed, <br /> Sanitary Facilitles&1 dumpster.Site Wor1c Parmit for II new proJects.All commercial requlrements must mest compNance <br /> SIGN PER14lIT Attach{2}se#s afEngtneered Plans., � <br /> """PROPERTY SURVEY required for ail NEW construcUon. <br /> DErectlons: ` <br /> Fill out applicaUon completely. <br /> Ctwner&Contractor sign back of applfcaUon,notarized <br /> if aver 52,+00,a Natice of Commencement Is requiced. {A!C upgr�des aver�750dj <br /> " Agent(for the contractor)or Power of Attamey(for the owner)wauld 6e someone with notarized letter from owner authorizing same <br /> dVER THE COUNTER FERMIi'TING {Front of ApplicaHan Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plat/Survey/Footage) <br /> Drlvewayas-Not aver Counter if on public rosdways..need's RdW <br />