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813aeo-oo2o City of Zephyr�ills Permit Application Fax-813•�ao-oa2� <br /> , . � <br /> Building Depa�tment <br /> Date Received 'Phons Contact r Permittin <br /> ___.---� <br /> (3wner's Name �� �L Q-� 1 f� � Owne�Phons Nnmber <br /> Owner's Address � � � ( C���... ��-�� Owner Phone Number � _- � <br /> Fee Slmple Titleholder Name � � Owner Phone Number � � <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J � � I �QL�-- _c'I�V I LOT# �� <br /> /, ,� <br /> SUBDIVISiON �` � PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NQTICE) <br /> WBRK PROPt3SED NEW CONSTR AOD/A T Q SIGN Q Q DEMOLISH <br />�i� � INSTALL � R�PAI� <br /> PROPQSED-llSE � SFR Q CQMM` Q OTHER <br /> 7YPE OF CONSTRUCTION Q BI.00K Q FRAM� Q STEEL Q <br /> DESCRIPTION OF WORK �'N� � �� C��,.1��7 B�V�`l�''r"`� (�-..� ~ 14,.'L`�l�-c-' <br /> BUILDING SIZE ������ SQ FOOTAGE� HEiGHT � � � <br /> �����"���G $ `'�� ��� VALl1AT�ON OF TOTAL CONSTRUGTION <br /> ,_.J <br /> QEI.ECTRtCA� �-� ANlF SER CE Q PROGF2ES5 ENERGY Q W.R.E.C. <br /> QPlUMBtNG � � j}���� <br /> � �UG <br /> QMECHANICAL $ VAk.UAT10�OF MECNANICA�INSTA�IATION <br /> QGAB Q ROQF4NG � SPECI�At.'FY Q {?THER <br /> FINISHED FL40R ELEVATIONS FLQOD ZOI�F AREA C]YES NO <br /> 1r� <br /> �ui�.��� "...--.._._ __.__�._..--- cpM��r ��.,1�-�,I� �'i�J�i �L��n <br /> SIGNATU RF�GISTERED Y/ N FEE CURRE� Y/N <br /> Address �j�` t � L`icense# �� � <br /> E�ECTR(ClAN Cf3MPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� � Y/N <br /> i <br /> Address ( License# � � <br /> Pl.UMBER COMP.ANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address � License# � � <br /> � <br /> MECHANIGAi. CpMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Addre�s License# � � <br /> OTHER CIOMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> i <br /> Address � License# �- � <br /> ,... <br /> RESIDENi1Al: - °Aftaoh{2)Plcit Plans;(2}sefs of:Bullding Plar�s;{1)set of Energy Farms;R-O-W Pertnit far new constructian, <br /> Minimum.terr(10)working;daysafter,subriilttal date. Required onsite,ConstrucNon Plans,Stormwater Plans w/Siit Fence installed, . <br /> Santtary FadlfUes&1.dumpster,Site Work�Rermit tor'subdivisions/large projects <br /> COMMERCIAL Attach{3}complate sets of 8allding Plans plus a t�fe Safety.Page;(1)set of Energy Forms.R-O-W Peanit far new canstructian. <br /> _ Minimum ten(10)warking days afker submittal date. �equired ons(te,Constructlan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faollides 8 1 dumpster.Site Work Partnit for all new projects.All commercial requlrements must meet compliance <br /> SlGN PERMIT Attach{2)sefs of Engineered Rtans.. � <br /> "`"PROPERTY SURVEY required for all NEW cqnst i cBon. <br /> Dlrectlons: <br /> Ftll out applicatlon completely. <br /> Uwner&Gantraator sign back of applicatlon,notatized <br /> if aver�2500,a Natice of Camrnencernent ts requifed. (A!G upgrades over�750d) <br /> .. � <br /> Agent(far the contractor)or Power of Attomey(for the oHmer)woul�be someone with notarized letter fmm owner autYrorizing same <br /> 01/ER THE GOUNTER PERMITTiFiG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewayrs-i�ot over Counter if on pubtic roadways..needs ROW <br />