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s��-�sa-ooza Ci#y of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received �� Phone Contact for Permitting <br /> ; �.�-.s�..�_.�.Y ._ . - . � , -3��=�a � <br /> Owner's�Name'�� _ �.�� Owner Phone Number <br /> � .. r<<. � . _ . <br /> aw�ar$��►ad�esg��'��:. �-�aF.�_�_v� S'�-9` 1' ,I 6 i7 Owner Phone Number ������ `'c_./��� <br /> _._. '`;4`;i";`°�,��..,:•..�,;::.,;.� r:, .... - - <br /> Fee Simp`�e T1tleholder.Name Owner Phone Number <br /> , ; . .. ;+ <br /> : <br /> Fe�-Siin��e�t'itiehbPder Address <br /> JOB ADdRES3 J �.� t• � ' �t tl J�` � � .� �"' E.OT# �__� <br /> SUBDIVISION � �" PARCE�"ID# 11 • 2�a -�2t - pp jp..pK�O 0 - Ol p�p <br /> � �OBTAINED FROM PROPERTY TAX N4TICE) <br /> WORiS PROFOSED NEW CONSTR °ADDlALT� � SIGN Q � DEMOLIBH <br /> � INSTALL ' 8 � �REPAIR <br /> PRQPOSED USE � SFF2 :Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK� Q , , FRAME Q STEEL Q <br /> DESCRipTtON�OF Wfl12K � c�t� ' � �n � ' (�(} �� � ��3 � <br /> B111l.DING S}ZE' � I� �, �—� � � 8Q.FOOTAGE .��-�,_ HEIGHT �____��� <br /> 1 p 0 � ���° . , <br /> BUILDING r � �J�j)� ,•VALUATIOi�t'OF A�CONSTRIJGI'ION <br /> ��, «_� <br /> QELECTRIGA� C$ AMP SERVICE ` Q PRQGFiESS ENERGY Q W.R.E.C. <br /> L��' ,�j <br /> QPlUMBING $ � �y <br /> ...., , � �� k� <br /> C'�t` <br /> [�MECHANlCAI. �� YALUATlON OF MECHANIGAL.:f[VSTA�lATtON� ,� � �{A/''� <br /> �V <br /> QGAS � 'ROOFING, Q SPECIALTY � C3THER ��b <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NQ <br /> '� - . <br /> - BUILDER ������� � � CdMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y%N <br /> Addre�s License#•�— � <br /> Ef.ECTRICtAN . GOMPANY ` <br /> SIGNAtURE F2EGISTERED Y/ N FEE CuRRE� Y/N <br /> Address I:icense#'�� �� <br /> P�UMBER ,CQMPANY � <br /> SIGNATURE �REGISTERED. ` Y/_N FEE CURRE��. �Y/-N <br /> Address _ ' ,�icense.# � '� � <br /> MECHAt+!lCAL , . COMPAI�tY, • <br /> SIGNATURE ' REGISTERED ,,_Y/ N FEE CURRE� Y L•N <br /> Address � - " i � ` Licerise.#�� . � <br /> OTHER Ct}MPANY <br /> BiGNA7URE - � RE�is7EREO Y 1 N FEE CURRE� Y/N <br /> Addrass � , � � , . ' Cicense#�� � <br /> RESIDEN't1AL ,:Attach(2}.PIot.Plans;'(2�set§±of:Buildi�g'P_!a»s;;{1}.set of E»ergyr-Forms;R=Q=W�Perin[t#or new cons#ruction, <br /> ��Mintmum ten�('!0).warking days�after:submittat date: Reguired`on§i#e,:Construd6on R{ans,Sfortnvvater Pians w!Si�t Fence instailed, <br /> " Sanitary Faciiitles:&..4 dumpster;-Site:VUork�Rermitfor.subdivisions/large;projects°° r_� ' ° ` <br /> GQMMERGIAl. Attach(3}ca"inpiete sets of Builditig�P1ans pius a Cife Safefp Fage;`{1}set of Energy Forms.R-O-W Permit for naw constructian. <br /> Minimum ten(10}warking days after submittal date. Required onsite,Construction Pfans,Stormwater Plans w/Silt Fence installed, <br /> San(tary Facillttes&1 dumpster.Sike Work Permit for all new.projects.�All.commercial requlrements must meet compliance <br /> SIGN PERMIT Attach�(2}sets'o#Engineered Pians,, _:,,.� � � <br /> ""PROPERI'YSURVEI'requiredhiraii�NEWconstruction. , . . <br /> Dlreetlons: - . <br /> FiN out application compfetety. � � <br /> Owner&Contractor sign back of applicadon,notarized <br /> tf aver 52500.a Notice af Commencement Is requEred. (A/C upgracles over 57500} <br /> '" Agent(for the contraator)'o'r Power af Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> 3VER TNE COUNTER PERMITTiI!tG� - .,.._(Front.ofApplicatia».Only}. � , <br /> 2eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drtveways-iVot over Coun#er if on publtc raadways::needs ROVtt ' <br />