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�„-,�U-���u City of Zephyrhi{Is Permit Applicatian Fax-813-7so-ooa� <br /> Buitding Department <br /> Date Received "� ��.�j y Phone Contact for Permitting ��� �� �' — � �� <br /> ~ t � 't` � _ ' � <br /> Owner'K Name ' '� ��'`�1v fi+; '�� , Owner Phone Number �_ <br /> Owner's Address �� � ��11' � "' �" Owner Phone Number �_ � <br /> Fee Stmpte 7lttehoider Name " 4wner Phone Number _ <br /> i <br /> � Fee Simpte Titteholder Address <br /> ' i !QT# E�`^� <br /> JQB AQDRESS � � � <br /> � SUBDIVISION ,_ PARCEL ID# � <br /> (�BTAINHD FROM PROPERTY TAX NOTICE} <br /> WORK PROPOSED e NEw CONSTR 8 Add/Ai.T � SIGN [� Q DEMOL(SH <br /> INSTAI.L REPAiR <br /> PRdPOSED USE [� SFR C] GOMM C„] l?THER <br /> TYPE QF CONSTRUCTiON Q BLOCK � PRAME [� STEEL Q <br /> DESCRIPTION OF WORK � C— � �`� ��'� <br /> BUILDING SiZE �— � SQ FOOTAGE HEiGHT �� <br /> �SUILD{NG $ � VALUATION OF TOTAL CONSTRUCTION <br /> QEl.ECI'RICRI � � AMP SERVICE [� FFtOGRES5 ENERGY Q W.R.E.C. <br /> QPLUMBlNG �� <br /> ��Al1ECHANICAL $ �'] VALUA7lON OF MECHANICAL INSTALlA710N <br /> ,7— _.� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> =tNISHEd FLOOR ELEVATIONS �� FLOOD ZONE AREA [�YES NO <br /> ,._ _,._. . <br /> 3UtLDER `"� COMPANY <br /> �IGNATURE REGISTERED Y/ i�I FEE GURRE� Y/N <br /> Address Llcense# �— � <br /> c�EC7RiCiAN COMPANY <br /> >IGHATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address Ltcense# �� � <br /> ��UMBER � � COMPRNY <br /> i1GNATURE ( RfG1STERED Y/ N FEE CURRE� Y I N <br /> Address License# � � <br /> r--�- <br /> �ECHANICAL �'''�`�'"5 COMPANY P.��S <br /> �IGNATURE REGfSTERED Y( N FEE CURRER Y J R1 <br /> Address License# ���' 1� � .."f'' /� � <br /> 1THER COMPANY <br /> �IGNATURE RE6ISTERED Y t N FEE CURREA Y/N <br /> Address License# �"' � <br /> ;ESIDENTIAL Attach(2)Piat Plans;(2)sets of Buiiding Plens;(1)set of Energy Forms;R-O-W Permik for new conshvckian, <br /> Minlmum ten(10)worktng days after submittal date, Requt�ed onstke,Conskruatlon Plans,Starmwater Plans wt SHt Fence instatied, <br /> Sanitary FacipBes&1 dumpster,Site Work Pe�rnit for subdivlsions/large projects <br /> I OMMERCl14L Attach(3)complete sets of Building Plans plus a Life Safety Page;{1)se!of Energy Forms.R-Q-W Permit far new canstrtactian. <br /> I Minimum ten(10)working days after su6mtttal date. Required onsite,Consteuction Plans,Stormwater Pians wt Siit Fence installed, _ <br /> Sanitary Facllities&1 dumpster.Site Work Permlt for atl new projects.All comr»err.iafrequt�ements must meet compiiance <br /> IGN PERMIT Aftach{2)sets of Eng(neered Plans. <br /> "'"PROPERTY SURVEY required for al!NEW construotion. <br /> irections: <br /> Fill aut applicakion completely. <br /> Owner 8�Contractor sign back of appklcatlon,notarized <br /> If over 52500,a Natice of Commencsment is requfred. .{A/C upgrades ov�r ST500j <br /> Agent(far the cantractar}or Pawer of Attomey(for the ownerj would be someone with notarized lekter from owner autharizing same <br /> VER THE COUNTER PERMITTING � ::{Front of Applicatia�On(y} <br /> eroofs if shingles Sewers,, Senrice Upgrades A!C Fenaes(PiatlSurveyiFaotage} <br /> DHveways-Not over Gounter if on pubftc r+oadways..needs RQW <br />