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���-������ Gity ofi Zephyrhiils Permit Applicatian �aX-813-780-0021 <br /> � Building Department <br /> bate Recelved � 2 �M� phone Contact for Permittin <br /> Owner's Name l�"7 ��� � �� �'` � Owner Phone Number G%' � � �?� .�-�Z <br /> Owner's Address �� � �'�� bwner Phone Number �- � <br /> Fea Simpie Titteho(dar Name qwner Phone Number �` � <br /> Pee Simpie Titlehplder Address <br /> JOB ADDRESS ������ �� <br /> LOT# <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PRdPERTY TAX NOTICE) <br /> WORK PttOPOSED e NEW CONSTR 8 ADOIALT � S1GN Q Q DEMQLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SPR Q CQMM �� OTHER <br /> TYPE OF CONSTRUCTICIN Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIBN QF WORK Q�.�t,.c� �l t " <br /> BUtLDINfis SIZE SQ FOOTAGE�� HEIGNT � <br /> 08UILDlNG �� VAI.UATION OF TOTAI CONSTF2UCTION <br /> QELECTRICAL $ � AMP SERlt10E Q PROGRESS ENEl�GY Q 1N.F2.E.C. <br /> QPLUMSlNG �6� <br /> �MECHANICAL $f����, � V{1�UATlON OF MECHANfCAL INSTAt,LAT10N <br /> 7 <br /> OGAS C] ROOFING Q SPECIALTY Q QTHER <br /> 'INISHED FLOOFt ELEVATIONS � � FL04D ZONE AREA QYES NO <br /> 3UlLDfR COMPANY <br /> itGNATURE REGISTERE� Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> :l.ECTRICIAt+t COMPAi�tY <br /> itGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �� � <br /> 'LUMBER COMPANY <br /> iI�NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� .... �� <br /> 4ECHANlCAL �.�Jc„ CONlPANY � <br /> �IGHATURE REGISTERED , Y N FEE CURRE� Y/N <br /> Address � �-�2� �'Cd v S!)c �r� Lieense# �1��1 �1 �'3 7�� <br /> ITHER �QMp� <br /> �1GA�AT{1RE REGISTEF2ED Y/ N FEE CURRE� Y/N <br /> Address I.icense# �� � <br /> ;ESIDEMTIAL Attach(2)Plot Plans;(2�sets of Building Plans;{1}set of Energy Fotms;R-O•W Permlt far new conshvcfion, <br /> Minlmum ten(10}working days after submittal date. i2equired onsite,Construction Pians,SMrtnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Woric Permit far subdivis(ons/larye projects <br /> QMMERCIAL Attach{3)complete sets of Building Plans plus a Life Safety Page;(1}set of Energy Forms.R-O-W Perm�t far new constrvctton. <br /> Ntinimum ten{10}wotking days after submittal date. Required onsite,Consttuction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> IGN PERMIT Attach(2}sets of Engineered Plans. <br /> '**'PROPERiY SURitEY required for ait NEW construction. <br /> Ireations: <br /> F[!1 out application completeiy. <br /> Owner 8 Contractor slgn back of application,notarized <br /> i if over�2500,a Notica of Commencement is requirgd. (AtC apgrades av8r�7508} <br /> � <br /> Agent(for the contractor)or Pawer of Attomey(for the owner)would be someane with notarized letter from owner authorizing same <br /> YER THE COUNTER PERMITTIAlG {Front of Apptication Only) <br /> eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Qriveways-Not over Counter if on pubtic roadways..»eeds R£3W <br />