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i a�saeo-oozo City of Zephyrhilis Permit Appfication Fax 813-780-0021 <br /> � Building Departrr�ent <br /> � <br /> a <br />� <br /> Date Received phone Contact far Permttti» <br />� ' I I <br /> Owner's Neme � h t �` � , qwner Phone Number <br /> f Owner's Addres� Owner Phona Number � � <br />� <br /> I Fee Simple Tltlehoider Name � � Qwner Rhone Number �- � <br /> r <br /> Fee Simple Titleholder Address � <br /> J081lDDRESS � I I(J U 1 I -� � LOT# C_____� <br /> ..- <br /> suea�visioN �� ` � PARCE�iD# i.� � J� —L���$'��� ��'D�C? � <br /> � (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED , e IvEW CONSTR 8 ADDIA�T ,��I � S1GN [� Q DEMO�ISH <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM � OThtER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEE� Q <br /> DESCRIP'T(dN QF WORK �� a. �o�t1 � y G: p <br /> BtJtLDING SIZE �� SQ FOOTAGE�� HEIGHT � <br /> Q BU{LDk1�tG �� VALUATION OF TOTAt.CONSTRUCTION <br /> i <br />� QELECTRICAL (;�--___r`-� AMP SERVICE Q FROGRESS EN5i2GY Q W.R.E.C. <br /> �. <br /> QPLUM8ING $ ���tr v-���.{PI'!}�����lS <br /> f?C;.;,. GO C%c o � 7 3 I,J <br /> [ 1�MECHANICAI. $ VALUATtON OF MECHANICAt iN57Al.tATiON ��{��'�, �� <br /> QGAS Q ROOFING Q SPECIALTY � 07MER 3 <br /> ���� <br /> FINISH£D FLOOR ELEVATtOiVS FLOOD ZOtVE AREA QYES NO <br /> BUILDEEt COMPAMY <br /> $IGMATUi2E _ ,. REGISTERED Y I N FEE CURREh Y/N <br /> I <br /> Address l.lcense# � <br /> EI.EGTRIGIAN • COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �icenss# � � <br /> PI.UMSER � � CQMPANY <br /> :, St�GHAT'lJi2E REGiSTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �'� MECHANICAL G����_� COMPANY �G,� 'Q t'i�'QG tC'�'� � (j II� <br /> � S1t3P1ATURE REGIST£RED Y J N FEE CURRE� Y J N <br /> '" �� 5 N�!� <br /> Address � t � �tcense# C M p � <br /> 47HER � COMPANY <br /> 81GNATUE2E RE�isTEREO Y 1 it1 �E CuRt2E� Y!i+t <br /> Address Ltcense# �� � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy�Farms;R-Q=W Permit for new construcUon, <br /> � Mlnlmum ten{10)wo�lcing.days,after.su6m1tta1 date. Reqolted onstte,Constructlon Pla�s;Stormwater Plans w!S11t Fence instaAed, <br /> Sanitary Facill8es&1 dumpster Site Work Permit far subdivisionsparge projects <br /> COMME1tC1AL Attach(3)camplete sets of Building Plans plus a Llfe Safety Page;�(1)set of Energy Forms.R-O-W Permit for new coostruGUon. <br /> Minimam ten(10)warking days after submtttat date. Requtred onsite,Construo�on Pians,Stormwater Pians w!Sit#Fence finstalled, <br /> Sanikary Facilitles 8 1 dumpster.Site Work Permit far all new proJects.All cammercial requlrements must meet campllance <br /> SIGN PERMIT Attach(2)sets ot Engineered Pians._ <br /> ""PROPERTY SURVEY required for alt NEW construction. <br /> dlrectlon�: <br /> Fltt aut applica�on campletely. <br /> Owner 8 ContracMr sign back of applicatlon,notarized <br /> If over�250Q,a Natiae of Commenaement la required. (AtG upgradss over$TSQQ} • <br /> " Agent(far the contractor}or Power of Attomey(for the owner)wouid be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTlNG (Front of AppllcaUon Qnly) <br /> Reroafs i#shingles Sewars Service Upgrades A/C Fenoes(P1otlSu I eylFootage} <br /> Drivewaya-Nat over Counter if on publEc roadways..nsads ROW � <br /> i <br /> � <br /> _ _ <br />