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i <br /> e��aso-oozo City of Zephyrhilis Permit Application Fax 813-78Q-oo2� <br /> w 8uilding Department <br /> Data Raceived an ac�tact for Per�ittln - <br /> Ph e C <br /> Owner•s Name �-!� �-� I�R����11 S�tlao pwner Phane Numbec <br /> Owner's Acldress (I ��"'1� �i]19�� . �'o�. �'-• Owner Phone Number � -=! � <br /> Fee Sfmple Tltlehalder.Plame J� '4 � �� � Qwner P'hone Number �— � <br /> Fee Simple Titlehalder Addreas <br /> J08 ADDRESS p f y a �Ra 8� „� �O� �t�� LQT# �� <br /> i <br /> SUBDIVISION �— � PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WdRK PRBPOSED , � PIEW CONSfR� ADD/ALT 1 S{GN Q ' Q DEMOLiSH <br /> INSTALL REPAIR I <br /> PR{3POSED USE Q SFR � COMM [� OTHEFt <br /> TYPE OF CONSTRUCTIOPI Q BLOCK ' Q FRAME � 3TEEL Q <br /> DESCRIPTION OF WORK t � <br /> r� <br /> BUILDING S1ZE �� � SQ FOOTAGE[�• , HEIGHT C- � <br /> QBUlLDiNG � .� ,�� VALUATION OF TOTAL CONSTRUCTION <br /> QEIECTRICAI $�'��r----� AMP SERVICE [� PROGI2ESS ENERGY Q W.R.E.C. <br /> �_ <br /> QP�UMBING �� � , <br /> OMEGHANIGAL $ VA�UATtON OF MEGHANICAL 4S�4STALIATION <br /> QGAS � ROOFiNG Q SPECIALTY I�] OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �]YES NO , <br /> BUiLDER Cl�MPANY - <br /> SIGNATURE REGISTER D Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> ELECTRICIAN Ct3MPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> P4.UMBER �,,,�,,�n � COMPANY <br /> SIGNATURE ��il�-� S S�/Qy�� L������'' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address IS"3S L dl S 3 d 1 �'' �X��f'!F C/�' L r License# �FG p�7 t-I�i�� <br /> MECH,4NICAl. COMPAt�lY <br /> SIC�NATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � I <br /> CtTFlER COMP�1�Y <br /> 51GNATURE REGISTERED Y/ N. . FEE CURRE� Y/N � <br /> Address I.icense# � � <br /> RE8@ENTfAL Attach(2}Plot Plans:.(2}sefs of Bullding'Plans;{1}set of Energy�Forms;R-Gt-W Permlt far oew�nstructlan, <br /> Minimum:ten(1.0)-warking'days.after,submittal date. Required onsite,Construction Plans;Stortnwater Plans w!Silt Fence installed, <br /> Sanifary Facilitles&1,dumpster,Site Work Permit for subdivislonsllarge:projects���v. i�_.__ _v,_.._�_. __ _._.�__�.�....w <br /> COMI�tERC�AL Attach(3}complete set"s of Buitiiing Piaris plus a Li�e Safetyr Page;(1}set of Energy Forms.R-fl-W Permit for new construction. <br /> Minimum ten(10)working days after submlktal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence�installed, <br /> Sanitary Facilities 81 dumpster.Site Work'Pertnit fpr a!I new projects.All commercial requlrements mu§t meet compliance <br /> SIGN PERMIT Attach(2}sets af Engtneered Plans. �' <br /> ""PROPER7Y SURVEY required far all NEW constructlon.� <br /> Directlons: <br /> FIII aut applicaUon campletely. <br /> Owner&Cantraotor sign back of appifcat4on,nota++rized <br /> tf over 52500,a Notice of Camrnencement is required. (A!C upgrades over�75d0) <br /> '" Agent(for the contractor)or Power of Attomey.,(for,�h,e,oyuner)would,be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -(Front of Ap�itication Oniy}' ` ' <br /> Reroofs if shingles Sewers Service Upgrades AIC"'�:=�Fences(PIo�Sunrey/Footage) <br /> _ ' , . v-�,�r ,..�� , ... , � <br /> DNveways-Not over Counter if on public rpadways.,;neecis ROW" - <br />