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s�aaeo-oo2o r ' Is Permit A lication Fax-813-780-Op21 <br /> City af Zephy hil � pp <br /> Building Qepaftment - <br />� Date Recelved • � ct f r Pe � ittFn – <br />� Phan o r�n <br /> IQwner's Name Owner Phone Number <br /> Owner's Address p Owner Phone Number � <br /> Fee Slmple Titleholder Na Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADpRESS LOT# �__� <br /> SUBDIVISION � � PARCEL tD# ' <br /> ( (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED r�Ew caHStR ADDtA�T � SIGM � C] pEMO�lSH <br /> ' e INSTALL 8 R�PAIR <br /> PROPQSED t13E Q SFR Q COMM 0 OTNER - <br /> TYPE QF CONSTRUC't'ION Q BLOCK ° FRAME STEEL Q <br /> { � <br /> DESCRIPTION OF WORK '°'�' <br /> 8U1LdING S1ZE � � S OOTAGE C__� HEiGHT ��� <br /> �����"�E��' I"" , � VALUATION QF TOTAL CONBTRUCTION <br /> �� ,,, J <br /> j QELECTRiCA[, � � AMP SERt/tCE � PROGRESS ENEF2GY Q W.R.E.C. <br /> QPLUMBING �� <br /> QMECHANtCAL � VAlUAT10N OF M CNANICAL INSTA�IATIC►N <br /> i <br /> QGAS ROOFING Q SPECIALTY OTFiEFt <br /> FIIVISHED FLOOR ELEVATIONS �� FLQOD ZON AREA QYES NO <br /> , Bl11LD�R COMP�, <br /> � SIGNATURE REGISTER�o Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# �- � <br /> i <br /> I <br /> t �EECTR{CtAN COMPANY <br /> SIGNATURE ` Re�i97eR�o Y/ N FEE CURRE� Y/N <br /> Addres� License# � <br /> P�UM8ER COMPAt�Y <br /> SIGNATURE � REGIS'1'ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> MECMANIGAt. COMP. <br /> SIGNATURE REGISTERED Y/ N h�e cuRRE� Y/N <br /> Addre�s L nse# <br /> OTHER COMPAI�Y - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , i <br /> Address '"— Llcense# � ,� - – <br /> RESlDENTlAL Attach(2}Plot Plans;{2}se#s of BuftdingPtaos;{1}set af Energy�Forms;R-Q-W Permit for new construcGon, <br /> Minlmum ten.,(10}working days afker.submittal date. Requlred onsite,Constructian Pians;Stortnwater Pians w/Siit Fence installed, <br /> Sanitary Facilities&7.dumpster,Site Work�Permit for subdivislonsllarge proJects <br /> COMMERCtA6. Attach{3)cori�plete sets of Sulldirig Plans plus a I.ife Safety Page;{1}set of Energy Porms.R-tt-W Petmt#for new canstruc�on. <br /> Minimum ten(10)working days after submithal date. Required onsite,Constructlon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Facilides 8 1 dumpster.Site Work Permit for all new projects.AA commercial requlrements must meet compliance ' <br /> SiGN PERMIT Attach�2)sets of Englneered Flans. � ' <br /> •""PROPERTY SURVEY required for all NE1N canstrucUon. <br /> Dlrectlons: <br /> Ffli out applicatlon completely. � <br /> Owner&Cantractor slgn back of applicaUon,notarfzed <br /> if aver 52500,a Noftce of Commencement is required. {AtC apgrades ver�7500) <br /> " Agent(for the contractor)ar Power of Attamey(for the owner)would be so �eone with notarized letter from owner authorizing same <br /> DVER THE CtJUTFF'ER PERMtT31NG {Front of Appticatlan Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/ urvey/Footage) <br /> Driveways-ititot over Counter if on pablic roadways..needs ROW <br /> ( ' <br />