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� s��-�eo-oo2o City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Butlding Repartment <br /> Rate Reaelved -� � �—� Phone Contact forPe�rnittlo — <br /> Owner's Name � tT�-v � Ownsr Phon�a Nurnbor �7 " �� �(,���7 <br /> �� � � I <br /> Owner's Address ��. Owner Phone Number <br /> Fee Slmple Titleholder Name �����J j �1 r,�'!,� Owner Phane Number � � <br /> i <br />� Fee Simple Tttleholder Address <br /> JOB ADDRESS � LOT# �� i <br /> �' <br /> SUBDtVIS10N � � PARCEL ID# <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br />' WORK PROPt}SEd NEW CONSTR ADDIA�3 �� SIGN Q Q pfiMOLISH <br /> � INSTALL REPAIR I <br /> pROPOSEQ USE SFR Q COMM � QTFfEi2 <br />� TYPE OF CONSTRUC'T'ION BI,OCK ° Q FRAME � STEEL Q <br /> DESCRIPTfON OF WORK �1/j 5�o�}��" S ✓� S!2 ' I CS r F t <br /> BUILDING SIZE fD JC�� � � SQ FOOTAGE � j�.'Ic�� HEtGHT [�� <br /> i <br /> 08UILDING � �• �� � � VALUATION QF TOTA�CONSTRUCTtOhi � <br />, QEIECTRICA� �$ ��"'— � A{tt]P SERVICE Q PRt}GRESS ENEF2GY Q W.R.E.C. <br /> �___._. �,,,� /� <br /> QPLUMBING $ �,�� . r/ <br /> �, V <br /> QMECNANIGA� $ VALUATION OF MEGHANtCAI.INSTA�tATiON <br /> � �a� � <br /> t ���� <br /> OGAS � ROOFING Q SPECIALTY �- QTIiER ��G�����t/(/1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZQNE AREA [�YES NO g � �j <br /> '�d <br /> BUII.DER � ` �"} `� CONIPIWY 6�Ys P L�tA/}�!'�°. � <br /> SIGNATU « I�� REGISTERED Y/ N FEE CURREA Y/N <br /> Addres� Cicense# �� � <br /> EIECi'RtC1AN CQMP� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licanse# �� � <br /> PLUMBER � COMPP�IY <br /> SIGNATUItE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# �� � <br /> MECHRNfGAL COMP� <br /> SIGNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTtiER COMP IY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� License# � <br /> i <br /> ttESlDENTiAL Attach(2}Plat Plans;(2}sets of Buildtng Plaos;{1)set of EneFgyFar�ns;R-O-W Permlt for new c;ansfrtsction, <br /> Minimum#en(1.0)working days after:submittai date. Requlred onsite,Construc�an Plans;Stortnwater Ptans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Worlc�Permit for subdivisions/large pro)ects <br /> COMMERCfAi. Attach(3}camplete sets af Bu3tdiog P4ans plus a k.ife Safety Page;{1}set af Energy Fotms.R O-W Pertnit for new canst�uctEon. <br /> Minimum ten(10)working days after submittal dake. Required onsite,Construcdan Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Slte Work Permit for all new roJecfs.All commercial requirements must meet campliance <br /> SIGN P�RlUIIT Attach{2}sets af Englneered Plans., <br /> "'"PROPERTY SURVEY required for all NEW construct(an. <br /> D#rections: ' � - <br /> FIII out applicaUon completely. ' , , � , , <br /> Qwner&Contractor sign back of appl(cadoa,notarized ��;, `- + � , <br /> if over�2500,a Natice of Commencement is re.quired�(A/G upgrades�cvar�75QOj �"' -- . , �' '', 4a. <br /> �.:.. <br /> "' Agent(for the contractor)arPower of Attomey(br the,ownerj would be someone with notarized letter from owner autho�zing same•� -- <br /> � _. . ,. <br /> �VER THE COUNi'ER PERMIT77NG "';,;��{Front.of Applicatton•Oiily} - ` � ' > <br /> . � <br /> Reroofs if shingles Sewers _,i *Seryice Upgrades A1C i Fences(Plot/i urvey/Faotage) ' , ';'; : ' <br /> � t �, <br /> Drlveways-Not ave�Gounter tf on public roadways..needs ROW .. .�.:-.�- <br />