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813-780-0Q20 City of Zephyrfiills Permit Application Fax 813-78U-0021
<br /> Bullding Department
<br /> Dats R�c�:ved Phon�.Coatast for Permttttn - 1� �� _ �L`��3
<br /> Orvner•s Name 1�L �GL� ��i2,7�@ LC.`71� Owner Phooe Namber ���� �o r ���t
<br /> Owner's Address �c�r,�� „/��� �IZ� dwrner P'hone Number � �• �
<br /> Fee Simple Tltleholder Name �^ � Qwner Phone Number � �
<br /> Fee Simple Tltlehalder Addresa
<br /> JOB ADDRESS ��40� / ��/�� '-'�`'� LOT# C`�
<br /> SUBDIVISION �— � PARCEL ID# fa o� e�j �31� �`G��L� L����
<br /> (OBTAINED FRQM PROPERTY TAX NOTICE)
<br /> WORK PRt}POSED , e NEW CdNSTR� ADD/AI,T � SiGN Q Q DEMOLISH
<br /> INSTALL. REPAIR
<br /> PROFOSED USE Q � SFF2 Q 'GOMM � OTHER
<br /> TYPE OF CONSTRUCTION • Q BLOCK �'�[� FRAME C� STEEL [�]
<br /> DESCRIPTION OF WORK �������/� � � '� � .,� �/lI a �l37n 4 ��.5
<br /> BUiLD1NG SiZf � '`.�� $Q FOQTAGE C� HEIGH7 E��
<br /> ���«��N�"' �� VJ4I.UATION OF TQTAL CQNSTRUCTION
<br /> QEi.ECTRICA! $ ��� � � AMP SERVtCE Q RROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ ,
<br /> �,�
<br /> QMECHANtCAL $ JJ j rT�. D�; VAi.UAT10N QF MECHANICAL IFVSTALIATl01+1
<br /> �"
<br /> QGAS Q ROOFIt�lG : Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
<br /> BUEI.DER COMPANY
<br /> SIGNATUR� RHGISTERED Y/ N ' FEE CURRE� Y/N
<br /> Addre�s ' L(cense# ( � �
<br /> EIECTRIC1Al�t CQMP/WY '
<br /> SIGNATURE � REGIS7ERED Y/ N �e cuw�en •Y/N
<br /> Addreaa -�� � _Llcense# �� �
<br /> PLItMBER COMP.AHY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address � � License# � �
<br /> MEGNANtCAL j � COMPANIf ��'S l"fD�i91J�. (�`"� ?°—�+C�"�l�
<br /> SIGNATURE ���'�L����/�'�� RHGISTEREd Y/ N �E CuR�ten Y/N
<br /> Address ' Lfcense# �l-�%v`T ���`p
<br /> OTHER C{>MPANY
<br /> SIGNATURE ^ � REGISTERED Y/ N.. �e CuR�n Y/N.
<br /> Addres$ ' • Llcense# � ��
<br /> ,-
<br /> RESIDENi1AL.. �Attach{2}.PIot.Plaris;.{2}se#s�af:Biilldliig'Plairs;�{1)set of Energy��artns:�R-O-W Permlt for new construotian,
<br /> •Minimum,ten_(:1.4),working:days.aftec.submitteil date..Requlred ansite,ConstFUCtion Rlens;Stormwater'Plans w/Sflt Fence installed,
<br /> Sanitary�Faciltfles�&�1,dumpste.r,:SIte:Work�Rermlt for subdtyislonsllarge proJes:ts_ __
<br /> GOMMERCIAL Attach{3)complete sets of Suitdirig Ptans pius a�tfe Safety Page;{1}set of Energy Forms.R-O W Permit for new canstruction.
<br /> Minfmum ten(1Q)working days'after submittal date. Required ansite,ConsUucdon Pians,Stormwater Plans w/Slit Fence installed,
<br /> Sanitary FaciliUes&1 dumpster.Site Wark Permlt for al!neuv projeots:=AIt commeraa!r+equlrements must meat compllance
<br /> SIGN FERMIT Attacti'{2)sefs af Englneered�P_lans.,_. �V � . -
<br /> """PROPERTY SURVEY reGutred fo�all NEW constructlon.
<br /> Directlons: ' - , , ' ,
<br /> Fill out appiicatlan completely. � , � �� r"r . �
<br /> Llwner 8�Contractor sign badc of appltcation,;notarfzed � � �
<br /> If over 52500,a Notice of Commericeinant ls required�(A!G'y�rades over S75Qq) . --"° �� � _ � ,.,j'Z ,
<br /> '" Agent(far tlie cantractor)`or�Power of Attamey(f6r tFie owner)would be someone with notarized letter from awner authorizing same � �� "
<br /> DVER THE COUNTER PERMITIING �- (Front of ApPlication:O�ly)...::,w y..f ��.; . _ : . _ _. , . _ _ _ , ,
<br /> Reroofs if shingles Sewers Service Upg'rades AJC�, , Fences,(Plot/Survey/Footage) , _, : ��' - ' , , �
<br /> � -� �s`' _ � � ,�� i} ,.. - r , .
<br /> Clriveways-Not over Counter ifi on pubtic roadweys.�.-needs ROW-'s-`, =� ' , ,' . ° ' � , �
<br /> , _.,_ . __ ��-_. ..-.....� ,--: ,'>.`;.....,. -.. __ ., . , .. ,.-__. ,
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