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s�saso-oozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> ��Y 8u11ding Department <br /> �'^� --+s.�i> .^hrn�w rJ�-N>��wnaz.MYtaY.aL3:Whj <br /> � :ifu.?C/»*C4�wr • e v' n�L nree,.f.V';:� �{�• ..::�..j.�'�... _' _ �_.._ _ .�. +� � - a d <br /> ;ti^" 3 •� � S <br /> �1 - .,:._.... .._. !r�; 'i; p1i� �j t� . s.�. . , ., . ... << <br /> Data Recelved �; - :; �Phon #, . , . . ...t`. •. . 1. <br /> ;• � i�' � , <br /> �'.".�ai:`r< @'.ContactfarPermltEin }, `;a`'���.$�` "J� . . .. ,:i <br /> . '� ,,, � :;.: � .,��_ '1 's4; -•a�,• ,� ;t <br /> ��;'",W�.f. ! �� -`VY`,.t%�,�4,"T�t/\ � `�FM i�� ; r "•;;,` , i i I.�t'��f�5;,'+L" t, <br /> parner's Name � ' - - �� Owner Phooe Numbac�;,=- -- - - -- .� <br /> --• - ....,....,-.�•-.- <br /> Own�r's Address �b 4� �G�� �"G"�'' �r� Owner Phone Number ��. � <br /> 't .. , � � � <br /> Fee Simple Tltleholder Name �-�� � Owner Phone Number <br /> Fee Simple Tltleholder Addres�s <br /> JOB ADDRESS �a bb4� 1���'~� 1.o4.k� 'I�� . , �ph r},�tis, �'c.. 3 35�2 �,oT# ��..,� <br /> $USDiVIS10N ���t5 �`�"�- � PARCEL ID# b�^ Z(o-� 2�- bi 5�-- bc;�j�)�- cT 25ta <br /> (OBTAINED FROM PROPERTY TAX NQTICE} <br /> WORK PFtOPOSED � e �AtLS�8 REPAIR � ���� 0 DEMOLISH <br /> PROPOSED USE [� SFF2 � GOMM Q CtTHEFt <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME Q STEEL Q <br /> DE3CRIpTION OF WORK `�L� v�t'-� "�' (�'`���� �"�✓ S ' .(�1�e►�5(;��n�+� <br /> BUtLDING StZE ���� SQ FOOTAGE��� HEIGHT ���� <br /> QBCJI�DING � �:�'���� VALUATION OF TOTAL CONSTRUCTION <br /> QELEGTRICA� ��-� AMP SEF2VlCE Q PROGi2ESS ENERGY [� W.R.E.G. <br /> QPLUMBlNG �y� <br /> c� �(�(� ?l <br /> MECHANtCAt. $ VALUATIt�N OF MECHANICAL INSTA�iATlOtV �� <br /> ��► <br /> OGAS � ROOFING Q SPEGIA�TY � 07HER <br /> FIIUISHED FLOOR ELEVATIONB � � FLOOD ZONE ARF�1 QYES NO <br /> BUIEDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� l.icense# �— � <br /> E�ECTRtCtA41 COMPANY <br /> SIC,NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> P�tlMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMPAN1t <br /> SIGNATURE REGISTERED Y/ N FEE cu�tE� Y/N <br /> Address license# �� � <br /> flTHER � � <br /> SIGNATURE �,. � �o�wP'4"Y �- t�� `��+�� ��-- <br /> REGISTERED Y N FEE CURRE� Y N <br /> Address 3��1 s 3 '�vf'�- 5� 1 �h �h+�(S t �.- �3�1 t Ucense# �G�C {"32 55t�5 � <br /> RESlDENTIAL Attach(2}Ptot Rlans,•-{2}sets.af Building`Plans;{1}set af Energy Forms;R•O-W Permif far new canstruc6on, <br /> M1Nmum.ten(1.0)�working:days aftec.submittal date: �Requlred onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> SaNtary FaciliUes.B�1,.dumpster_Site Work Permit for subdivislonsllarge proJects <br /> CQMMEFiCtAL Attach{3}camplete sets of Bttitdirig Plans plus a Llfe Safety Page;(1)set af Energy Farms.R-O-W Petmit far aew canstruction. <br /> Minimum.ten(10)woricing days after submittal date. Required onsite,ConsUvcUon Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilitles 81 dumpster.Site Work Permit far all new proJects.A{I cammerciai requlrements must meet compltance <br /> SIGN PERMFT Attach{2}-sets of Englneered�Ptans.., •�- <br /> ""'PROPERIY SURVEY required for all NEW constl'uctlon. <br /> Dlrec#1ons: <br /> Fill out appiicaUon completely. <br /> Owner 8 Contractor sign back of applicatton,notarized <br /> if av�r S250Q,a Notlee of Cbmmencement is required. (A/C upgrades ovsr�T500j <br /> '" Agent(for the contractor)or Power af Attomey(for the owner)would be someone with notadzed letter from owner authorizing same <br /> OVER TNE COClNTER PERMITTING {Front of Applica6on Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Footage) <br /> Drlveways-Nat over Counter tf on pubtic roadways..needs Rf3W <br />