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/ <br /> e�s-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 � � <br /> 8u31ding Qepartment . <br /> n <br /> Date F�ecelved�, -...{.y . .w.�.., ,.�.�,._„ ,.._.�,. v_.: <br /> .. � � �.F �� Phone-Contact far Permittin — + <br /> Owner's Name�;�• ;7.�.� � .'? r'C �� Owner Pha e Nu j�7ql'"J ��� - <br /> n mber ��-_ `` <br /> Owner's Address �. A �� .,p � ` � �j� Owner Phone Nunnber , �y 7� ,vc. - <br /> •`'t= .� � �'�, ..��•:- � � <br /> Fee Simple 71t1eholderjNam� Owner Phone Number <br /> . ' �,i <br /> Fee Simple Tltleholder Address - - *r��� <br /> JOB ADDRESS LOT# �� <br /> SUBDIViS10N �"�� "�`t�C. t�C�� PAttCEL iD# <br /> (OBTAINED FROM PROPERTY TAX PIOTICE) <br /> WORK PROPt�SED, NEW CONSTR ADDtA�T [� SIGN Q [� DEMOI,tSH <br /> INSTALL REPAIR <br /> PRQPOSE�.USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUGTIOPI BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK �N '��1.� Mi�TAL S I�{(�� 10 1C � �- <br /> BUILDING SIZE �� � SC4 FOOTAGE�� HEIGHT [�� <br /> �B���d�N�' 2 � , ' � VALUATION OF TOTAI CONSTRUCTION <br /> ��.:�.� .� <br /> I QELECTRiCA� ' �� AMP SER1110E Q PF20GRESS Eh1EFtGY Q W.R.E.C. <br /> [�PWMBlNG (;��-� `�f G�� <br /> L � V! <br /> ' QMECHANtCAL $ � VALUATtON OF MECHANICAI.iiVSTA1.LATION <br /> QGAS Q RO�FlNG Q SPECIAI.TY � OTHEFt <br /> FINISMED FLOOR ELEVATIONS �`� FLOOD 20NE AREA QYE5 NO <br /> BUI��Eit �� �� ��iYf�At� <br /> � SIGNATURE REGI$TERED Y/ N FEE CUF2RE� Y/N <br /> Address � License# �� � <br /> E�ECTRtCtAAP+!! COMFANY • <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- � <br /> PLtlNIBER � COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURREA Y/iV <br /> Address license# � -� <br /> NlECHANICAI. GO�IIAANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N- <br /> � Addcass � License# � �� <br /> OTHER CBMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address � Llcense# �� � <br /> RESIDENTIAL Attach(2)Piofi Plans;(2}sets of Building`Pians;{1}se#of Energy��arms;FL-fl-W Pennit far new construetlon, <br /> Minimum.ten(10).working,days aftec.submittal date: Required onsite,ConstrucUan Plans;Stortnwater Plans w/Siit Fenae instatled, <br /> Sanitary Facilities.&1 dumpster 5ife Work�Pertnit for subdivisions/Iarge proJects <br /> COMMERClAl. Attach{3)complete se#s of Ballding+Plans ptus a l�fe Safe#y Page;(1)set oP Energy Farms.R-O W Perrrait for new canstrucfion. <br /> Minimum ten(10)woridng days after submittal date. Required onsite,ConstrucNon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes�1 dumpster.Site Wot1c Permit for all new projects.All commet�cial requlrements must meet compliance <br /> SIGN PERMli' Attac�{2)sets af Engineered Plans.. " , <br /> •""PROPERTY SURVEY required for all NEW construction. <br /> Direatlons: <br /> Ffll out applicaUon completely. <br /> '� Owner 8 Cantractor sign back of appllcatton,notarized <br /> � if ov�r s250D.a Notice af Camnnencement is required. (A/C upgrades aver a7500) <br /> I� '* Agent(for the contractor)or Powia�r of Attomey(for the awner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUt+}TER PERMI'TTfNG {�ront of ApplicaHon On1y} I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) <br /> Driveways-Not over Coun#er if on publlc roadways..needs ROW ( <br /> J <br />