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' 8�s-Tso,002o City af Zephyrhilis Permit Application Fax 813-78a�o2�_ _ <br /> ' � 8uildinc�3epartment . <br /> ! Y • <br /> Qate Received � -- J f 1 Phone Cantact far Permitting — <br /> Ownet's�ame F���G �1� �U' �i � .S��L-` ' Owner Phone Numb FJ��""�� � L.!�l <br /> Qwner's Address -' �� l � �fC�.()FC.��.s� Q 4wmer Fhone Number �tD�"�`"t�'"fr-•�v.,,� 1 <br /> Fee Slmple Titleholder-Name Owner Phane Numlaer � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �r � ����1 '�Y'1 ''c.. 1'�'f�C' Z' �"�' �� .��J J��o�... LOT# [� ._ <br /> , <br /> suen�visioN un�i:��_I--��in..,� f 5' .' pa�ce�.iu# ��.-��,�-� .. ' ' � G ;--rj�. ` , %,';:'; �� . <br /> ; ,; <br /> (087A4NED FR4M PROPERTY TAX N07ICEj , � <br /> ,: <br /> WORK PROPOSED � e NEW CONSTR� ADD/ALT � SIGN Q C] DEMOLISH �� � <br /> INSTALL REPAIR <br /> Pi�OPQSED USE _� � SFR [� COMM �� OTHER <br /> TYPE QF CONSTRUC710N . �R BLOCK , Q FRAME � STEEI. Q <br /> DESCRIPTION OF WORK ��,... OCCC�G /^/l�P/l�'S <br /> BUILDING SIZE � � SQ FOOTAGE J � HEIGH7 ��� O �� <br /> QBU1LDiNG $ � �, � �� VALUATION AqF.TOTAL CONSTRUC710N <br /> [�ELECTRtCAL $ � Q �a AMP 5ERVICE �ZQ G7 '?� PRQGRESS EN,� C] W.R.E.C. <br /> [�Pi.UMB1NG $ ��� ✓��f r� � <br /> � � ����� /���� <br /> i [�MECHANlCAL $ VACUATION OF MECHAN{CAC INSTALLATION �.-/ " / <br /> � �� � 6�" _ lGf�'�� <br /> � � �� �� <br /> � QGAS Q F200FING Q SPECIAl,TY Q OTHER �`� <br /> FINISHED FLOOR ELEVATIONS ��----�� FLOOD ZONE AREA QYES Na +��,X�� �n . <br /> („� �}}t <br /> BUILDER � - "� _ -- + . ��MPANY "� �al/U � �yLf"�, /UC- <br /> / <br /> � SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> �+2 Address l d�(j� .�:.�v�.��'d�a'.k �i Ltcense# C/S''� �Z-.S-.s'(�'iS` r' I <br /> ' i`L L�LEGTRtCtAN / C���� �ry��� -, `}C`OMPANY ' <br /> _ <br /> �N SIGNATURE \/� ��'`��h��7 Y'�C�''�'�'1�� REGISTERED Y/ N FEE CUf'tltEl� Y/N <br /> � �/ „ „-.,,. ..,, <br /> t <br /> Address Llcense# <br /> fi�i3-�Ba- o � <br /> �}' <br /> PLUMBER ����,��G���� COMPANY <br /> SIGNA7URE � REGISTERED Y/ N FEE CURRED Y/N ' <br /> Address License# <br /> � M�CHAIdlC { <br /> A1 � � ��J �''��,�y�, �COMpANY <br /> SIGNATURE( ry�����:����IL-G� REGI37ERED Y/ N FEE CURRE�- Y/N, <br /> Address License# �— � <br /> OTHER COMPARtY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# � —� <br /> RESIO�AlTIAL Attach(2)Plo�Plans;{2}sets af Bui1iltng°Aians;{4}set of�nergy�Forms;R-O-W Petrnit for new construcf3on, <br /> Minimum ten(10)working`days after.submittal date: Required onslte,Canstructian Plans,Storrnwater Plans w/Silt Fence installed, <br /> SanPtaryr Facilities��1.durnps4er,Site`Work�Permit for subdivistons(Iarge projecEs � <br /> COMMERCIAI. Attach{3)complete sets of Build'mg Ptans ptus a Life Safe#y Page;{1)set of Energy Fortns.R-O-W Perrnit for new construction. <br /> Minimum ten(10)woricing days after submlthal date. Requlred onsite,Constructian Plans,Stormwater Plans w/5ilt Fence installed, <br /> Sanftary FacitiNes&'t dumpsier.Site Work Pem�tt far ati new proJects.Ali commeraai ret}ulrements must meet compllance <br /> S1GN FERMI7 Attacti(2)sets af Engineered Flans.-. � <br /> """PROPERTY SIIRVEY required for all NEW constructlon. <br /> Dlrections: <br /> Fill out applicadon completely. <br /> Owner&Contractar s(gn baak af appl(catlon,notatized <br /> If avar 52500,a Notice of Commencement is required. (A/C upgrades over�7500) <br /> " Agant(far the cont'ractor)o�Power-of Attomey(for the awner)wauld•ba someone with notarized letter trom owner authorizing same <br /> . ?. - - ,. ... . . .�_ . _ <br /> DVER THE COUNTER PERMI'i'TING :,(Fimnt of AppNcation Oniy),� � $ � �. , „ . <br /> Reroofs if shingles Sewers Service Upgrades;A/C� Fences,(PIaUSurvey/Footage) - � ; ';.?�-;�: � - <br /> Driveways-Not aver Counter if on public roadways::needs ROW���•--•��•��K•� � ., � � , <br /> ` � <br />