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813-780-0020 City of Zephyrhifls Permlt App#ication Fax 813-78Q-OQ21 <br /> Buiiding Departrnent <br /> _ , <br /> Date RecF;lved Fhone Contaat far Parmlitln <br /> Owner's Name �-e'.�.�-s.� � Owner Rhane Mumber <br /> Owner's Addreas � �� t � f���'�` !��'�'`�'- tlwner•Phane Number �� � <br /> Fea Simpla Titleholder Name �- � � Qwner Phane Number � � <br /> � <br /> Fse Simple Titleholder Addre�s ' <br /> JOB ApDRESS <�–e LUT# �__�_�� <br /> SUBDiViStOPt �'�"� y� PARCEL.ID# - <br /> (OBTAiNED FROM PROPERTY tAX NOTICE) <br /> WORK PROPt}SED • NEW CONSTR ADDIA�T � S1GN Q Q DEMOLISH - <br /> INSTALL 8, REPAtR <br /> PROPOSED-USE [� SFR [� COiVIM [,� OThiER <br /> TYPE OF COPISTRUCTION Q BLOCK ' Q FRAME [� STEEt. [� <br /> DE3CRIP'T10N OF WORK ��� <br /> BUtLdtNG S12E �� �� SQ FQOTAGE�� HEIGHT �,�,� <br /> � � <br /> QBUILQtNG � VAlUAT101V`i7F 1'fJl'AL CONSTRUCTION <br /> QELEGTRICAL �S� AMP SERVICE Q PRqGF2ESS ENERGY Q W.R.E.C. <br /> QPLUMBING ($��� ,ti j <br /> �.� � /% " !/' <br /> [�IVIECHANICAL $ !rp`�� VAWATION OF MECNANICAL INSTALLATION ��� <br /> .' <br /> QGAB Q ROOFING Q SPECIALTY Q OTHER � '� <br /> FINISHED FLOOR ELEVATIONS FLOOQ ZONE AREA [�YES NO t/! !/ <br /> { <br /> � <br /> BUlLDER COMPANY <br /> SIGNATURE RE6ISTERED Y t N FEE GURREt� Y i N <br /> Address Llcense# �—^�—�� <br /> ELECTRIClAN COMPANY <br /> SIGNATURE �' REG157ERED Y/ N FEE CURREi� Y/N <br /> ! Address �Ltcense# [ � <br /> � PLUMBER � COMPANY <br /> SIGNAYURE REGl57ERED Y/ N ��cuttt�� Y!N <br /> Address License# � ��� <br /> MECHANICAL � � COMPANY � �� <br /> S1t3NATURE ��' `�J REGISTERED Y,/ N FEE CUltRE� N <br /> Address ���2-� fL.�'��'� License# .G�'� lg� '�J��� <br /> 07HER COMPANY <br /> SIGNATURE REGISTERED Y/ N F.EE CURRE� Y:/N <br /> I Address �icense#�� � <br /> � ;, .. � <br /> RESIDENI'IAt Attach(2):.P.lot`Plans;(2)sets.of�BWlding Plans;{1)set of Energy°Fotms;,R 0=W Perriilt for r�sw,construa4ion, <br /> Minimum:#en.(10);working•;days:after,submlttal date.�Requlred onsite,Constivcdon plans;Stormwater'pians w/Silt F.ence installed, <br /> Sanitary Factitt3es�8�-1,dumpste,r,:S{te.Work:=.Perrnit for sutidivislonsflarge projects� ' <br /> - CCiMMER'�IAi. Aitach(3)complete sets of Bullding Plans plus a Ufe Safety Page;(1}se!of Energy Fotms.i�-O W Pemtft far new canstructfan. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Fac�titi�s&1 dumpster.Site Wark Permit for al{new.project3s.Ail cammercial requirements must meet compllance <br /> SIGNPERMIT Attach`{2)"'setsot�ngineered:Plans._..;� ~� <br /> """PROPERTY SURVEY reyuired furall NEW canstrucUan. <br /> Directlons: <br /> Fill out appiicaUon completely, <br /> Owner 8 Conhactor sign back of applicatlon,notarized <br /> If over�2540,a Notlas of Cammencement ts requfrad. {AtC apgrades over�750d} <br /> " Agent{for the contractor)or"Pouirer of Attosney{for the owner)wauid be someone with nofar�zed letter iram oumer authorizing same <br /> � DVER THE GOUNTER PERMfT71NG . {Pront af Appilcation Only) <br /> Reroofs if shtngles Sewers Service Upgrades A/C Fences{PIoUSurvey/Footage� <br /> Drfveways-Not aver Counter if on pubitc roadways..needs Rt}W <br />