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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> Building Department
<br /> Data Rec�ived Phone•Conta "for Permittfn �Z-� 2 Z'�'( ` �3 y�p
<br /> _ ,__----- — -- -=---=—=--- ---- - G-- ?
<br /> Owner's Name I�LD�(�A �}aS Q(T�L 2�H�t���LL-� Owner Phone Number O�)"' D?j" �O Z�
<br /> Owner's Address �YD�� �{V�E���t� j)2, S�'2ryj %i4�`p�l�nerPhone Number
<br /> ` SAME Ai owN� - - 37
<br /> Fee Simple Tltleholder Name Owner Phone Number
<br /> Fee Simple TitleholderAddress S�M'C � 0 w��t '
<br /> JOB ADDRESS l��O �^'�1��►�.- ��-'�Y - Zl�'I LLS �L 33 5'�t LOT�# �
<br /> SUBDIVISION � PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
<br /> ' INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM Q OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q
<br /> DESCRIPTION OF WORK �CM P C,v N S�YL,��CT 1�� d FF I C-E ! iv ' �L�S
<br /> BUILDING SIZE SQ FOOTAGE� HEIGHT .
<br /> Q BUILDING $ VALUATION`�OF TOTAL CONSTRUCTION
<br /> QELECTRICAL $ AMP SERVICE [� b�&A6RE�S.S ENERGY
<br /> R Q W.R.E.C..
<br /> �
<br /> QPLUMBING $
<br /> QMECHANICAL $ VALUATION OF MECHANICAI INSTALLATIOM r D��/v
<br /> �GAS Q ROOFING Q SPECIALTY Q OTHER �(J�� �
<br /> FINISHED FLOOR ELEVATIONS N A FLOOD ZONE AREA QYES. NO
<br /> BUILDER COMPANY bRASF(ELDd-G��2�L
<br /> SIGNATURE REGISTERED Y N FEE CURRE� N
<br /> Add�ess qK( � M�s� 3�va 4�l�HTQ2 �RRK rL 3 `L� l:icense# �C (, 'rJvS���
<br /> � , _ - �G oda��g� /� PC-� ���2,t
<br /> ELECTRICIAN �„�� � COMPANY
<br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N
<br /> Address �License# �C ���� �
<br /> PLUMBER COkIPANY � L���'�r�_ C�p�'l"2s`�'�o���1;�5 �,',
<br /> SIGNATURE � � � REGISTERED / N FEE CURRE� Y/N
<br /> Address License#
<br /> MECHANICAL n( (� " COMPANY
<br /> SIGNATURE REGISTERED Y./ N FEE CURREA Y/-N'
<br /> Address License#
<br /> OTHER �S/� COMPANY
<br /> SIGNATURE � REGISTERED Y/ N F.EE CURRE� Y./N
<br /> Addreu License#
<br /> RESIDENTIAL Attach(2)..PIot:Plans;:(2)sets=of�8uilding`Plans;(1)sef of Energy�Fortns;_R-0=W Permlt:for new,construction,
<br /> Mlnimum ten::(:10);working days:after's�ibmittal date. .Required onsite,Construction'Plans�Stortnwa4er Plans w/Silt Fence installed,
<br /> Sanitary Facilldes:&rl,dumpste,r.,.Slte Work�Pertnit for"sutidiqi'slons/large proJects. ��-� ' � -
<br /> COMMERCIAL Attach(3)�completo se4s'of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construcdon Plans,Stormwater Plans w/SilYFence installed,
<br /> Sanihary Facilitles&1 dumpster:Site Work Permit for.,all new projects.All commercial.requl�ments must meet compllance
<br /> SIGN PERMIT Attach"(2)`sets of Engineered;Plans.;.,. ;�� -
<br /> ""PROPERTY SURVIEY.reguired,for:all.NEW.construcUon. � _
<br /> Directlons:
<br /> FIII aut application completely.
<br /> Owner&Contractor sign back of applicaUon,notarized
<br /> If over E2500,a Notic�of Commencement ta required. (A/C upgrades over 57500)
<br /> .� �.
<br /> '" Agent(for the contra�tor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> DVER.THE,COUNTfR;,PERMITTING:,�.;��,.(Front of Application Only)
<br /> Reroofs if shingles; �_Sewers;.��, $ervice Upgredes A/C Fences(PlodSurvey/Footage)
<br /> " . . �x. - ,
<br /> Driveways=Not over�Counter if on.putilic roailways..needs ROW _ _ ._.__:,___ - -, _ .. ,_ .
<br /> ; U `.�`,�. ,. ... .._V , . ��,,,,{: ... , ;.'�, _ ., :,i , ..' .
<br /> ' . , ., • : ,.
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