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a1�-7aaoo2o City of Zephyrhiiis Permit Appiication Fax 813-784-4021 <br /> Building Department - <br /> J . � <br /> Date Recalved Phane-Contact for Permittin t��'J 9�`�O�� � <br /> Owner's Name �'��`e k �" '�'��`-�'e- �� Owner Phone Number �j�'��9`' v��J <br /> Owner'�Address S�� � j � �'�. Ze ti.1'��3 !�'�� Owner Phone Number � � <br /> Fse Slmple Tltieholder Name �� � Owne�Phone Number �—� -..� <br /> Fee Slmple Tftieholder Address a <br /> JOB ADDRESS S- o�� l J � r5 . ��' �J /2J_?,�' /S �( . �OT# �� / <br /> SUBDIVISION �— � PARCEL ID# j� ��"' a' � �'�!O p��,l.}d �3d)� <br /> (OBTAINED FRdM PROPERTY TAX NOTICEf <br /> WORK PROPOSED �NEW CONSTR ADp/ALT �' S1GN Q Q DEMOLISH <br /> ' e INSTA�L � REPAlR <br /> PROPOSED.USE _ Q SFR Q CQMM � C�.T#iER <br /> TYPE OF CON8TRUCTlQN , Q BLOCK � Q FRA - STEE� I <br /> DESCRIPTION OF WORK �@'�I d V l.°. �cYa�S' - oEd - !n-c� a2C.'��I �+ � "'�"``-�' l'?.J'!G7U! <br /> BUII.DING SIZE � � SQ FOOTAGE C� WEIGHT �,_-'� <br /> QSUlLDING $ � -���_� ,^x=-_ <br /> VALUATION OF TOTAI.CQNS7RUCTION <br /> QEt�ECTRiGAt. �6 _� AMP SERVICE � P120GRESS ENERGY C] W.R.E.C. <br /> �PLUMBJNG $ j' �•' � <br /> � �J <br /> [�MECHANICAL ($ — �, VALUATlON OF{1t1ECHAN{CAI.INSTAI.LATiON l ?� t � <br /> � �� c <br /> QGAS Q ROOFWG. Q SP�ClALTY �� OTH�R <br /> FIMSHED FLOOR E�EVAI"IONS ,.i� FLOQD ZONE AREA QYES NO <br /> Sl3il.DER COMP�WY <br /> SIGNATURE REC�tSTEREO Y t N F'6E GURRER .Y I N . <br /> Address L"icense# r� �� <br /> ElEC7'E21CtRM ry COMPANY <br /> SIGNATURE �GIs7EttEp Y! N FEE CllRi2ER Y f N <br /> Address License# � � <br /> PIUMBER � ' �>„,/J' � „�,,,C��t� CdMPANY ��`e d'�-�'��lt- <br /> SIGNATURE � 4i? �� ��d �• REGISTEREp Y/ N PEE Ct1RREM1 Y/(V <br /> Address license# � � <br /> !llECMAl�!lCAL COMPANY <br /> SIGNATURE RE��S7�r�D Y�! N FEE cu�teE Y L N � � <br /> Address License# � �� I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N , FEE CURRER Y/N. <br /> Address ' L'icense# � �� <br /> RESIQENTIAL: Attach(2).Plot P.lans;-{2)set&of Building`�Pians;(1}set of Eriergy�Forms;R-O-W Perrriit foi new„constntction, <br /> .Minimum�,ten°(1,0):woricing�day"s after..submittal date. Requfred onsite,Construadon Plans;�Storinwater`Plans w/Silk Fence lnstalled, <br /> � Sanitary Facitittes&�1.,dumpste,r,.8ite Work;Rermit far su6diW'sfon§flarge projects . • � <br /> COMMERClAL Attach{3)corriplete sets of Builiflrig�Plans plus a Life Safety Page;(1}set of Ertergy Fortns.RA W Patmit fo�new cansWctian. <br /> Minimum ten(10)warking days after submfttal date. Requlred onsite,ConstrucHon Plans,Stormwater Plans w!SAt Fence fnsta4led, <br /> Sanitary FaclliHes&1 dumpster.Site Work Permit far all new projects.AI�commercial.requirements must meet compilance <br /> SlGN PERMlT Attacti(2)�sets af EngEiieer.ed Plans.i,:, ,� _ - <br /> `""PROPERTY SUR1/EY required for all NEW construatlon. <br /> Dlreations: <br /> Fill out applicatlon campletely. <br /> Owner&Contractor sign back of applicadon,natadzed <br /> If over y2540,a Motice.af Commsncement is requlred. (A!C upgrades over 5T500} <br /> " Agent(for ttie contraetor)or Fav+ier 6fAttamey(for the awner}wauld be someone with notarized lefter from owner authorizing same <br /> CiVER 7HE COUNTER.PERMlTT1FlG (Front of Application Oniy} <br /> Reroofs if shingles Sewers Service Upgrades A!G Fences(PfatlSurveylFootage} <br /> Drivewaya-Not avar Caunter if an pubiic roadways..needs ROW <br />