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s��-�sa-aa2a City of Zephyrhiils Permit Appiication Fax 813-784-0029 <br /> B�ilding Department <br /> f � <br /> Date Reaelved Phone Contact for P�rmtttin <br /> Owner's Nams ,�.� Ownsr Phone Number ���` d'd 7' (�� � <br /> Owner's Address l.J e Owner Phone Number <br /> Fee Slmple Titlehotder Name �— � Owner PhoRe Number �— <br /> Fee Simpte TitEefiotder Address <br /> J4B ADDRESS OCp f7'��- 1.QT# [_� <br /> SUBDIVI510N �� � PARCEL ID# <br /> (OBTAINED FROM PRQPERTY TAX NOTICE) <br /> WQRK PROPOSED , � NEW CONSTR 8 ADDJALT � S1GN Q Q DEMOLISH <br /> INSTAL�. i2EPA1R <br /> P320POSEd USE Q SFR Q COMM �,,,� OTHEi2 <br /> TYPE OF COPtSTRllCTtON C] B�OGK [� FRAME � STEEL [� <br /> DESCRIPTION OF WOREC W ��-- L� t N �� �"��e �- �� <br /> BUILDING SIZE � �� SQ FOOTAGE HEIGHT ��� <br /> OBU�����G � �, �s�� v c� VALUATION OF TOTAL CONSTFtUCTION <br /> QELECTRtCAL �9i _-_-� AMP SERViCE Q PROGRESS ENEI2GY Q W.R.E.C. <br /> L <br /> QPLUMBlNG {$ ..i� / ��� G ���'" <br /> � � �� �� <br /> QMECHRNtCA� $ VAlUATION OF MECHANtCAl INSTALI.ATION <br /> � � �G;�i��� <br /> CJGAS Q R4QFING [� SPECIAl.TY � OTNER � b/ <br /> FINtSHED FI,OdR E�EVATIQNS FLOOD ZONE AREA QYES NO � � � <br /> �'" <br /> -----�— <br /> BUILDER COMPANY hlGt.rJ �CC '-���� <br /> SIGNATURE REGISTERED Y 1 N EE CURRHA Y/N <br /> � c �f� <br /> Address � l Ld O �� � �� C� C:� License# �— � <br /> ELECTRICIAN �� COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRET Y/N <br /> Address License# � � <br /> PLUMBER � � COMPANY <br /> SIGNATURE � REGtSTERED Y J N F6E CURRER Y J N <br /> Address License# �— � <br /> MECHANtCAL COMPAIVY <br /> SIGNATURE REGISTERED Y I N FEE GURREt� Y J(d <br /> Address License# �� � <br /> OTHEI2 COMPANY <br /> SIGNATURE REGISTERED Y! N FEE GURREt� Y 1�1 <br /> Address ' License# � � <br /> RESIDEMTIAL Attach{2}Plot Plans;(2)sets of Building Pfans;{'!)set of Energy Forms;R•O-W Permit for new canstruction, <br /> Minimum ten(10)woticing days after submtttal date. Requtred ans(te,Gonstruction Plans,Stormwater Plans w!Sllt Fence instaNed, <br /> Sanitary Faci�ides&1 dumpster,Site Wo�lc Permit for subdivisionsAarge projects <br /> GOMMERCtA� AtNach{3)campEste sets of Building Ptans plus a life Safefy Page;(1}set of Energy Forms.R-O-W Permit for new construction. <br /> _ Mtn(mum ten(10)working days after subm(ttal date. Requ�red onsite,Constructlon Plans,Stormwater Plans w!Sitt Fence instalted, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new projects.All commercial requi�ements must meet comp8ance <br /> SIGN PERMfT Attach{2}sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for al!NEW constrvc8on. <br /> dtrectians: <br /> Fi!!aut application completely. <br /> Owner&Contractor sign back of applicatlon,notari�ed <br /> tf ovar�25d0,a Nottce of Commencement is required. (A/C upgrades over 57500) <br /> '* Agent(for the contractor)or Power of Aktomey(for tfie awner)would be someone with notarized Ietter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Appiication Only) _ , • ry- �� <br /> Reroofs{f shingies Sewers Service.Upgrades AtC' Fertces(FlotlSurveylFootage} , , <br /> Driveways-Not over Counter ff on public roadways..needs ROW � <br />