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s��-7saao2o City of Zephyrh�ils Permit Applicatian Fax 813-780-4021 <br /> Buitding Department <br /> . <br /> Date Reeelved Ahane Cantect'far Permittin — <br />`� Owner's Name �f�k 12G7L- �-D.3l,Glf�a�✓1 C.�. Owner Phone Number �'��''i � ��` �ZQ Z <br /> I 2 <br /> OwnePs Address 5'SZ-Z Crif LL- i�l U�. ��'(� hIFPGLS 3�'S�wner•Phone Number <br /> Fee Simpis�Itlehold�r Name � � dwner Phone Number ��� ,�, � <br /> Fee Simple Tttieholder Addrsss � <br /> .�oe ana��ss 5`�5'��Z G.�LL i�L U D, ��"f'�Y2 H6 c.�S r f c_ .�3��.2 �oT# l�..._—I <br /> SUBDIVISION � �� PARCEL ID# � <br /> ' (OB7AINED FROM PROPERTYTAXNOTICE) <br /> WORK PROPQSED � NEw GONSTR ADD/ALT [„] SIGN t� Q DEMOLISH • <br /> � e INSTALL 8• REPAli2 <br /> PROPUSED USE Q SFR [� GOMM Q OTHER <br /> TYPE OF CONBTRUCTFON [� B�QCK ' Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK i��P� SICr�'-1 <br /> BUILDING SIZE �� � SQ FOOTAGE�_�� HEIGHT [�� <br /> QBUILDiidG �� VALUATIOIV`OF TOTAL CONSl'RUC710N <br /> QELECTRIGAI �� AMP SERVICE Q PRt}GRESS ENERGY [� W.R.E.C. <br /> C]PLUMSING $ -^') <br /> ] ��� `,,,% <br /> QMECHANICAL $ VALUA710N OF MECHANICA�INS'FALLATtON <br /> ��- <br /> QGAS [� RQOFING CJ SPECIALTY �,] OTNER � ��(1 v <br /> FWISHED FLOOR ELEVATIONS �� F�OOD ZONE AREA QYES NO <br /> BUiLDER COMPANY <br /> SIGNATURE �--"'�� ���� REGiSTERED Y! N F�E CuttREt+ Y i N <br /> Address License# � � �� <br /> EE.ECTRlCIAN COMPANY <br /> SIGNATURE �' REGIS7EREQ Y J N FEE CtiRREA Y!N <br /> Addrass �License.# I � <br /> PLUMBER � CQMPANY <br /> SIGNAYURE REGISTERED Y/ N FEE CURREt� Y 1 N <br /> Address Ucense# � � <br /> MECHANlCAC CQMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREA Y!N <br /> Address I.icense# I r�� <br /> OTHER GQMPANY <br /> SIC3NATURE REGISTERED Y/ N F�e CURRen Y:/N <br /> Acldress �Icense# � � <br /> RESIDENI'IAC Attach(2)PIot.Plans;.(2)sets.of�Bui!'ding�Plans;(1)set of Energy�Forms;R-0-W.Pemiit for"new,construetion, _ <br /> Mtnimum�.ten..(1.0),working;days:after subinittal da#e.�.Requ�red onslte,Construcdon�Plans;=SMrtnwater Plans w/Silt Fence installed, <br /> Sanitary Faclli�es�&Yi,dumpster�Site>Work:,Rermit for sutidivisionsnarge pmjects ` ' <br /> COMMERCIAL. Attach(3)ceri►plete se'ks of Bullilirig Plans plus a l.ife Satety Page;(1}set of Energy Farms.ft-O W Permit far new consbvctfon. <br /> - Minimum ten(10)working days'after submittal date. Requlred onsite,Constructlan Plans,Stormwater Plans w/811t Fence installed, <br /> Santtary Facilities&1 dumpster.Site Work Permit for all'neur'prdjects.All commercial requirements must meet compitance <br /> SlGM pERMIT Attacti'{2)`sef"s of Engineered Plans. :�-� - � <br /> ""PROPERTY SURt/EY required forall NEW cansWction. <br /> Dire�tlons: <br /> FAI out applicatlon completely. <br /> Owner 8 Conttactor sign back of applica#ion,notarized <br /> !f over�25Q0,a Natice of Commencemeot ia required. {RtC upgrades over 57500) <br /> " Agent(fot the contraator}or"Pbwer af Attomey(for the owner)wouid be someone with notarized tetter from awne�autharizing same <br /> OVER THE CQUNTER PERMITTING- {Front of AppiIcatton Only} <br /> Reroofs if shingles Sewers Servlce Upgrades AfC Fences{PloUSurveylFootage) <br /> driveways-No#aver Counter if on pubific roadways..needs Rt)W <br />