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a1s-�aaoo2o City of ZephyrhiNs Permit Application Fax 813-7aaoa2� <br /> Building Dspartment <br /> Date Recelved phone Contact for PermittEn <br /> Owner's Name I l�� � l� dwner Phone Number � 3 ��� <br /> Owner's Addrass �Z� J ��� �. � Ownar•Phone Number � � <br /> Fee Slmple 7ltlaholcler Nams � � Owner Phone Number � � <br /> .�-- <br /> Fee 8fmpte Titlehalder Atldress ' <br /> J08 ADDRES3 ��Z�. LOT# C.__� , <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTA�NED FRdM PROPER7Y TAX NOTIC� <br /> WORK PROPdSSp � NEW COt�STR ADD/ACT �� S1GN [� Q DEMOLISH � <br /> � e lNSTAIL 81 REPAlR <br /> PROPOSED USE [� SFR � CdMM �� C?TFiEi2 �- <br /> , TYPE OF CONBTRUC'CION Q B�OCK " Q PRAME � STEEI Q <br /> DEBCRIPTION OF WdRK N�'"J �"�`'� �- �� � <br /> BUtLDtNG 812E �� � SQ FOOTAGE C_� HEIGHT �� � <br /> ' D������NC' �� VALUATION`.OF TOl'AL CONSI'RIJCTION <br /> J <br /> QE�ECTRICAi. $ �� _� AMP SERItlCE [� PROGRESS ENEF2GY Q W.R.E.C. <br /> I QPLUMBlNG ��_ � �`.�� <br /> I _ � , <br /> ' <br /> [�MECHANICAL $ ��p� � VAI.UATION OP MECMANICAL lNSTRLLATlQf�f <br /> [�GAS [� ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS r�� FLQOD ZONE AREA QYES NQ <br /> L <br /> BUtL�ER CUMpANY <br /> SIGNATURE R��iS'r�ttEa Y! N �e Cu�aEn Y 1 N <br /> , Address License# [ � <br /> I' ELECTRICIAN COMPAI�IY <br /> SIGNATURE ��y RE�iSTERED Y J N FEE CURRER Y 1 N <br /> Addres� �License# � �� <br /> PLUMBER � COMI?ANY <br /> SIGNATURE REGlSTERED Y/ N FEE CURRE� Y t N• <br /> Addr$+ss Ucense# �� � <br /> � MECHANICAL .���'� ��y,� COMPANY <br /> I SIGNATURE REGISTEREO Y.J N FEE CURREA Y/�N . <br /> Address .J"��o��� �c+ SS t lc � �l h ��jS License# I ��t L�. t g' t �J7 c�S� � <br /> OTHER GOMPANY <br /> SIGNATl1RE � REGIS7ERED Y/ N FEE CURRE� Y�•N <br /> l�ddress Ucense# � �� <br /> RESIDENTIAL Attach(2a:P.loE`P,lans;.(2�sefs:of�Bullding�Pians;'(1)sat of Eneigy�Form's;R q-W Pertti,ftfor,neinr.,r,onstruCtion, <br /> Minimum:ten-(1,0);working;days:after�submlttal�date:+.Requlred onstte,ConstrucUon=Plans;Starmwa4er``Plans w/Slit Fence installed, <br /> Sanitary Fadllti,es:&-�1,dumpster,Site=,Work'.�Parmitfor.safididistbns�arge projects � „ � � <br /> COMMERCIAL. Attach(3)complete sats of Buililing'Plans plus a�L.[fe Safety Page;(1}set of Energy Forsns.F2-Q W Permlt for new construction. <br /> Mlnimum ten(10)working days after submlttal date. Requtred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> � Santtary Facilities&1 dumpster.Site WorOc Pertnit for ali`new projects.All commercial requirements must meet campflance <br /> SIGN PERMIT Aktacti'{2)'sets of Engirtesred:Rlansc;� �~. - <br /> ""PROPERTY SUR1/EY reguired,for.all NEW constructlan. <br /> Direotions: � <br /> Fill out epplication completely, - <br /> Owner&ContracMr sign back of appltcaUon,notarized , <br /> If over�22500,s Natice oE Cammencement ta requlred. _{AIC upgrades aver�'_754d) - - -- , ' ` � <br /> �, . . : ._: : <br /> " Agent(for the contractor}or Power of Attainey(tcr the owner)wautd be someone+xith nota�ized tetter from awner authorizing�same, , " <br /> OYER THE COUNTER PERMI'fTiNG , {Front ot Application Only,} � _� ` - <br /> Reroofs if shtngles Sewers - �� Service Upgrades A/C Fence's(Plot/SurveylFootage} � . - . , <br /> Driveways-Not ouer Counter if on publEc roadways..needs ROW � -�' - � � ' ' <br /> � ,>,.-,. -- ... <br /> : _ , _. <br />