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813-�eo-oo2o City of Zephyrhilis Permit Application Fax-813asaoo7� <br /> Building department - <br /> - Date Reaeived ��1 Phane Contac#for PermitEln �Z - C'�3 t� • <br /> Owner'a Name � d � � Z Owner Phone Number <br /> Owner's Address l.� l� �Z.. �(' 't ' Owner Phone Number ;�J�. �c � �� <br /> Fee Simple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS S � I �.. �l LOT# �_�� <br /> $UBDIVISION � � PARCEL ID# <br /> (QBTAINEP FRdM PROPERTY TAX NOTICE) <br /> 11VORK PROPOSED tVEW CONSTR ADD/ALT � S1GN• Q Q DEMOLISH <br /> � INSTALL REPAIR <br /> PROFOSEd USE Q SFR � COMM � OTHER <br /> TYPE QF CONSTRUCTION Q BLOCK � [� FRAME [�] STEEL CJ <br /> DESCRIPTION OF WORK �,QJ l� G � G C/uu�' <br /> BUILDING SiZE SQ FOOTAGE C��, HEIGHT [�� <br /> OB���'�,�G $ �� ,�� VALUATION OF TOTAL CONSTRUCTION _ <br /> �1 <br /> QEIECTRICA�. ��� AMP SERViCE Q PRQGRESB ENEi2GY [� W.R.E.C. <br /> QPLUMBING � � �fl�I,� <br /> ��� <br /> OMECHANICAI. $ VA�UATION OF(uIECHANICAt.l(VSTAI.LATION j(��� <br /> ���� <br /> QGAS � ROOFING Q SPECIA�TY � OTHER <br /> FINISHED FLOOR ELEVATIONS FL.00D ZONE AREA QYES NO <br /> ' /. <br /> BUILDER i COMpANY ' OLC���-. <br /> SIGNATURE � 1 � REGISTERED Y/ N FEE CURRE� Y/N <br /> ' Address L`tcense# � � <br /> EtECTRtClAN ., CaMPANY <br /> SIGNATURE REGI87ERED Y/ N FEE CURRE� Y/N <br /> Address License# �' � <br /> PlUMBER COMPANY <br /> SIGNATl1RE REGIS7ERED' Y/ N FEE CURRE� Y/N <br /> � Address License# C � � <br /> MECHANICAL. COMPANY <br /> ' SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER COMPANY <br /> , SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> I, Address License# � � <br /> E2ES1DENi'IAI: �Attach{2}.Ploti Pla�s;{2)sets of:Butldlog'Plans;{1}set of Eriergy�Form§;Ft-O-W Permit for new c�nstruction, <br /> , Minimum.ten_(10j working days after submittal date: Required onsite,Construction Plans;Stortnwater Plans w/Sflt Fence installed, <br /> Sanitary FaciliUes&1:,dumpster;;Site Work•Pens�itfor subdivislons!large proJacts <br /> COMMERClA3. Attach{3}•camplete sefs of 8ultding P1ans plus a l.ife Safe#y Page;(1)set o#Energy Forms.R O-W Permtt far new const�uction. <br /> Minimum ten(10)waricing days'after submittal date. Required onsite,Canstructlan Plans,Stormwater Plans w/Silt Fence installed, <br /> SanlNary FaciliUes&1 dumpster.Site Work Permit far all new projecis.Ail cammerciai requirements must meei comp!lance <br /> StGN PERMIT Attach'{2)sets of Erigineered Ptans.:. - <br /> "`"PROPERTY SURVEY required for all NEW constructlan. . <br /> � Dlrectlons: <br /> ; Fqi out applicaHon completely. <br /> Owner&Contractor s{gn baok of appitcatton,notarized <br /> if over 52500,a Notice of Comrnencement ts required. (A!C upgrades over�7500) . . _.. .�. _.. .: .�., . .. -.. .: , <br /> '" Agent(for the contraotor)or Power of Attamey_(for the owner�.would.be someone with notarized letter from owner autharizing s'ame , <br /> OVER THE CQUNTER PERMIT'i'(NG (Front of AppiicaUon;Only) '„` -' � , ' ` , <br /> ' Reroofs If shingles Sewers Service Upgrades.NG '' Fences(,P,IodSurvey/Footage) ' - „ . � . ` - " � . . <br /> � { • � . , _... r-. , .. a... <br /> driveways-Not over Counter if on pubiic�roadways�.�eeds:R01lV,,..,,,..,.wr� ,,: t <br />