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' 813-780-0020 City of Zephyrhilfs Permit Application Fax-813-780- 1 <br /> � o <br /> ��}' : Building Department �o�r'1. <br /> . <br /> �Date Received Phone Contact for Per,nitti��g -- <br /> � c <br /> ;r's Name �' ` a � � ` (,.,�'�c9.a°�' y Owner Phone Number �� � � <br /> Owner's Address �Q(o.� � � ,���� ?J 3� Owner Phone PJumber � � <br /> Fee Simple Titleholder Name Owner Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (ll� t l��'�. � � LOT# � <br /> ,,,n:.rr,.....,N,.,...�,i.�,.��. .,.,. � � <br /> St!BdIViSiON PAf2CEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW Gt}NSTR [� ADDIA�.T Q BIGN Q N1t7VE � dEMOLiSH <br /> INSTALL � REPAIR <br /> PR4POSED USE � SFR � CC3M3V1 d 4THER �.-fL <br /> , TYPE OF CONSTRUCTION � B�OCK Q FRAME � STEEL 0 OTHER �� -� �=��—� �. <br /> . �� <br /> DESCF{IPTION OF WORK N c� .�G 6'12� l� > d:1 f� l� . `� �`;�, <br /> ,� <br /> BUILDING SIZE �� SQ FOOTAGE � � HEtGHT �� � <br /> ���� � s �• u� �% � �. <br /> V� BUILDiNG $ J �r-/ � VALUATION OF TOTAL CONSTRUCTfON <br /> ����� d � <br /> 0 ELECTRICAL � � AMP SERVlCE � P�OGRESS ENEEZGY Q W.R.E.G.,%,� <br /> � � PLUM[31NG � � � � , r� <br /> , �� � �[ <br /> � MECHANICAL $ � =,�"' ' VALUATION 4F NlECNANICAL INSTALLATION / � <br /> ; - <br /> Q GAS �^ ROOFING �� ' SPEGlAI'.Tl' ',� OTHER <br /> FINlSHED FLOOR ELEVATIONS � Fl.00D ZONE AREA �YES �NO <br /> AF VR"�9BIi4BBg�in�Vfl�NNWHlII� V.GQal9 hNIIpiVVIInVBIIVIIN��n�oluptlpGVVBANWI�N'uNBII��VVVIy�V�bLNN0110R�VMIIYtlIBL�J�911NBIIV011VBIWl�IIIl011flVMI���GVA96p�@W@9NOp��VIIIIIlO�ONV9II01I�I1GI�N9W119V4VAlllll�l�llldllnlin��ll�ll � � � � pp�p�II�IImI0V2�60V��G9GP118B�p0p�ppy�ppl�"p§Ij��p�I� <br /> BUILDER � COMPANY ��� V�a'.� ��,y°����;,,_,��� � <br /> SIGNATURE REGtSTERED ' / N FEE CURR NT Y N � <br /> Address ��R�) (;,�5 �� �� Ct �� 3�i��J License# ��, �'��'j�`�'Z,� <br /> ELECTRICIAN COIVIPANY <br /> SlGNATl1ftE REGtSTERED Y/ N FEE CURRENT Y/N � � - __ <br /> Address License# �� � <br /> PLUt1iiRER COMPANY <br /> SIGNATUR� ftEG{STER�D Y 1 N , �EE CURRENT' Y!N <br /> � � �Address License# �—� <br /> ^nECHANICAL COMPANY <br /> 3NATURE REGISTERED Y 1 N FEE GllRRENT Y J N <br /> Address _License# �� - �'.: � <br /> OTHER COMPANY <br /> S]Ui�4nH3U�'ic REGt�T�R�^ ;r! P! ��E GURF.ENT Y I N <br /> Address License# �— � <br /> �'p��'p�ryn���pp'����F,�B��mpig.�unuoomrmivminrmmno�mo;m�n i in �. u ,�"2 P ^ i n � I I i n� n n ���u�'�G��-���I���p�QmlOd��d9APh�'mllll'if�'IQGD�I� <br /> RESIDEhJTIAL Attach(2)Plot Plans;{2)sets of Building Plans;{1)set of tnergy Forms <br /> Minimum ten(14}working days a#te�submittal date. Required onsite,Construcfion Plans,Sanifary Fac'slifies&1 dumpsfer � <br /> COMMERCIAL Attach(3)sets of Building Plans,(1)set of Energy Forms. ` �';; I <br /> Minimum ten(10)work9ng days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster . <br /> AI!comrnercial requ'tr�ments must meet compliance. � � <br /> SIGPI PERMIT Attacl7(2)sets of Engineered Plans. , <br /> """'PROPERTY SURVEY required far al!NEW canstruction. <br /> "°Y� '�VNf�'Vt�B�'I�fi�GVVV9V9VV0VVtlVVV�9Yu�11IR�G011tlpIIrVWIVti�V6VdVI�V➢IVI6VV9VI�!I� ��VW��IV r � ' 'VCVWOIIIVIVIIW�IWIV�IVIVV�VVV'JNVNVV4V�@'J6'V�J19�VN0 OII�II�ODV"� " VllB�G�001�99V9W119➢CV960➢6�Cui 6k��Va�VV�IN� <br /> rections: <br /> �i11 out application compSefeiy � <br /> Owner&Contractor sign back af application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 55000) - . <br /> "" Agent(for the contractor)or Power of Attorney(far the owner}would be someone with notarized letter#rom owner autharizing same , ' <br /> OVER THE COUNTER PERMITTlNG (Fronf of A��plication Only) ' <br /> Reroofs Sewers Service tlpgrades A1C Fences{PIotlSurveylFootage} <br /> Driveways-Not aver Gaunter if on public roadways.needs ROW ' <br />