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813-780-0020 City af Zephyrhilis Permit Application Fax-813-780-p021 ,
<br /> „ Building Depatfiment
<br /> Date Recetved phane�CantacEforPermtttln ��..7 � ' —��
<br /> j [[ / /�
<br /> Owner's Name 1 "Z—Gl. �'T G.—�l� Ow»er Phane Number � � � —1� 7�
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<br /> Owner's Address V �C`y�{, ��_-` ` Owner Phone Number
<br /> Fee Simple Tltleholder.Name Owner Phane Number � �
<br /> Fee Simple Titleholder Address
<br /> J08 ADDRESS �� � �,D `9 LOT# C�
<br /> SUBDIVISIOPI � � ' PARCEi,ID# � —�,� �cX I^�C�`~���d� "��c�d
<br /> - , (OBTAIHED FRpM.PROPERTYTAX NOTICE)
<br /> W8R1C PROFt3SED • NEW CONSTR ADDIAI.T �'�� S1GN Q Q DEMOLt3H
<br /> INSTALL 8 REPAIR ��
<br /> PROPQSEDf.USE � Q SFR Q COMM Q OTHEi2
<br /> TYPE OF CONSTRUCTION � Q ` BLOCK �' ,[]' FRAME [,,,�]_ STEEL' C]
<br /> DESGt21PTION OF WORK � 1..��il.aM- � (��,1,.�^ 0. � cS S ,�
<br /> Btl1LDlNG SIZE � ' � 3Q�FOOTAGE � HEIGHT��C�^�
<br /> �BUlI.DING � � , �• . �;_ .-- -
<br /> � VALUATION.`O�"TO'fAL CONS'i'RUCTION � I
<br /> QElECi'RICAl. r r$ ' � AMP SERViCE Q PRC}GRE3S EI�{ERGY [� W.R.E.G.
<br /> �__._._.�
<br /> OPLUMBtNG � � '
<br /> �]MECHANICAL $ �r,,(� �' YALOATlON OF MECHIWICAI iNSTALLATli�iV ����
<br /> , �.�V ' � �
<br /> QGAS Q E200Fi(+{G ,Q SPECIA�'TY �-] OTHER
<br /> FINISHED FLOOR ELEVATIQNS r�� FLOOD ZQNE AREA QYE$. NO
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<br /> BUIl.DER COMPANY�
<br /> SIGNATURE REGI87ERED Y/ N FEE CURREA Y/N
<br /> Address ' Ltcense# � �
<br /> E�ECi'RICIAN= „ � ` ,=COMPAMt t�-- I� j C..
<br /> SIGNATURE "� � '�'� REGIS7ERED Y/ N FEE CURRE� ' 'Y/N
<br /> �: _ . � ,�-.. � - - - . '
<br /> Atfdr8s8 ,. LECBnSE# "�"�,�:7-�� /��� � �
<br /> PIUMBER , -.COMFANY _ �
<br /> SIGNATURE' , _Re��3.'I�REo Y:/,.N, FEECURRE�_ " Y�/N�
<br /> Address ' LEcRnse..# � � ��
<br /> MECHANICAi: . �OMPILNY,, �.�Y�� 1 C._;�� � t��fY.kt�}Cs�}1 J:?
<br /> SIGNATtJRE• ' �' ' ' �` ` r�cis7EREo , - , .Y./ N . _: ..' FEEcu�tEn_. Y-/�N = , ,
<br /> . . ., � -
<br /> '� �4- , , . , �. ''"'�
<br /> Address`'' -� `` ' = ' . ,- ` � _ ^ License# ����:�o�� I
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<br /> OTHER � ' - � � ",'.CONIFANY
<br /> SIGNATURE - {��- � � � � ' � REGISTERED Y/ N . �E cu�n Y 7 N
<br /> Address ., ` , �R . � � , . ' '. Cicense#��'� � -
<br /> RESlDENTlAI;; :Attach'2µPfot=.Rlaris;_2 sets;of;Bia1lilln`�Pla'r�"s;1)'setof.Ene = ' . .... , .
<br /> { } '{ ? -.�, g { rgy>Farms;'R-Q-W'Penciit for'new consWction, � .
<br /> r. ,,.;>;;,Minimumyteny(4,0)�woricing;days;after„submiCtal'date.F�:Required onsife,:Cafnstiu'c8on'Rians;Stormwater`Pians w/Siit Fence installed,
<br /> ' "�� Sanitary FaGlttles:&z;l;dumpster�Site WorFc Permit-for_su6d(visionsAarge,proJects, �_�.;, :` '
<br /> GQMM�RCIIA►R. Attach{S}�rgmptete sets"of B'ultdiiig Pians plus a E.[fe Safety Page;{1}set of Energy Forms.R-0 W Petrnit for new constructton.
<br /> Minimum ten(10)woricing days after submittal date. Requlred onsite,Canstruction Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary FeciliHes&1 dumpster.Slte Work Permlt for all new,�proJacts:All commercial requirements.must meet compllance
<br /> . _
<br /> SIGN PERMIT Attach"{2j"sets of Eiigtijeer,ed:Plans:, � :.�-ti� • - `
<br /> ••"PROPERTY SURVEY raquired for aI1,NEW.canstrucUon. __ �
<br /> Dirac#Eons: � . . .
<br /> Ffll out appiicaUon completely.
<br /> Owner&Contractor sign back of applicattoa,notarized
<br /> If cver�!500,a iVotice af Commencement i�required. {A/C upgrades ovar 5t500)
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<br /> " Agent(for the ccntracto�)or'Power of Attomey'(far the'ownerj would be someone with notarized letter from owner authorizing same
<br /> d1tER THE COUNTER PERM#?'ilNG --- •(Frant af-AppltcaBbn�OriiY}.:- ; _` `.+=- ' : =
<br /> Reroafs If shingles Sewers Service Upgrades NC�` Fences(Plot/Survey/Footage)
<br /> Driveways-Nat aver Counter if on pubtic inadways..neet!"s"RO{IV�
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