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s�3as�-aozo City of Zephyrhil(s Permit Applicatian Fax-813-7$0-0021 <br /> Building Department _ <br /> t M <br /> Date Recefved Phone Contact for Permitting. � �Go� <br /> 4wner's Name � 1^'� T Owner Phone Number O IJ- 7�0"��6� <br /> Owner's Addres ��� �'�/�� �9 �'� � � �� Owner Phone Number �- � <br /> Fee Simple Title older Name � Owner Phone Number �- � <br /> Fee Simple Titte older Address <br /> JOB ADDRESS '� (P {"' Z � ' � � �d LUT# ��� <br /> S�B�,V�S�oN (�� �I ���E��o# 1 jl-��-�1��a �� --c��� <br /> (OBTAINED FROM PRQPERTY TAX NOTICE) <br /> WORK PROPOS D e NEW CON57R 8 ADDiALT [� StGN Q [� DEMOIISH <br /> INSTALL REPAIR <br /> PR,QPOSED U3 Q SFR Q GOMM � OTNER <br /> TYPE OF CONS �RUCTIQN Q BLOCK Q FRAME � STEEL Q <br /> DESCRiPT10N OF WORK �E�T��3'tt ��t�3'� $ "� <br /> SUI�DING SIZE �- � SQ FOOTAGE �S�' HEIGHT <br /> �g�«'�� � $ ��� `'..= VA�t1ATIQN OF TO'TAC CONSTRUCTION <br /> CJELECT 1CA� �> -� AMP SERVICE Q PROGE2ESS ENERGY [� W.F2.E.C. <br /> OPLt1M ING �i ---�� �� �I <br /> QMEGH NfGAI $ VR�UATION QF MECHANlCAL INSTALlATlQN ��� <br /> �GAS � ROOFING Q SPECIALTY 0 OTFiER ���� <br /> FINISHED FLOO�ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> BUI�dER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� -� <br /> E�.ECTRICIAFi COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> PL.UMBER �� CONIPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � ^� <br /> MECHANICAL COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> �THER COMPANY , . d', Z.L <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,aaa��� �� I I�G " ` 1 ' ����,se# �CC/�87��1�� <br /> ZESiDENTtAI Aftach(2)Piot Plans;(2}sets of Build3ng Pians;(1}set of Energy Fo�rns;R-O-W Permlt for new canstructian, <br /> Minimum ten(10)working days afiter submittat date. Required onsite,ConsUvction Plans,Stormwater Plans w/Silt Fence installed, <br /> - - - Sanitary.FaciliUes&,1.dumpster;Site Work.Permit for subdivisions/large proJects <br /> :OMMERClAL Attach{3}comple#e sets of Building Plans plus a life Safe#y Page;{1}set of Energy Farms.Ft-4-W Permit fof new constructlon. � � - <br /> Minimum ten(10}working days'after submittal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitery Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meek compliance <br /> 31GN PERMIT Attach{2)sets of Engineered Plans. <br /> •*"PROPERTY SURVEY required for all NEW construction. <br /> )Itestions: <br /> Fill ouk application completely. <br /> Owner&Co tractor s(gn back of application,notarized <br /> If aver$2S0 ,a Natice af Commencement ts required. {PJC upgrades over$TS00} <br /> ` Agent(for th contractor)or Pawer of Attomey(for the awner)would be someone with notarized letter from owner authorizing same <br /> }VER THE COU 7ER PERMITTIN� {Front of Apptication 4nly} <br /> teroofs if shingle Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways- at aver Caunter if on publtc roadways..needs FtOW <br />