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s�s-7so-ooza City of Zepfiyrhiils Permit Appiication Fax-813-780-0021
<br /> 4, �� � `�J Building Department .
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<br /> Date Received . Phane Coatact for PermIttiog � –
<br /> Owner's Namo � �Q ` ��..J' Owner Phane,Mumber , 1 r �� � �
<br /> Owner's�Addross 1 `"1 � Owner Phone Number ��,_„�� �4,r�N 1 I
<br /> Fee Simple Til�eholder Name � �1c��1'�-�,, � Owrner Phane Number � �
<br /> Fee Simple Tifleholder Address <,
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<br /> J48 ADDRESS t3 `�""1 �;� LOT# �_�_�
<br /> SUBDI�tISION� 7 �t•('�� „�.� �(� , PARCEL @# '�'° "`� ��.i '" �� ���
<br /> �u���^��� (OBTAINED FROM PROPERTY TAX NOTICE)
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<br /> W�RK E�ROPOSEU _ NEW COiVSTR ADDlA1.T �� 81GN [� Q DEMp�ISH
<br /> I e INSTALL 8 REPAIR A
<br /> PROP.OSED USE N CJ SFR Q COMM � OTFlER'�
<br /> TYPE'OF CONSTRUCTION Q BLOCK - Q FRAME � $TEEL Q
<br /> 3.
<br /> dESCRiPTtO�"OF WORK �� . } ' ��-,.
<br /> ��. 1
<br /> Bt11l:DlNG'SI�E � � SQ FOOTA�E�_� HEIGHT ���
<br /> OBUILDlNG � � VA�.UATtORt�•OFTOTAL CGYNSTRtlC'f10N
<br /> QEL�CTRiCAL $ � AMP SERVICE �Q PROGRESS EEtlERGY Q W.F2.E.C.
<br /> QPL�MBING $
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<br /> QMECHANIGAL $ VALUATION OF MECHANlCAL tNSTALLATIQ3V
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<br /> QGA� Q RQQFING Q SPEClALTY C� OTHER
<br /> FINISHED.FL'OR ELEVATIONS FLOOD ZONE AREA QYES NO
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<br /> SUI�DER � C01U]PAIdY
<br /> SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addressi License# � �
<br /> E�ECTRIC,IAN C01NPAt�iY ,
<br /> SIGNATURE, " REGISTERED Y/ N FEE CURRE� Y/N
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<br /> Aildress Cicense# �
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<br /> FCUt�BER_:,� COMPAi�IY� " �
<br /> � SIGNATURE'� y REGISTERED• Y/ N FEE CURRE� Y/N
<br /> ' Address License#
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<br /> MECfiAl�tttCA� CQMPANY
<br /> SIGNATURE" � REGISTERED Y/,N F.EE CURRE� Y/.N
<br /> Address� i � License# �- �
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<br /> OTHER=� ;-�'I. " CQMPANY
<br /> `SIGNATWRE�., � � REGISTeReo Y/.N FEE CURRE� Y/'N
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<br /> Address,,.,. , _ ;.-„•,... ,{::', ; ; � : . � ,� License# � �
<br /> Y�E2ES4DEPITIAI. ,: Attach:{2};Piot=Plans;-{2}:sets-ofBuildfitig'Plans;{1}set'ofEnergyFor'ms;"R-O-WF'emtitfarnew.canstruction,
<br /> §n�._�E.,.,;:•,��-�oMinimum;�ten�(:10)wrorking�day,`s aftec�sutimittal-date. Required`onsite;'CansVucBan Plans,Stormwater Plans w/Silt Fence.installed,
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<br /> -� �Sanitary,Facilities,&;_1a_dumpster;Site� .W,ork�Pemtit for•subdivlsionsllarge:projects '
<br /> :..COMMERCI,4L. Attaah°{2}'com`p1e#e'"se#s of'Building Plans plus a�Life Safety Page;(3)set of Energy.Fornts:R-Q-W Permit for new construction,
<br /> Minimum ten(10)working days after submittal date. Required onsite,Canstructlan Plans,Stormwater Plans w/Silt Fence:installed,
<br /> Sanitary Facilitfes&4 dumpster.Site Work Permit foT all netiv proJects.Ail commercial requirements must meet compliance
<br /> �;.�5lGN�PERMIT Attacti{2)sets of Engineer�d Plans:k'� � . • . -
<br /> � "*`*PROPERTY SURVEY required for_aII,NEW constructian.
<br /> " Qirections:. + -.. _. . ,.
<br /> Fill'.outapplication completely.
<br /> Owner&Gontraator sign back of appilcation,notarized
<br /> 1f over$2500,a Motice of Cammencement is required. (A/C upgrades over$7500)
<br /> � '" Agent(for fhe�contractoc)`orPowerof Attomey(far�ttie owner)would be someone with notarized letter fram owner authorizing same
<br /> OVERTHE.COtINTER_PERMITTING.... .{copy.af-contract-required) " "
<br /> Reroofs if shingles Sewe�s Service Upgrades A/C Fences(Plat/Survey/Footage)
<br /> Driveways-Not over Counter if on pubiic roadways..needs ROW
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