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8 3-780-0020 , � City of Zephyrhilis Permit Application , , Fax 813-780-0021 <br /> �' ` Buflding Department , <br /> � � , , <br />' , <br /> Date Recei�ed -- /��/��" Q _ -023� - - <br /> Phone Contact for Permitting -/ ' ��'��o " y'� <br /> -rrf7-rTTr r�-�-� <br /> Owner's N I me �E' c�� �'l�C P Owner Phone Number ��3-��8-�S`�� <br /> �<�G �^ I <br /> Owner's Address �� CJ Ol.� /tt I�s f� 33 Ka-- Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> I Fee SimplO Titleholder Address <br /> JOB ADD�ESS c5 � � oZ��� oS� �t d�f� �. 33 � LOT# � <br />, SUBDIVIS ON PARCEL ID# �'�-��"'Z�� OI� '� Qa�v�" ��� d <br /> (OBTAINED FROM PROPERIY TAX NOTICE) <br /> WORK P OPOSED e , NEW CONSTR e ADD/ALT � SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOS ID USE Q SFR Q COMM 0 OTHER <br /> TYPE OF GONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP ION OF WORK � O�U/ /t� � SC �JD/✓L <br /> cr�rti /L�,y— ///� <br /> BUILDINO SIZE {�• ��1�1�i 1.2 N SQ FSOOTAGE 7 % � HEIGHT <br /> �IT'rrIT�ET1�TrITT1�T1�r1�T�TT�rITTIT��T�TT1�1�1�7�T�i�1�P'1'TT�TT�1" <br /> � UILDING ;$ Z� DOO, vty VALUATION OF TOTAL CONSTRUCTION ' <br />, .� <br /> Q�E C E C T R I C A L $ , _ A M P S E R V I C E 0 P R O G R E S S E N E R G Y Q W.R.E.C. I <br /> OPLUMBING $ �Nv� I <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � a �s P�'`�°� f ' <br /> � ��a vr� � <br /> GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHE FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �����, / ', <br /> C'f. <br /> -F-�-F-� 6-�1-�1-F-1-F-1-�1-H-a-1-�-f-1-f-I--1--1-I--1-F-i-i-f--i-�1-1--f-f-1-1-I--f--F-1--�F-1-F-F-1-�-F-�-I-t--I-f-F-�-f-i-f-{-�1-I--I--1-t- , <br /> BUILDER� - '� ���S �COMPANY `e � P I / !'iG�P � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Add�ess � �5 czU�k ��i��� �� J�3�'� License# ' <br /> � � [ <br /> ELECTRICIAN _ ` + „ � , COMPANY GUh EY' �� �+- `C� �r��„�°r' � <br /> SIGNAT RE �1 REGISTERED Y/ N FEE CURREN Y/N <br /> � / <br /> Add ess � d v� s�' 2/��V��,5 �L �,3,5 License# <br /> PLUMBE� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL �� .v COMPANY /�fJ!'i.Pr � �I P/�l Cn�/�' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN .Y/N <br /> Ad Iress �3 oZ�� /n� `lS � 33sy License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllltllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Min(mum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,__ _ - <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "**`PROPERTY SURVEY required for all NEW construction. <br /> ..�1-l..i���--t-1-1-1-f--4-I..f-f-I..t-1-{-�-f.a-i-t-1-a-1-i..L.i�.f-{�-f-1-f-1-H-�.f..l-1-f..t-I..I..f-I-1-a-.f-i�-�i-f-i-F-i-i-1--1-a-G•f-I�i-{-f- <br /> Directiops: • <br /> Fill�out application completely. , <br /> Owner&Contractor sign back of application,notarized <br /> If oiver$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> •" Agent(for the contractor)or Power of Attomey(for the owne�)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />