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, , �� <br /> , , . i , <br /> r I `013-780-0020 City of Zephyriiills•Permit,Application Faz-813-780-0021 <br /> Building DePariment <br /> Datu Received Phono Contact for Permltltng <br /> -- 'x- - ---"`=�'=x=` -- ----.="�=`=��. <br /> Oivners Namo��r� a����ospi a ��ep yr � S � O�vner Phono Numbec ' ' <br /> a v ., ep yr i s, <br /> � Oi�lners Addres"s Ownor P.hono Numtier <br /> Fee Simplo'Titleholder Nartie Ovmor Phone Numbor� � <br /> Fne:Slmplo Titlolioldo�/Cildres's, <br /> � ;)09 ADDRESS a V •° ep yr � S' LOT# � <br /> i <br /> � SUBDIVISION PARCEL IDtd � <br /> (06TAINEU FROM1{PROPERTY TAX AOTICE) <br /> 4YORICPROPOSED � NEINCONSTR B AUD/ALT Q SIGN Q MOVE Q DE�dOUSH , <br /> INSTALL REPNR <br /> PROPOSED.USE Q SFR Q COMM Q OTHER ' <br /> TYPE pF CONSTRUCTION Q OLOCK_ Q FRAh7[ 0 STEEL Q OTHER i <br /> irewor s isp ay or o i ay ree ig ing - - ' <br /> DESCRIBTIQN OF-WORK <br /> BUILDING SI,'LE SQ FOOTAGB H[IGHT <br /> F=�="_= -- ---- -='�-- -- `""�-� -_ ""-'t�.•.--' � <br /> Q BUILDING ST V VALUATION OF TOTAL CONS7RUCTION � <br /> Q ECECTRICAL S AMP SERVICE � PROGRESS.EN6RGY Q W.R:E.C. <br /> Q PLUMBING S <br /> I <br /> Q M,ECHANICAL S' VALUATION OF h7ECHANICAL INSTALLATION i <br /> 0 'GAS Q ROOfING 0 SPECIALTY Q OTHFR <br /> FINISHED FlOOR EI.EVl�TIONS FLOOD ZONE AREA, �YES QNO <br /> �'�=�;��.. -�=_�=_s._t�.���-�r =,�=�" , _. - - - ----- -. , <br /> BUILDER � COLIPANY � <br /> SIGNATURE (iEGISTERE� Y! N FEE CURRENT Y/N <br /> Aildress License l� <br /> i i <br /> ELECTRIGAN COfdPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURAENT Y/N <br /> Address Ucense.t �---� <br /> IPLUh16ER. COJAP.ANY � <br /> SIGNATUf2E REGISTERED Y J N FEE CURRENT Y/N <br /> i lCdcirass Licenso ff <br /> i h1ECHANICAL CORiPANY <br /> SIGNATURE REGtSTERED Y/N FEECURFEM1IT Y!N <br /> I ��Add�ess . license tt <br /> OTHER � C0�11PANY <br /> � I <br /> SIGNA7URE �' REGISTEREO Y/N F_EECURREt7i Y./N <br /> ew as e i <br /> Addfess ' � License Y <br /> RESIDEN7IAL `Allach(2)Plot Pians;(2)sele of Buitding Pians;(1)sct�of Enerpy Fotms;R-0,1N P.ermil(or nev+conswc6on, I <br /> �Ainiriwm len(t0)workinfl days aRer submlltal dato.,Requireil onsite,Conslnidion Plans,Sto�mtvater Plans�v/Siit Fenco installed, ' <br /> Sanitary Facfiities'8,t dumpster Site VJork Pemill focsubdivisions/large projecls <br /> CO�dh1ERCIAL Atlach(3)complele�sels o(Quilding Plans plus a-Life Safoty Pnc�e;(1)set of Enerpy Farms.R-0=W P.ermil for new canstrucGbn. <br /> hllnimum fen(10)workin9 days aRer:submillal date. RequiPed onsile,Conslruclion plans„Slormvater Plans��il Sill Fence fnstalled, <br /> Sanitary Faciilqes&1 dumpster.SSfa VJoric Permil for ell nev{projecis.All tomrnerdal requiroments musl mee!compliance <br /> SIGN PERMIT Allach(2)sels otE�pineered_f'lans. <br /> ""PROPERiY SURVEY requlred for all NGW conslrucUon. <br /> �_-_-�—�- "-_ — ` --- - --- ' _' -= _- - - — -- -- '— -- ---� <br /> �(ructions: <br /> FIII out applicaUon complately. <br /> Ovmer&ConUaUor sipn back.af applicaGon,nolarized <br /> I(ovoi$2500,a Notico of Commencement Is requfred. (!llC upc�ra�os over$v000) <br /> i " Agenl(tot lhe conlraclor)of Powar ot Altorney{tor the ormer)would ba someone wi.th noWrired letler from owner aulhorizing same <br /> i <br /> .OVER THE COUNTER PERhf1T.T1NG (Front o(A(iplicalfon,Only) <br /> Reroofs_ Sev=ars Senrice UpgraJes NC Fences(RIoVSurveyiFoolae�e) <br /> Dri4ov�ays=Nal over Counler il on puU�ic roaderays..needs ROYJ <br />