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a��-�eo-oozo City of Zephyfiills Permit Application Fax-813-760-0021 <br /> Buiiding Department <br /> + Date Received �.� � � phone Gontact for Permitti�g <br /> 7�"I'!-7T(-r- f� <br /> Owner's lVame ���� -Ll.�� � Owner Phone Number i� ,,�,�� <br /> .....Z� <br /> Ownets Address ���J� ��i Owner Phone Nnm6er ��� ' 1� �3 �v ty� <br /> Fee Simple Titleholder Name �— � Owner Phone Number �I� ��� �oR-�;J <br /> Fee Simple TitleholderAddress <br /> 308 ADDRESS � � �1 � 2� ��` �S LQT� � d'� �?� C'�13_T <br /> SUBDIVISION �n�C7F 2.��C�.�X� PARCEL IQtf � �� ' ��� b�1�� I Ji 1 0�� ��7 <br /> {dBTAlNED Fi20R7 FROPERTY7AXlSOTICE} <br /> WORKPROPOSED e NEwcoNSrRe ADD/AL7 Q S1GN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> FRQPdSED USE � SFR n COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRtPT1dN dF WORK S �-�t✓ Sl ���-w--y-�-- <br /> BUILDING SlZE � � o( X. I � � SQ FOOTA(3E 1 � HElGtiT � <br /> �BUILDING �5=�P•.1,r� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRiCAL �6 � AMP SERVICE � PROGRES,�"i ENERGY Q W.R.E.C. <br /> QPLllM63N6 � � � ���� <br /> �MECHANICA� $ VALUATION QF MECHANICAL INSTALLATION ,�� <br /> �GAS Q ROOFING Q SPECIAI.TY � OTMER <br /> EINISHEd FLOOF2 ELEVAiIONS }��� FLOOD 20NE AREA QYES NO <br /> �_....� <br /> 8t32�DER , ��_r�aEG s�aen Y/���C��✓✓1'~-✓ � <br /> SIGNATURE <br /> Address Cice�se#� � <br /> ELECTRICIAN COMPANY � <br /> SlGNA'FtlRE � —� t�Gts�o Y 1 N F�cuattFn Y t N <br /> Address License� � � <br /> PLUMBER COMPAh1Y � <br /> , SIGNATURE � aEGis�o Y/N �cuarzEn Y/N <br /> Addtess E.icense# �— � <br /> MECHANICAL COMPANY � <br /> S16NA'[FtRE � �asze�o Y 1 N �cur�r�r+ Y t N <br /> Address License� l— I <br /> OTtiER � COMPANY �� � <br /> SIGNATURE rsEc�s7Ersm Y 1 N �cuw2En Y/N <br /> Address License� �� <br /> r � � � � � � � rr � r � r � � � � � r � r � � t � r � � r � rrrtrri � � � r � � r � � � � rtrrrr � r� � rrr � � N � � <br /> RESIDENTIAL AHach(2)Plot Plans;(2)sets of Building Plans;{7)set of Energy Forms;R-O-W Pertnit for new constrvdion, <br /> Minimam ten{3 Q)vrockictg days after submittat date_ Reqnirer]or�site,Construdion P}ans,Stormwater Plaas wt S':tt Fence instaped, <br /> Sanitary FaaliGes&1 dumpster,Site Work Pennit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sefs of Buiiding Plans plus a Life Sefery Page;(1)sei of Energy Farms.R-O-W Pemrit tor new consVuciion. <br /> Minimum ten(10)vmAcing days after subm�tiat daie_ Required otrsite,Gonsttvdion Pians,Siomtwater Ptans wt Sdt Fence insqi3ed, <br /> Sanitary Faralities&1 dumpster.Site Work Permit far ait new projecfs.Ait commerciat requ'sremerrts musf ineet comptiance <br /> SIGN PERMIT Attach{2)sets of Engineetetl Plans. <br /> "'*PROPERTY SURVEY required for aIl NEW construction. <br /> O€reetions! <br /> Fill out application completety. <br /> Owner&Gantractor sign back of application,notarized <br /> {f over$2506,a Natice uf Commencement is requfred. (R!C upgrades over$7500) <br /> " Agent(for the contrac:kor)or Pawer of Ariomey(for the owner)wauld be someone with notarized letter from owner authori�ing same <br /> OVER THE COUNTER PERMITTiNf., {copy of conUact required) <br /> Reroofs i�shingtes Sev�ers Senrice Upgrades AtC Fences{PlotlSurveyiFoofage) <br /> Oriveways-Not over Counter if an public roadways..needs ROW <br />