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� . s��aso-ao2a City 'f Zephyrhiiis Permit Application Fax-813-784-OQ21 <br /> Building Department <br /> � �^►o,nt►�n► <br /> Date�ltecetvec� Phc ne Gontact far Bermltting �b l � '2. (o'� -.. �"1�to'S <br /> Owner's Name� �-A R�`! �a�++�Sa�t Owner Phone Number "''�I 3�- �-�l y0 - $(o b <br /> ---�-- <br /> Owner's Addr�sss '�a(aM2 Owner Phone Number � �� <br /> Fee Simple Tiileholder Name � Owner Fhone Number � � <br /> Fee Simple Titleholde�Address �� <br /> JQB ADDRES:i �9.`Z� ��1 S'�'" ��fiRjt hi��s �L ��5�Y.2. l.OT# t G +41 <br /> 4 <br /> susoivis�or� �i a� ZePl�,�y�:tls � PARCEL iD# I�-'2(a-2f-oa t a-oo�oc�- c�� o <br /> (QBTAINED FftOM PROPERTY TAX NOTICE) <br /> WORFf PRQPClSED e NEW CONSTR ; ADC7lA4.T C,� SI.GN Q Q DEMOUSH <br /> INSTAI.L F2EPAIR <br /> PROPOSED USE Q SFR I COMM � QTHER <br /> TYP�OF CONSTRUCTION Q BLOCK I FRAME �] STEEL Q <br /> DESCRIRTION OF WORK 1/ 3O� INY4. �� �� t+��� wi"ft�. 1 `"t� wAtk- �'A�� <br /> BUILDING StZE ���� SQ F007=r GE�^� NEIGtiI" C�� <br /> f <br /> BUIL.DING $ i , <br /> �„0���,G� �VALUATION OF TOTAL C(7NSTRUCTION <br /> QE�E{�TR1CA� ��� �AfV1P S�RVlCE Q PROGRESS ENEf2GY � W.R.E.C. <br /> QPL.UlUlBING $ �� � <br /> i j���b� `� <br /> {�MEGHANlGA� $ VALUATlON OF MECHANlCAL lNSTALLATION <br /> QGAS '' Q RQQFING SPECIALTY � OTHER <br /> FlNISHED F�flOR EIEVATI4NS FLOOD ZC?NE AftEA QYES NO <br /> tftHttFHittt <br /> BUILDER COMPAh1Y ,�o•w2-►�',,. t-�ame Ge.r�1"� G�� <br /> St6NATi1RE REGISTERED � Y/�N" FEE GURREA Y/IV <br /> Address L(cense# f C(oG �50 8 y�'t � <br /> ELECTRfC1AN CC3MPANY <br /> SlGNATIlRE REGtSTEREO Y/ N �EE GURRER Y/N <br /> Address ^ ��� License# �� � <br /> PLUMBER COMPANY <br /> SIGNATUi2E REGISTERED Y J N fEE GUftRE� Y/IV <br /> Address �� License# �- �� <br /> MECHANICAL Ct�MPANY <br /> SIGNATURE REGiS7ERED Y/ N FEE GURREA Y/RI <br /> Address ( License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGlSTEREQ Y/ lV FEE CURREl� Y/N <br /> Address �� I � Licensa# � � <br /> i�htt <br /> RESIDENTIAL Atfach(2)Plot Pians;(2}sets af Building lans;(1}set of Energy Fom►s;R-p-W Pennit far new constructian, <br /> Minimum ten{1 Q}workirtg days after suh tittai date. Requlred onsfte,Construct{on Plans,Stormwater Plans w!Silt Fence installed, <br /> ---- —�--Sa►�Itary-Facl!lties-&1-dumpstec;:Sita�Wo�r�c-P-ermit.for�subdivisionsAarge.proJects__-- - - <br /> COMMERCIAI. Attach(3)camplete sets of Building Plans plus a Lffe Safety Paga;(1)set of Energy Forms.R-O-W Permif for new canstruction. <br /> Minimum ten(10}working days�after sub ittal date. Required ansite,Const�uction Pians,Starmwater Pians w/81ft Fence fnstalfed, <br /> Sanitary Facilltiss&1 dumpster.Site War Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> "`*PROPERTY SURV�Y required for all EW consUucfion. <br /> � <br /> plrectians: <br /> F(II aut applicat(on completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notlee of Commanaemant fs require . (A!C upgrades over;7500� <br /> "" Agent{for the contractor)or Pawer of Attomey(for the o er�wauld be someone with nokahzed letter from owner authorizing same <br /> t)V�R THE CGUNTER PERMITTING tFront of Appllcat on Only) <br /> Reroofs ff shinc�les Sewers Servlce Upgrades :A/ Fences(P(otlSurvey/Footage) <br /> i <br /> Driveways-Nof over Counter if an puhltc roadways..neecis ftOW <br />