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<br /> s�3-7saaaza City ofi Zephyrhii(s Permit App(ication Fax-813-780-0021
<br /> ,� � Building Department ;
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<br /> Date Recefved .Phorte Gontact for Permittin �� — c� � �
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<br /> Owner's Name l�/Q"L-� (J�/�/� Owner Phone Number
<br /> Owner's Address �J �>�V�� �+�.5 u� Owner Phone Number �— ��
<br /> Fee Simple Titlehoider Name �� � Owner Phone Number � �
<br /> Fee 5lmple 7itleholder Address
<br /> J08 ADDRESS IQ ,�� S 11-U�L. �!�"1�.� U� LOT# ��
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<br /> su�o,v�stoH Si�tfb-/�-�,a�af � ��c��.io# D 3:2�'�" 1,�1�.D�--�1(t�11� � i
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e .. NEW.CONSTR'8 ADDIAI.T Q SIGN Q Q DEMQI.ISH ,
<br /> INSTALL REPAIR ;
<br /> PROPQSED'USE Q SFR � -COMM � QTNEt2 . �
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<br /> TYPE"OF CONSTRUCTION [� BLOCK - Q FRAME [� STEEL Q
<br /> DESCRiPTtQN-OFWORK /`-�-� ��� �dZl�' �"�1 ,/�s I�J�C�S '
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<br /> BUII:t3iFtG SIZE � � SQ F.00TAGE HEIGHT ����
<br /> UiLD1NG � ^y �� � �Ai.UATtOt�'OF TOTAL CONSTi2L'ICTION
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<br /> ..QELECTRIGA� $ AN2P SEF2VICE Q PROGRE$S ENEF2GY Q W.Ft.E.C.
<br /> QPLUMBiNG $
<br /> � ., �
<br /> QMECHANICAL $ � VAi.UATlON QF MECHANICAL iNSTAIEATiQ�V
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<br /> QGAS RQOFING Q SREClAI.TY � QTHER �
<br /> FINISMED FLQOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
<br /> 8U1E.DEEt COMPAtdY
<br /> SIGNATURE REGISTERED Y/ IV FEE CURREP Y%N
<br /> Address -License# � �
<br /> ELEG,TEttG�AN < COMPANY
<br /> � SIGNA7URE REGI$TERED Y/ PV FEE CURRE� Y/N.
<br /> Address License# �— � � {
<br /> -zf:>;,_ �
<br /> PLUMBE�2,; , CONtPANY
<br /> ��SIGNA�URE 'RECaISTERED Y�/'N FEE CURRE� Y/N II
<br /> Acidress License# :.
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<br /> NfECHi4N1CAt; � � COMP,ANY ,
<br /> '' �SIGNATURE? REGISTERED -�, Y/ N FEE CURRE� Y/N
<br /> Add�e`ss�� � ` - Llcens,e.# �ii�
<br /> .P`.ti::,.r^ ... . . � i
<br /> ';,.O;FHER'; :',:',-.: '.. ' �, �� . ` CONiPAEiY t1—�"��� /l�/�"�I•1I�
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<br /> �`SIGNATUREc"a,��:5 .�� \--`��� (,,r'�-"' - REGISTERED Y/N FEE CURREK ; Y/N
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<br /> , Aildress.rr :� _�. :.,2`�.�� .:,t✓l� �17 ' . Licen`se# �G.f�97�.�-Z/ ��
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<br /> �'':RESIDENTtAt.,;;,:,. :Attach;{2);:PEot;Plaris;'(2}fsefs-df�Buililing�Rlans;(1�)'set of�Energy,For'tns;R-Q-t(Y,Permit,for new,constivc6on,.
<br /> r' � �� - Minimum tenc(,10):wo�rking�days�:afte��submittal.date.�Required tin'site;Con's`tr'uction Plans;Storinwater'Plans w/Sllt Fence ins#alled,
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<br /> `<�>•._ Sanifa,:Facilttie.s;&j;l�dum ste_r,:Slte;=Wor,k P.errn'tt for:,subdivisions!!a e; ro ects -. `: �
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<br /> ;riGOMMERGIAl, A#tacti°°(2}�corriplete sets ofBuitding'Plan`s pliis a L'ife Safety Page;{1)set of Energy Forms.R-O-W Permit for new construotian. _
<br /> � Minimum ten(10)working days after submittal date: Required onsite,Canstruction Plans,Stormwater Plans inr!Silt Fence inskalled,
<br /> Sanitary Eacillties&1 dumpster.Slte Work,Fermit fa��aH-new projects.AI!commerciai requirements.musk meet comptiance
<br /> :,�-SIGN.PERMtT "Rttaoti(2}sets�gf,Engineered'Plans:<<��:��'� �. ' - �
<br /> `-� ` "*"PROPERTY SURVEY required for aII,NEVIG canstruction.. , -
<br /> �::�'� �_ ` _ �
<br /> .�;Direc�toris: ,��� _- . -.� �
<br /> � �'Fill<out:application completely
<br /> t)uimer&Ccintra�tar.sign:kiack of applica#ion,natarized
<br /> �if oVer.$2500;a Notice:of=Commencement is required. (A/C upgrades over$7500)
<br /> ',="�-_..AgenY(far'ttie�cant'racto�)�or�Power of�Atiamey(for'ttie'owner)wauld be someone with notarized letter from o+nmer authorizing same ,
<br /> ��,�O.V".ER�.THE"CQUN'fER'PERMI7TtNG., ,(capy..of-contract:required) ' '`' � `
<br /> �Reroo'fs•if sliingles Sewets;,n„,_,_:Serv,ic�;,Up.,gra�l,es.A(�,,a:,,.F,�itGes(PIoUSurveylFoatage) . ,,,,.,.,,,,,�,�rr
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<br /> . Driveways-Not over Counter if on;pu�lic ro�d�va�/s ne,ed�'RQP1V� :� r• r��y; � '''-''''` :'�:' ,
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