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813-780-0020 City of Zephyrhitls Permit Application Fax-813-780-0021
<br /> ; Building Depattment
<br /> Date Recelyed , .. Phone�Contaot fae;Permtttin - �
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<br /> pLOwner's Name !. f�� Owner Phone Number
<br /> � Owner's Addre�� �-�� � �o� - j��/'� 33�� Owrter Phane Number � y�
<br /> Fee 5lmple Tltleholder Name � Owner Phone Number ��, �
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<br /> Fee Simple Titleholder Address
<br /> �JOB AdDRESS ���� ZO � �����' � �i.�'�{J�,. LOT# �
<br /> SUBDIViSiON �� � PAFtCEL ID# " �
<br /> _ (OBTAINED FRdM PROPERTY TAX NOTICE�
<br /> WORiC PROPOSEO � NEw CONSTft ADi}lALT �" S1GN Q [� DEMQLtSH
<br />, INSTALL � REPAIR
<br />�I PROPOSED{USE � � SFR Q GQMM [� �OTHER �
<br /> TYPE OF CONSTRUG710N � �] � BL.00K ' � FRAME ��] STEEI. Q
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<br /> DESGRIPTICIN OF WORK � �� �� � �}"�'/N(7j C�
<br />� BUILDING SIZE � �'SQ FOOTAGE�� ,HEIGH.T C�,�
<br />� '�'����' � VALUATION`tOF�TOTAL COi�STRUCTiOPi
<br /> � . ���U��
<br />� QEIECTRtGAL ��-� AIVIP SERVICE Q PROGRESS E1�IERGY Q W.R.E.C.
<br /> QPLUMBlNG ;�� " ��Jj
<br /> QMECHANICAL $ VALUATIOIV OF:MECMANiCfiZ INSTALLA710N ��
<br /> � Yr,
<br /> OGAS Q RUQFIidG .Q SPECIAI.TY C,� OTHER '
<br /> FIfVISHED FLOOR ELEVATIONS r�� FLOOD ZQNE AREA [�YE$. NO
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<br /> BUI�DER ''" ..�'� COMFANY" l� (J <..�
<br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N .
<br /> Addre�a k � License# � �
<br /> ELECTEtiC1AN,, � � C�MPANY � -
<br /> SIGNpTURE '� REGISTERED Y/ N �EE cuR�n= � `Y/N
<br /> A�ddre�s ' � . �icenae# �. p �
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<br /> PLUMBER_ � COiViRANY � : `
<br /> 51GNATURE' '� �` � .REGISTERED, Y./�.N-� . FEE:CURRE� � Y/N
<br /> Addre� liconse_.# � �
<br /> [VIECHANIGAI:` . . _ . . COMFANY � .
<br /> SiGNA7URE � � " i � REGISTERED , Y./ N . FEE CURRE� X L�N' .
<br /> Address;;� 1 . , - � - . � � Licens,e#�� I
<br /> OTNER , . - , , ;COMNANY . � -
<br /> $IGNATURE - � 'REGIS7ERED ' Y/ N<._.' FEE CURRE� �� Y/N
<br /> Ac�dress '�.� ; . • � . License#�� � �
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<br /> RESIQENTEAt:T= :Attaah(2}„P-_tot�.Fians;�:(2)`sets of�Biiitding�'Plans;('i}`set of�Eiiergy�Fanns;,R-0-W=Pemilt for new wnstruc#ton,
<br /> �� ;Minimum:ten.(1.0)�working;days,aiker:"submiftal'date.::Requfred onsife;C6nsirucHon-Plans;Stormwater'Plans wl Silt Fence instaUed,
<br /> "��+�' Sanitary'FacilfUes:&,�1:,dumpster-5lte Work�P,ermit fgr su6diVisionsAarge proJects. ..,',-._..�_._ _ = ---
<br /> COMMERCtAL Attach{3)ecrnptete se#s of B'ultit3tig Plans pius a 1.ife Safety Page;'{1}set af Enet�gy Fasms.R O W Petm[#for new canstr�ctian.�
<br /> Minimum ten(10)working days af#er submittal date. Requlred onsite,Construckion Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FaoiliHes&1 dumpster.Site Work Permik for all new proJects.Ap commerGal requi[ements must meet aomplianca '
<br /> SFGN PER[r�FT Attacfi'{2}"sets"of ErsgiiieeiedrPlans.,, ��, �• '
<br /> ""•PROF'ER1Y SURVEY reguired for,all iVEVV cbristruction.. '
<br /> Dlrecttons: . ' .
<br /> Ffll out applicaUon compietely. ,
<br /> Owner 8 Contraator slgn back of applicatlan,notarized '�
<br /> lf over�2500,a Notice of Commencement is required. {AtC e�pgrades over�T500)
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<br /> '" Agent(for tFie�contraoto�)or"Power of Attomey(far tFie owner)wauld be�someone with notarized letter from owner autho�izing same �
<br /> OVER TH�COt1NTER P..ERMFTT(NG .(Front uf Rppttcattom On{y) ' .� ' , ,
<br /> Reroofs if shingles Sewersi="�`"Seniice Upgrades,;%1'/C ' `,;Fences(Plot/Survey/Footege) � . � , .
<br /> Drivawsya-Nat aver Counter tf on ps�btia'iasdutiiays:.�eeds R8W` -z i - , ,,,.'„ , „
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