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813-784-0020 Ciiy of Zephyrhil(s Permit Application Fax-813-78p-ooa� �'""
<br /> r . Building Dapartment
<br /> Date Recelv�d � ��
<br /> - Phone-Confact for��ertrilttin
<br /> �--.:� �---- _�..,. � / , . - : ,- _ _
<br /> �Ownec's:Name� D�, !�. ��
<br /> -_.;a::,-_.�.� � Owner Phone Number
<br /> O`wne�'saAdd�ess �/ � � �i c�„ Gwner Phone Number -.� � ''���
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<br /> Fee Sfmple TitletiatderName � Owner Phone Number � �
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<br /> Fee Simple Titlehotder Address �
<br /> �`=:IOB�AD�RESS �._.._�
<br /> 1.''' � dG LOT#
<br /> SUBDIVISION P.AE2CEI.1D# � -
<br /> . _ (OBTAINED FROM PROPBRT1f.TAX NOTICE)
<br /> ,.�`=WORK PROPQSED,: PJEW=CONSTR :. AOD/A�t C..� SIG1V: �Q ' ._-- � DEMO�ISH
<br /> �..�..__. -€'���l(V.__STALL B� REPiAIR ,
<br /> PROPOSED=USE� . '�Q ,�SFR;.�, Q COMM . [�� OTHER .
<br /> TYPE Of CUNSTRUCTtON - Q BLOCK ' [� FRAiVIE [[� STEEI. Q
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<br /> DESCRI�TICIN OF WORK�'� Er ( �' �
<br /> BUIl:DING SlZE ' _.� SQ FOOTi�GE�.�; , .,HEIG}iT��.`..��
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<br /> �UILDINC�-_ .o--"'`,� $ �. � � :. ,
<br /> --�.�..-�-��-- VAL�iATIQN�tSF-TOTAL C04iVSTRUCTlON
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<br /> QELECTRIGAL . $ AMP SERVICE Q PFtOGRE3S`EI�tEFtGY Q W.Fi.E,C.
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<br /> QPLUMBING $ - �- ' �
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<br /> QMECHANICAL $ ' VACUATlON OF;MECHANICAt INSTALLATi01�! ���
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<br /> QGAS , Q ROOFING Q SPECIAL'TY � QTHER-
<br /> FiRItSHED FLOOR ELEVATIONS ��� FI.00D ZOiVE AREA QYES. h10
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<br /> BUILDEtt.�,,, '�`3 t �OMPANY'-�""�! � - 6 lrL f L..if1t� � ,�+
<br /> SiGNATURE�� REGI$TERED Y/ IV FEE CUR � Y/N . ���v
<br /> �,cldress tTR. '� , , , Ctcanse# � �
<br /> ELECTRICIAN; ,- - GOMPANY ' � , _
<br /> SIGNATURE� �` REGIS7ERED Y/ N FEE'CURRE�=' "'Y/N
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<br /> Address ' UceriSe# � ��
<br /> �LUMBER, , . COMP;,ANY ' � � ,
<br /> SIGFlATURE" ` ' ._REGISTERED. Y../�.N` ' X EEE CUFtREA � Y./N. _� _' �
<br /> Addse�s � License# �� . ,�,
<br /> MECMRNlC�l:' ''� :} ,.� , . ' CQMPANI(, '
<br /> SIGNATURE " � . REGISTERED ' � .Y.,/ N FeE cuR�ten. . Y/�N -
<br /> Addres$:_:, , � f • - � .: � , .,. licanse# �.: � �
<br /> OTHER �� � � ' ' � � �::COMPANY' .
<br /> SIGNATURE �� • `'` �' � r'� ` ' � ` " REGISTERED� Y/ N..... � FEE CURREP Y/N
<br /> Addr�ss , . 1'r;� ... . . � . � - - . ��lcanse#`� - , ��
<br /> RESiDE�i'EIAL',"`,�;'•�►�tai�ctr{2)rPlo€P..lans;�(2)setscofBuildingt Pian`s;('t)set of�Eiiergy*Foiii�s;�R�0?W�'Per�Nt far new coits#cuctiori, . ,
<br /> ;�,.:Minimum:terr(1A),working;days,atter,;siibmittal`date�:Required onsite;:GanstiucBon=Plans,Stormwate'r'Plans wJ Silf'Fence installed,
<br /> ���J'��� 8anitary�FacillUes;&_1.dumpste,r,�Site Woric,�Permitfor_subdivisionsAarge;proJects; .�- �• ' � I
<br /> '�OMARERC1/0.t. ,4ttach(3j`eompiete'sets'af`Bultding Pian�plus a Cife Saf�aly Page;{1}set of Energy Farnss.R Lt-W Petmit Eor new consttuctton.• - -
<br /> Minimum#en(10j working days after submithal date. Required onsite,Canstruction Pians,Stormwater Pians w/Siit Fence instailed,
<br /> Sanitary FaciliHes&1 dumpster.Site Work Permit for all new.:projlacts..All commercial requirements,must meet compliance` � �
<br /> SEGN PERMIT Attac.�'(2)ssts ofEnglrieet;ed Plans.. -.., - .. � _ . . .
<br /> ��4MpROPERTY SURVEY requlred for all NEW constructlan.. _ . .. _ - �
<br /> Dliectlons: . -- , - , .
<br /> Fiil out applicaUon campletely.
<br /> Owner 8 Contraatvr sign back of applfcaUon,notadzed '�
<br /> If aver�2500,a Not[ce of CommencemenE i�rsq�airad. {AtC upgrac��s over�7500)
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<br /> '" Agent(for tlie contractor)"or"Power of Aktoriiey(far�t}ie owner)would be�someone with notarized letter irom owner authorizing aame
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<br /> DVEP2 TFFE C{,}UN.T.ER PERMIT[[NG-�-� -°=(Front'of A�sPllcatian Only}.,- , . _ -- - - - --- - -- -- -. -,-- --
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<br /> Reroofs if shingles Sewers ;` Service,`Upgrades�A/,G Fences:(Plat/Survey/Footage) '� : •
<br /> �rivewaya-t+tot aver'Caunker tf�on publEc roadtinrays::needs'ROVSt I. ,'. _ � , � . , . ,, ._ ,.� � ; -. - ,
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