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o,yra�,�`� City of Zephyrhilis Permit Application Fax 813-780-Od21 <br /> Building Department <br /> Date Recsived ,. �-- �� Phone-Contaat for Permlttfn f – <br /> Owner's Name G c12�Q� lrT t C�f�''?� Owner Phone Number �����u� ����l�' <br /> Owner's Address �7��� � /��G� �"�� Oarner Phane Number �l J� �i.J���6 �� � <br /> Fee Sfmpte Tttiehotder Nartse � � Oxmer Phone Ftumber �— � <br /> Fee Simpie Tittehotder Address <br /> JOB ADDRESS �J�'`k e�-� I�"e-t �.�OYS Q Cc.. i.OT# �� <br /> SUBDiVISION � � PARCEL ID# <br /> (OBT/►INED FRON!PROPERTY TAX NdTICE) <br /> WOR4(PROPOSED NEW CONSTR ADDJALT � S1GN [� Q DEMO1.tSH <br /> � e iNSTALL � REFAIR <br /> RROPOSED USE � SFR Q COMM � OTNER <br /> TIPE QF C�NSTRtlC'i`tOPt BLOCK " [� FRAME �,� STEEI. [� <br /> qESCR1pTIONI�FWORK� ��I� �� � 1 � ���"l �`-�"��`'� � <br /> BUlLQING SIZE �� '� SQ FOOTAGE C�^1 HEIGHT C.�._� <br /> \ 8UlLDWG $ � J j„�D�tl�° VALt7ATION�OF�TQTA�CONSTRUCTION <br /> ( '� <br /> QELECTRICAL ($i � AMP SERVICE Q PRt�GRESS ENERGY [� W.R.E.C. <br /> L._ <br /> QPLUMBING (�>—� - ( <br /> � � �� � <br /> [�MECHAMCA� $ VALUATION OF MECHANICAL INSTALLATION ��`���~ <br /> QGAS Q RaOFING Q SPECIAI.TY � OTHER � � l � <br /> `F!FlISHED FLOOR ELEVR7{ONS FLOQD ZCENE AREA QYES NO �� <br /> Bl11LDER � � � �t ��CON9P"14NY 'GQ��"'�'' <br /> SIGNATURE REGfSTERED Y/ N FEE CURREP Y/N <br /> Addrass License# �� � ( <br /> ELECTRICIAN CONlPANY <br /> SIGNATURE � REGISTERED Y! N FEE CURREI� Y/iV <br /> ,_,. ._. <br /> Addrgas License# C � <br /> PLUMBER � COMP.ANY <br /> SIC+NATtIRE REGISTERED Y/ N FEE GURREM1 Y!N <br /> Address License# ( � <br /> MECNANtCAL COMPANY ' <br /> SIGNATURE REGISTERED Y! N FEE GURREh Y l N <br /> Address � License# � � � <br /> OTHER COMPANY <br /> SIGNA7URE REGISTERED Y/ N . FEE CURREP Y/N <br /> Address � License# � � <br /> RE8IQEN't�AL Attach'(2).Riat Pians;{2)sets of�8uildi`ng Plans;(1)'sef ofEriergyForms;Ft-O W Perinit for new aanstruction, <br /> Minimum:tem(10):warking_.days,after,.submittat date. Required onslte,Construcdon�Plans;Stormwater Plans w/Sttt Fence installed, <br /> Sanita'ry Facilitles:&;1,dumpster�Stte Work;,Permlt forsubdivisionsAarge projects <br /> COMMERCIAL Attaah(3)�mptete seCs of Buitiling Plans ptus a.tife Safety�Page;(1)set of Energy Forms.R-O-W Permit for nev�construction. � <br /> _ _ Minimum ten(1d)working days after submlftal date. Requlred onslte,ConstrucNon Ptans,Stormwater Plans w/Silt Fenca tnstalted, <br /> � Sanitary Facilities&1 dumpster.Site Work Permlt for a�i new projects.All commerclal requlrements must meet compllance <br /> SFGN PERMIT Attacfi(2)sets of Engineered�Plans: <br /> ""PROPERTY SURVEY required far ail NEW consWctlon. <br /> Direc#ions: ' <br /> Fitl dut appiicatlon completely. <br /> Qwner&Cantraetor sign back of appltcatlon,notarized <br /> If over�2500�a Notice of Cammencement is requlred. {A!G upgrades over�T500) <br /> " Agent(for the contractor}or Rov+rer of Attomey�(farthe owner)wouid ba someone wikh notarizad letker_from�mer authorizing same <br /> OVER THE COUNTER PERMITTING.,;;,,-, (Frant of.AppllcaBon Only) , , � ; <br /> � Reroofs if shingles Sewer�;..� •,r,�;.Service,Upgrades A/C Fances{Plot/SunreylFootage) :. ,.; ;� ;-;- , -. , . - <br /> Drlveways-Not ove�'Counterlf`on public roadways.:needs ROW �} � '�� ', ' <br /> , i` <br /> f <br />