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� "813-780-0020 $���
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<br /> City of Zephyrhilis Permit Application FaX s�aaaaoo2�
<br /> Buflding Departrnent .
<br /> , � , - . . � .,
<br /> Date Recelved ,� Phone>Contact for:Pernilttin b��J ��o� _ Sd�� �
<br /> Owner's Name � /�LLi v � o� i �/1�� Owner Phone Number V��°' 7o O '���
<br /> Owner's Address � b � � Owner Phone Number
<br /> Fee Simple Tltleholder Name ' Owner Phone Number '
<br /> Fee Simple Tltleholder Address _
<br /> JOB ADDRESS (/ � � LOT# �
<br /> SUBDIVISION " �"K /G/•�i� . PARCEL.ID# ��T �� o�� (�!��� D���� DI��
<br /> . (OBTAINEO F.ROM PROPERTY,TAX NOTICE) '
<br /> WORK PROPOSED NEW'CONSTR ADD/ALT Q SIGN` �Q � �Q� DEMOLISH
<br /> :B. INSTALL , REPAIR �� - �
<br /> PROPOSED:USE - Q SFR Q COMM Q �OTHER ' � '
<br /> TYPE OF CONSTRUCTION 0= BLOCK ' Q FRAME Q� STEEL Q
<br /> DESCRIP110N OF WORK' '
<br /> �- � ���i��0 �'= �.cr L� o'� ���- . a-�
<br /> BUILDING SIZE - • "SQ�FOOTAGE�_ ; , ,,HEIGHT�� _
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<br /> QBUILDING , $ " � VALUATION�OF TOl'AL CONSTRUCl'ION -
<br /> QELECTRIGAL ,� $ - - AMP SERVICE 'Q PRO'GRESS ENERGY Q W:R.E:C. �
<br /> OPLUMBING� $ `
<br /> Q MECHANICAL •$ ���-' � ; VALUATION OF MECHANICAL INSTALLATION , ,
<br /> QGAS Q ROOFING .Q SPECIALTY, Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
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<br /> BUILDER COMPANY - ' �
<br /> SIGNATURE REGISTERED Y/ N FEECURRE� ' Y/'N��.,
<br /> Address � � L'tcense# '
<br /> ELECTRICIAN . : COMPANY' ` • `
<br /> SIGNATURE � REGISTERED Y f N FEE-CURRE�'' °'�Y/N ��
<br /> R: - ' • .
<br /> Addre�s , ,_.., License#•. �
<br /> PLUMBER ' COMP.APIY ,•a ' �
<br /> SIGNATURE' �' , .REGIS.TERED Y./--N�� :�.--•.FEE CURRE� Y./N � �
<br /> Address � License;# -
<br /> ` , ,._ . _, ,.. : ..���..Z
<br /> MECHANICAL' ' . . COMPANY. , .�JP�N�-C��S � � . '
<br /> SIGNATURE � � ' � REGISTERED Y.,,/.N. : ..,- FEE CURREA� Y/�N � . � �
<br /> Address'�'�~=- 7 �� - 7 . � ��� �u . ..License#� . �-�✓ ���T .
<br /> OTHER ' _ , . .�COMPANY.. . .
<br /> SIGNATURE ` ' � � ' REGISTERED Y/ N.... � �.FEE CURRE� � Y/N .
<br /> Address - � � � �� �` ' License# ` ' -
<br /> ���•x< < ,.. .,. �
<br /> RESIDENTIAL,_:, :Attacfi'(2),;PIoti.P..lans;-�(2)sets:of:Buil'ding�Plan's;'(1)`setiof=Eriergy�Foims;R=0-1N�Perm,lffornewconstruction,_
<br /> - � :•Minimum,ten°(�1,0),working daysr.after:submittal'date.:��Required ons(te;:Constiuodon�Flans;`Stortnvirater"Plans�wfSilt Fence'installed,
<br /> 1�� �Sanitary FaciltUes�&;1;dumpster S(te�Work��Pertnit#orsubdivislons/large:projects'w. .<.: - +,a � � `�'
<br /> COMMERCIAL Attach(3)�oomplete-se(s'ofBuilding Plans'plus a�Cife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. �� �
<br /> Minimum ten(10)worktng days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, ,
<br /> Sanitary Facilides 8 1 dumpster.Site Work Permit for all new proJects..All commerGal requl[ements must meet compltance �
<br /> SIGN PERMIT Attacti"(2)"sets of Engineer,ed%Plans.,, � ,- -- � • ' ' ,
<br /> ••••PROPERTY SURVEY required for all,NE�Y construcdon..
<br /> Dlrectlons: .. � . . � �
<br /> FIII out applicaUon completely.
<br /> Owner 8 Contractor sign back of appl(catlon,notarized
<br /> If over�Z500,a Plotice of Commencement is requlred. (AfC upgrades over s7500)
<br /> �'= f✓��t.,
<br /> " Agent(for the'contrac�or)or`P"ower of Attomey�(for tFie owner)would be someone with notarized letter from owner authorizing same
<br /> DVER THE COUNTER P.ERMI'TTING - {Front of•AppllcaUon Only)-- � - • • -4- - � -_ - ,��• -
<br /> � Reroofs If shingles Sewers - Ser6ice Upgrades A/C• - -Fences(PIoUSurvey/Footage) � � � ,
<br /> '`,Drivewrays-Not over Counter;if an'public�roadways:.needs ROW . '
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