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813-raaoozo City of Zephyrhilis Permit Application Fax-813-780-Op27 <br /> � ` Building Depactment <br /> Dat�R�c�ived " Phone Contact for Permlt#tn � t <br /> Ournse's Name �\..i� 1� Vi � Owrser Phane Momb�r <br /> Owner's Address �� �e G Owner Phone Number � � <br /> Fee Slmple Titlaholder Name Owner Phona Number � � <br /> F�e Simple Titleholder Address <br /> JOB dDDRES� 1 1 l `� LOT# �� <br /> 3UBDiVtS10N ��„`�V�ViV � PAptCEL ID# "'�" ��'{ <br /> (qBT/UNEp FRONI PROPERTY TAX NOtICE) <br /> 1NORK PROFI�S6D NEW CONSTR ADD/ALT � StGN- Q Q DEMOi.ISH <br /> � e INSTALL 8 REPAIR " <br /> PROPOSED USE Q SFit [� COMM � QtFlPR <br /> 7YPE QP COPISTRUCYIOR! Q BLOCK " Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK YpV� �� �1 <br /> 8UILDING�1� SQ FOOTAGE��_ HEIGHT ��.� <br /> �$�i�'�»� � I VALUATiON C1F TOTAL COIU�`i'Ri1GT10N <br /> ..,_.J <br /> QEl.ECTRICAL � � AMP SERVICE Q PEtOGRESS ENERt3Y [� W .E.C. <br /> Pi.UM81NG ' (v <br /> � � ��C�t,.�, � �D <br /> � � <br /> [�MECHANtCAI. $ VALUATfON OF NiEChtAP11CA1.tNSTAi.i.ATlOttit � <br /> C�c�a,s p Roa�4�G .p s�Ecr,�.r�r � o�H�R <br /> FINISH�D FLOOR ELEVATIONS ��� FLOOD ZQME AREA QYES. iV0 <br /> B!lI�DEl� � CCAIfPAM' . <br /> SiGP1A1"URE , REGISTERED Y/ fV FEE CURRE� Y/N <br /> dddress Ucense# �� � <br /> I�L�CTi2i�lAt�t CBMPANY <br /> S1GNi#7URE � REGIS'i"[RED Y/ N FEE CURREn� Y/N <br /> Addre�s ticense# ( � <br /> ��u�s�� c���a�r �Ytf 1 t0� <br /> SiGNA7URE REGtS7ERE� Y/..N - FEE CURREP Y/M <br /> ����� ��� -�1-e e��n �. ���$�# 1...��-�a3 a� <br /> �������: - - ����� <br /> �IGAlATIURE REGIS7EEtED Y./ M . FEE CUFiREP . Y/W <br /> �ddres� license# � � <br /> O'FFt��t ,CQMPAI+tY <br /> �tGP1ATURE REGISTERED Y/ N..� FF.�CURttEn Y/N <br /> Ad�rre�s ' Llcense#•� 1 <br /> R�SIDEA3'�IRl:° Aftaah(2�P26€P,tans;:(2}sets ofBtillifing�P.laris;{1}sef cf Eners�y�Famts•R-O-W Peiinit for new canstru�tton, <br /> Minimum.ten°(10):working°days aiter.:subrriittal date.��Required ons(te,Gonsfiuctldn-Plans,Stormwater'Plans w/SIIt Fence installed, <br /> Sanitary Faciiides&.1,dumpster,Site WorkyPermlt for subdivistons/ierge:pr�u�ects . ' <br /> CO�IWERCIAI. Attach{3j cosiiptete se�'s af Bu1li�tng P1ans plus a�ite Safety Page;(1}set o#Energy Fomts.R-O W Fermit for new wnshv�flan. <br /> Mi�imum ten(10)wartcing deys after submittal dat�. Requlred onsite,Construc8an Pians,Stormwater Plens w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster.Site Work Permit far all new projects.All commercial requlrements.must meet compliance <br /> SIGN P�EdiffliT Attacii{2}sets af Engineered Ptans. � <br /> ""PROPERTY SURVEY required fqr all NEW constructlan. <br /> Directions: <br /> Fql out applicaUon c�mpletely. <br /> Owner�CantracMr sign back of appl[catlon,notarized � <br /> tf over S'�06,a@iottc$of Cammencement is required. {AlC upgrac�e�over;�'SOQ) <br /> '• Agent(for tl'te contractor)or Power of Attamey(fcir tFie owner)would be someone with notarized letter fram owner authorizing same <br /> OVER tNE C�tlPtTER.PHRMI'i'17�1G - {Fran#of f1�splicatFo�s OntY) <br /> Reroofs if shingles Sewers Service Upgrades A/G Fences(PIat/Survey/Footage) <br /> DrivBw�ys-Not over Gounter tf;on pubttc taadways..iieeds ROW __ .. �` <br /> ,,._:� ` <br />