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s�saso-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 \
<br /> , %� �,//� Building Department w•
<br /> Date Received ` �� � � Phone Contact for Permitting �� 333 - �.�6-�
<br /> Owner's Name Owner Phone Number
<br /> Owner's Address RkG�� �a�P(.1V'�l'S`� /ti¢�iClanQ �, �-'� � Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Slmple Titleholder Address
<br /> 1 JOB ADDRESS �"kC�.�b°-� `l Ob � . S?• � LOT# �
<br /> SUBDIVISION PARCEL ID# j�'� Z�I" C�e3 U.— b 1�'�d� b!S 6
<br /> (� ? (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> �� WORFf PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
<br /> il i INSTALL REPAIR '
<br /> i` PROPOSED USE Q SFR _ Q COMM Q OTHER
<br /> �� TYPE O�F CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
<br /> �' DESCRIPTION OF WORK .��� �� � T-e� 2� � 1; I ( 1 Z r't�� w � N��2
<br /> ,'
<br /> � BUILDING SIZE SQ FOOTAGE 1 �� HEIGHT
<br /> j` �
<br /> (� -
<br /> � QBUILDING $ ��3�� VALUATION OF TOTAL CONSTRUCTION ��
<br /> �
<br /> z ELECTRICAL $ AMP SERVICE Q PROGRESS EN�� .R.E.C�
<br /> �� o � �e/oG , ' � '��l�s g s
<br /> PLUMBING $ D
<br /> �� 1
<br /> ? QMECHANICAL $ VALUATION OF MECHANICAL INST LLATION �_ 1 �� �
<br /> ', OGAS Q ROOFING Q SPECIALTY 0 OTHER �
<br /> ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �`��?/
<br /> Y ul�.
<br /> a
<br /> x BUILDER � COMPANY Q � r� Q@� S ���"z
<br /> � SIGNATURE REGISTERED Y/ N E CURRE� /N
<br /> � Address � � � �t License# �C�` .�2. _
<br /> �
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N
<br /> # Address License# .
<br /> I ; . . ,
<br /> PLUMBER COMPANY ' "
<br /> � SIGNATURE REGISTERED . Y'/`N ' FEE CORRE� Y/�N ` "�-
<br /> � Address License# : -
<br /> ; - ,
<br /> ' MECHANICAL � COMPANY -
<br /> � SIGNATURE REGIS7ERED Y/-N, • - Fee cu�en . -:.Y/-N •_.
<br /> , � :
<br /> Address License#
<br /> I , OTHER� COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> �'.
<br /> ' Address License#
<br /> �� _ _
<br /> i`._ ... ;,.�. . ,,; . ... � ,. , . . _-
<br /> �,, . �.) ,, � ) 9 � ) 9Y�.
<br /> i_ RESIDENTIi4L ' �`�AttacFi 2 �Plot Pla;n's; 2 sets of Buildin Plans; 1 set of Ener Forms;"R=O;VV.Permit fo�new construction, .
<br /> `'' Minimum ten(:10):working daysafter su6mittal date.'Required onsite;�Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> ;�� Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge projects �
<br /> - COMMERCIAL Attach(2j complete sets of Building Plans plus a Life Safety,Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten.(10)working days after submittal date. R'equi�ed`onsite,Construction.Plans,Stormwater Plans w/Silt.Fence installed,
<br /> {, Sanitary Facilities&�"9'�dumpster.Site VUork Permit for all'new projects.All commercial requirements must meet compliance
<br /> - SIGN PERMIT Attach(2),sets of Engineered Plans. „-
<br /> *"""PROPERTY,..SURVEY required for all NEW construction.
<br /> I� �D'irections:
<br /> Fill out application completely.
<br /> Owner&Contractor sign back of application,notarized
<br /> If over$2500�a Notice of Commencement is required. (A/C upgrades over$7500)
<br /> " Agent(for.the contractor);or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER:THE COUNTER PERMITTING (copy of contract required)
<br /> Reroofs if shingles Sewers:-�>°��� Service Upgrades^=A/C--•= Fences{Plot/Survey/Footage) r�•- ��-_ �--M-�•--• •- • -> • - ,
<br /> __�� .'�'J:,=_. „�..,�i;�..._iL? .!.. ,'�:`-' .., .,. , '- . . , , -
<br /> Driveways-Not over Counter if on public`roadways::needs ROVU_�`�� " �'�:�:~����:�• ���. � , ,
<br /> , � � '.i ,- ...,�.�t•i:... . � -- �• .; .,.. :i•, ,_, . _ �.,. _ � •
<br /> , �- . . , , ^t.� ,�,'. �. ..�. ...., •� �, , .. . . � ..,. �
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