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a�saeo-oo2o City of Zephyrhiils Permit App{ication Fax-813-780-0021 <br /> ' � Building Department <br /> Date Recelved Phone Contact for Permittln 8 I 3 � -- 5�58 S <br /> -rmT <br /> Owner's fdame 1 Cl. Yl .S Owner Phone Number � ' <br /> Owner's Address '(' Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LbT'# � <br /> SUBDlVI310N ��e..2U.��C� J"�.fl� PARCEL ID# � � O�� � O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT �] SIGIV Q Q DEMOLISH <br /> INSTALL REPAIR 7� <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF 1NORK S 1 't' , � <br /> BUILDING SIZE SQ FOOTAGE �I O S �-- HEIGHT <br /> r°r�r°rr���-a� �°- <br /> QBUILDING r�� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRfGflL $ �1MP SERVICE Q PROGR€SS EiV€RGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL IIVSTALLATION <br /> I QGAS � ROOFING Q SPECIALTY �� OTHER <br /> FINiSH�D FLOOR ELEVATIONS FUDnD ZOiVE AREA �YES ND <br /> i <br /> f —�.�..� L� . . �. . . . <br /> BUILDER ^ COMPANY � <br /> SIGNATURE REGISTERED Y N FEE UR E� Y N <br /> Address g O � License# ���ja S�Q � � <br />' ELECTRICIAN COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURREA Y(N <br /> Address License# <br /> PLUM6ER COMPANY <br /> SIGNATUf2E , REGISTERED Y/ N FEE CURRE� Y/N <br /> ,4ddress L'tcense# �- <br /> MECHANICAL COMPAMY <br /> SIGRfATURE REGISTERED Y/ N FEE CURRE� Y/N <br />, Address License# <br />, OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address License# <br /> Illllllliliillllllllllllllllllllllllllllllllllllllllilll11111111111 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)aets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submitta�date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;S(te Work Perm14 for subdivisions/large projects <br /> COMfffl�RCIAL Attach(2)complete sets of Building Plans pfus a Life Safety Page;(9)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittaf date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&i dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT �4ttach{�)setsvffngfneered Plans. <br /> 4*�kPROPERTY SURVEY required for all NEW construction. <br /> ■ � Y <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over$2b00,a 1Votice of Commencement Is required. (A/C upgrades over$7500) <br /> `* Agent(for the contractor)or Power of Attorney(for the owner)would be someone w(th notariaed letter from owner authorizing same <br /> pVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingtes �ewers Serviae l7p�rades A/C Fenr�s(PIotJSu�u�y/Footage) <br /> Drivawayo-Not ovor GouMer ii on pub5ia roedwrryo..nec�h 4iO�fy <br />