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a=13-780-0020 City af Zephyrhilis Permit Application Fax-813-780-ao2�
<br /> , 8uilding Department _ .
<br /> Date Receiped Phane-Co»tact for Psrcnit#in -
<br /> Owner'a N�me � �i f� � Owner Phooe Namber C�l�--�7 c�� "'"��rJ
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<br /> Owner"s Address ���� l,.t1� � � - �nrner Phone Number:�-
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<br /> Fee Slmple,Tltleholder Name �c!'f6�- �2_.. � � Owrner Phone Number ��� �
<br /> Fee Stmple}TltleholderAddress � / 2 /// L �L � . � �l !1 ��S'""`/
<br /> JOB AD�RESS S 3 w � � �I'. " j/�J S LOT# �_�i�
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<br /> SUBDIViS10W � • �. � � PARCEi,tD� �
<br /> ,. . ., (OBTAINED FROIN.PROPERiYTAI(NOTICE)
<br /> WORK PROPOSED :NEW CONSTR ADDlAIT �� StGN Q �Q DEMOLtSH
<br /> � �e. INSTALL 8 ,5 REPAIR � • ,
<br /> PROPOSED•�t1SE � Q SFR. Q �COMM ' . :� -OTHER ; .
<br /> TYPE OF CONSTRUCTION Q�' " BLOCK " �[� FRAME �Q STEEL" C] " _
<br /> DESCRiPTIdN OF WORK . j1I�tJ " �'f7//l/ '�S � '
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<br /> B[lILD1NG�lZE' S FOOTAGE - ttE1GHT
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<br /> OB������' �.� �� �'"T/ALtiAT10N''tOF TO`fAL COidSTF2tJC'i'ION . .
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<br /> QEI.ECTRICAL $ ' AN1P SEFiV10E Q PFttJGRESS ENEl2GY Q W.R.E:C.
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<br /> OPLUMBING � � ' `
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<br /> Q{U�ECNANlCAL $ � VALUATIQN tOF,MECHANiGAG iNSTALIATlON
<br /> C]GAS �J ROOFlNG .[� SPECIALTY � OTHER�
<br /> FINISHED EI.00R ELEVATIONS �� FLOOD 20NE AREA QYE$. ,NO
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<br /> RU1I.DER G�,� � CONIPi4NY:. . __ _ '
<br /> SIGNI�TURE REGISTERED Y/ N FEE CURREK Y'/N .
<br /> Address License:# � �
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<br /> E�ECTRICI�Fi; . COMPANY �
<br /> SIGNATURE � REGIS7ERED Y/ N FEE CURRE�'' ' '•Y/N
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<br /> �lddre� " � . , y . Ucense�# + ` �
<br /> � PLUMBER� . , COMPJ11I+1Y � _ '
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<br /> SIGNATURE` '" _ * REf31ST.EREp ,. Y./.,.N�� ,;FEE!CURRER Y--/N _
<br /> Addr�ess ' LEuense# �_ ,�:
<br /> , MECHAt+}lGAL' � GD�IIPEWY ' -
<br /> SiGNATURE ' ' ' REGISTERED ~. . Y,/ N .� FEETCURRE�. , . Y�,/~N. = - .
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<br /> �►tldre�s' ,_;, ., z ,t , -•s =.;` . ,. -`- '' ., ;�. .;,. licenSe# (
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<br /> I OTNER - ; ,GOMPANY� � . � - ,
<br /> SIGIdATURE .. ' °�_ - '�' • ° ` ' REGISTERED Y/ N.�... FEE CURRE� , Y/N- .
<br /> Addre�~ rr`.. �`.,�_ _ Y , tici�nse# fi -�� ' - �
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<br /> REStRENT1At:�- f►itac3�`(2}�Ptot:Plans;•:(2)sets=of�Buliding-'Plaas,('!)seE:of-Energy�Foims;nR�W�PersrilCfarnewccnsbuctibn, .
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<br /> �� s.��� Minimumcten4(1}0)working,days,a�ter,;subriniftai d"ate�:Requi�ed onsite ConstrucBon-Rians;�Stormwater Pia'n`s wi'Si1t Fence inskaiied, '
<br /> ... •�_�_.,,..�.� ,.,... _
<br /> � Sanita`ry Facilffiesn8�j1;;du,,mpster;SltesWork�P,,ermit for.subdivislohs/large projects:v_� .:�:- - �'' � ' '�� 3 ��
<br /> COMMERCIAI. Atta�{3}'cosriplete sefs`ofBultding Pla»s pius a�'Cife 8af�ty Page;{'t}set of Energjr Forms.R-O-NV Permtt#or neuv construcUon. ' �
<br /> Mfnimum ten(10)working_days after submittal date._Required ansite,Construction Plans,Stormwater Pians w/Silk Fenu�lnstatled,
<br /> "" - � Sanitary Facilitles 8 7 dumpster.Site Work Pertnit for all new:projects:All commerGal reyulrements.must meet compliance �
<br /> SEGN PERMIT AttacFa'{2}set's�8f`Engineer.et�,Plans.,4�.;=.-,, -�' ,^;, � ..- - .' a -
<br /> ""`PROPERTY SURVEY reguirad for all„NEW construction..� _ �. -
<br /> Dtrectians: =�#.:. : .- � . , >, �
<br /> Ffll out applicaUo�completely.
<br /> Owner 8 Contractor sign back of appltcaUon,notarized
<br /> SE over$2600,a Natice af Commencsment i�required. {FJG upgrades aver 37500} '
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<br /> " A ent fcyr the contraotor)or PoVirer of Attor"riey(f6�Uie adune�)wauld be someone with notarized letter from owner authorizing same
<br /> aYER THE-COUNTER.PERM17'FINa... -.(Front of�Appllcation On{y}- ' - :; f . . -- „ • -• , -
<br /> Reroofs if shingles Sewers Service Upgr�das A%C Fences(F'IodSurvey/Footage) :, ' � ; , , , ,
<br /> Drivewaya-P1at over Caunter if on pabllc roadways..nead's ROW , „ ' , . �
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