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813-780-0020 City of Zephyrhilis Permit Application Fax 818-780-0021
<br /> 8uilding Department . `'+'
<br /> Date Recelved . Phone=Contact for:Permlttin
<br /> Owner's Name e��� J�7 Owner Phone Numher
<br /> Owner's Address � Owner Phone Number �- �
<br /> Fee Slmple;Tltleholder Name � � Owner Phane Number � �
<br /> Fee Simple{Titleholder Addresa �
<br /> .108 ADDRESS � �D� � C�
<br /> SUBDiViSIC1Pt f � PARCEL ID# �
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<br /> ( , (OBTAINED F.ROM PROPERTY.TAX NOTICE)
<br /> WOitK PROPOSfD � NEw`C4nt55TR . ADDlAl.T C] SiGN C] [� DEMO�lSH
<br /> € T
<br /> t INSTALL . REPAIR
<br /> PR4POSED:USE Q SFR Q �COMNI ' ' C� -OTHER '
<br /> TYPE OF CONSTRUCTION - Q BLOCK ' Q FRAME [� STEEL Q
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<br /> DESCRIPT{ON OF WORIC• , rj �
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<br /> BtlILDING SlZE � SQ.FOOTAGE�_�: . :HEIGHT+���� ,.
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<br /> Q8tlt�Dli�}G $ -�- . .w: .�.� . -- -
<br /> : VAItlATtON:OF`TOTRL CONS'�RUCTiO `
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<br /> I.ECTR#CAl $ ,,.y � AMP SERVICE ��� RROGRESS ENEF2GY [� W.R.E.C.
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<br /> QPLUMBING - �
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<br /> QMECMANtCAL $ VALt1ATtON OF'MECMANICAL INSTAItATiON
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<br /> Q�S Q ROOFtNG Q SPEClALTY � OTHEf2 �
<br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD 20NE AREA QYES NO
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<br /> 8UIEDER � COMPANY __
<br /> SIGNATURE REGISTERED Y/ N �E cuttix�n ` Y'/N
<br /> Addreas ' License#
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<br /> EtECTRtCI�t: ���� ,:GOMPAi+IY � '� �
<br /> SIGN/#7URE � REGISTERED Y/ N FEE CURREM' -Y/
<br /> Addre�s � � , � _ License�#� �� �� /��L��:! i
<br /> Pi.UMB�R ; , •� COMPANI( . : ' . . .
<br /> SIGNATURE � REGIS7ERED, Y./,•N�, -,FEECURRE� Y/N
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<br /> ACPt1r88S , � ` ` � . . I.IGBTIsB,#
<br /> MECHANICAI:.� � GOMPANY '; . . . i � -
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<br /> SIGNATURE " " REGI3TERED > �Y.,/- N FEE CURFtE�.. Y/�^N .
<br /> Address� • ' ` ` ' -- , ." �License#�� �
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<br /> OTF{ER • � � � :COIWPANY"
<br /> SIGNATURE ;_ � � " r " " REGISTEREDe ' : Y/ N.,. '�FEE Cu�� Y/N
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<br /> Address �� � „- � . ` -
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<br /> Licr�nse#
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<br /> RESlpENTEAi:_� Attach'(2),Plo#�:Plans3:(2}seis�of:Bullillrig?Plans;"{'i}set oF�Eriergy�ForTr�s;,f2-0-W PeriritE for-�sew c.�anstrucHbn, -
<br /> ,, t;.-Minimum>ten�(:10);�uvo,rking�days:after,;."submittal iiate::Requlred onsite,�Cohstrucflon�Rians;'Stormwater Pians w/Siit Fence instailed,
<br /> � 1� Sani'tary�Facilities;&r,1<durnpste_r,�Site•Wark:Permitfor,subdivisions/large,-projecfs ___:;.,-=; " � � -' `
<br /> COMMEt2CiA1. Attach{3}•ciisnplete's`ets af Bii[Idirig`Plaiis�pias a'E.Ife'Safetp Page;(1}set of Energy Forms.R O-W Persnit for nevtii constructlon. �
<br /> Minimum ten(10)waiicing days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitles&1 dumpster.Stte Work Permlt tor all new.:proJects:.All commercial�equi[ements_must meet compllance '
<br /> SIGN PERMIT Attar.fi'{2)se#s of�Eng,i`nee�ed:Plaiis..;.:-?'�^-� . . �
<br /> """PROPERTY SURVEY reyuired for all„NEW construction.. _ - ,
<br /> Direstlans: - . ,
<br /> F(II out applicaUon completely. .
<br /> Owner&Contractor stgn back of applfcatlan,rtoharized
<br /> tf ovsr�2504�a Natice of Commencement is reqnired. {�ttC ap�rades ovar S75oo) :.
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<br /> '• Agent(for tFie contrdctor)"'or"Powe�of i4ttomey'(fo�tFie bwner)woulil be4someone with notarized letter from owner authorizing same
<br /> aVER THE CCIUNTER PERM17TtNG- •-- {Front-af ApplicaHan Oniy)-- - _
<br /> Reroofs If shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Footage)
<br /> Drivewaya-Not ovar Caunter:if•on publlo roadr+va`ys.neeils ROW
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