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a��..ouUU�U City o#Zephyrhilis Permit App3icativn Fax 813-7eaoo2� <br /> s <br /> Butlding Department . <br /> Date Received � Pbone ConWct for Permlttin / �l? c� - �✓�L� <br /> Owner's Name �l ta.�f� � Owner Phone Number ���" � � p�� <br /> Owner's Address JJ�� ��/� CN wy`�� dwrter Phone Number �- K � <br /> Fse Slmple 71t1ehalder.Name � � Uwner Rhane Number r� � <br /> Fee Sfmpte Tftiehoicler Addresa <br /> .lOB ADDRESS ��� ,h1�r�►,J �i �/? ��It��I,�,gKS �.oT# �� <br /> SUBDiViS10N ��`��''R ��� PARCELID# �� a�4° �! �j�� lJ���� !- � � <br /> (OBTAINEq FROM PRpPERTY7AXNOTICE) <br /> WORK PRQPOSED NEW CONSTR ADDiALT [� StGN [� [� DEMOLISN <br /> , e INSTAIL � REPAlR <br /> PROPOSED U$E Q SFR Q COMM �] QTHER <br /> TYPE QF Ct1N8TRUCTlON Q BCQCK " [� FRAME [� STEEL Q <br /> DESCRIP110N OF WORK ���.� �"/� �h n�1� e- � r� �''� l�/!fG% J <br /> BUILRlNG SlZE �!� SQ fOOTAGE HEIGHT ��� <br /> QBUILDING � � VALUATiON`O�TOTAL CONSTROCTION <br /> QELECTRICAL (�$ ��� AMP SERVICE Q PROGRESB ENERGY Q W.R.E.C. <br /> ��� <br /> QPLUMBtNG ($>-^-�� - � <br /> � <br /> QMECHANtCAL $ ���y��-. �� VALUATION OF MECHANICAL INS?ALLATION <br /> _7 <br /> QGAS Q RAOFING_ � SPEGtALT1f � OTHER <br /> FWISHED FLOOR ELEVATIONS FLOOD ZONE AREA ' QYES iV0 <br /> ��� - <br /> 9UILDER COMPANY <br /> SIGNATURE REG(STERED Y t N FEE GURREt� Y/N <br /> Adclress � � License# � �� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE � REGISTERED Y! N FEE CtlRREF Y I TI <br /> Address License# � � � <br /> PLUMBER COMPANY <br /> StGNATURE RECilSTERED Y/ N FEE GURREP Y/N <br /> Address License# � � � � <br /> StG ATURE �-� �� <br /> /J� �� ) � COMPANY �J��2.$ h�Ne L�T�'���/ �'G' <br /> �'"t'U� ( i.� REGISTERED Y/ N . FEE GURREf� Y/N <br /> Address License# ���D ������ <br /> t�TNER COMPANY <br /> Si,�'sN�47URE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address License# � � <br /> RESIpEN'FIAL' Athach(2}Ptot Rlans;(2)sets of�Buildi'ng Pians;(1}sat afiEnergy=Forms;R-@1-W Permit for new aonstruction, <br /> Minimum�.ten•(10}working;days-after„"submittai date. Requlre+d ansite,Construction�Plans,Stormwater'Pians w/Silt Fence installed, <br /> 3anitary FacBi�e.s.&1�.dumpsterSite Work�.Permit for,subidivisionsAarge-projects <br /> CbMMERCiAL Attach(3)compteta sefs`of Buitilfing Pians pius a Life Safety Page;(1}set of Energy Forms.R-O-W Permit for new constcuctian. <br /> Minimum ten(10}working days after submiital date. Required onsite,Construc8on Pians,Stormwater Plans w/Silk Fence Installed, <br /> San{tary Facilities&1 dumps#er.Site Work Pemnit for a�l new projects.All commerclal requirements must meet compllance_ <br /> StGN PERMIT Attach"(2)sets of Engineered�Pians. - <br /> ""PROPERTY SURVEY.required for atl NEW construcUon. <br /> Directions: <br /> Fitl out appiicallon completely. <br /> Owner&Condactor sign back af appltcaUon,notarized <br /> if over y2S00,a Nottce of Commencement ts required. (A!C upgrades aver S750Q� <br /> '• Agent(for the contcactor}or'Pbwer of Attamey'(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> .,,..tua.�•:>...�.�:,�..,.,.... <br /> OVERTHECOUNTERPERMITtING`..�_ '.(Front'ofAppllcaU6n•Only):., ,4�:������� �; `_�, --I .-. , ;: <br /> Reroofs tt shingles Sewers. Servi�e Upgrada.s AJC .Fencas(Plof/Survey/Footage) . , <br /> Drlveways-Not over Counter If on public roadways..�eed's ROW - . - <br /> _ ,- , _• �.. ,. . .. . _� ..,. _ ' '�"` "",�'.,.'"' ' _ . ..� . .. .- <br /> a <br /> r <br /> . i <br /> � 'r, <br /> �,�1 <br /> --"----- '---'.__.._.._._�__c�.__� ,_-___. - '--==..�_�r..,.�_-'-'_- -.:_.r-�w..,...t._.a:.-...-� ,�-..-.,....,.....,.-,_,......»-,..._ _. <br />