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813-780-0020 City of Zephyrhilis Permit Application Fax-813asaoo2�
<br />, , Building Department
<br /> Date Recelved , 'Z �f,�� t� pttone-Contact far PermlttFn j� � � – 3��'�
<br /> Owner's Name t"�`� � �8,/ Owner Rhoae Number
<br /> Owner's Address `Z�.)�i �, _ � Owner Phone Number �; �
<br /> Fee Simple Titleholder Name, Owner Phone Number � �
<br /> Fee Simple Titlaholder Addre�s '
<br /> JOBAbDRESS `�[ ���' ��rri r l/J LOT# [� '
<br /> SUBDIViS10N �(��� Sp,,,u,� � PARCEL ID# 'Z l -t "'D Zc� –�3"D "'�'���
<br /> (OBTAINEO FROM PROPERTY TAX NQTICE)
<br />, WORK PROPOSED NEW CONStR ADD/Al3" � StGhl Q � DEMOLI$H
<br /> INSTALL REPAIR
<br />, PRQPOSED•USE Q SFR Q COMM �� OTHER ,
<br /> TYPE OF CONSTRUC710N Q BLOCK " Q FRAME � 87EEL Q
<br /> DESCRIPTION OF WORK i � �- '� �" Z1 y(��,� �
<br /> ������-o�
<br />( BUILDING S12E _St1 FOOTAGE HEIGHT
<br /> QBt111.DING �� VALUATiON�OF TOTAI CONSTRUCTION
<br /> QE�ECTRICAI. �� AMP SERt!!CE Q PRCIGRESS ENERGY Q W.R.E.C.
<br />', OPLUMBING �>_-�
<br /> [���CHANtGAI $ � � V,4�UATlON OF MECHANtGA�INSTRLIATIQN ���}�
<br /> � -��C
<br /> QGP+S Q ROOFING Q SPECIALTY [� QTFtER "
<br /> FINISHED FLQOR ELEVATIONS ��� FLOOD Z4NE ARF_A [�]YES NO
<br /> � BUI�DER COMpANY
<br /> ' SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address Cicense# � `�
<br /> ELECTRICIAN COMPANY
<br /> I SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �—� �
<br /> � P�UMBER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> ' Addrass License# f �
<br /> . „ .,
<br /> SIGNATURE � � �'" �,/"'� ROMPEANY Y/ N 5 FEE�CUR�R � Y/•N ly
<br /> Address 1��'�3 �S � �/ � ucense# ����j?���'�_�
<br /> OTHEF2 �pMp�y
<br /> SIGNATURE REGI57ERED Y/ N FEE CURRE� Y/N
<br /> Addrass ° _� . . _ - Licens�# � � -
<br /> REStDENTiAL Attach{2)_Plof Plans;.{2}sets of Bu1ldfng7Plans,(1}se#of EnergyFarms;.Ft-f?-W Permlt far new construction,
<br /> Minimum;ten(1.0).worktng;days after.submittal ilate. Required onsite,Construction Plans,Stortnwater Ptans w/Silt Fence installed,
<br /> Sanitery FaclllUes,&�1 dumqster Site'Work�Rertnit for sub"dlvislonsflarge proJects , '
<br /> COMMERCIAl. Attach{3}coinplete sets�of Bultd9ng Plans plus a l.ife Safety Page;{1}se#of Enetgy Forms.R-O-W Permit far new conshuction.
<br /> Minimum ten(10)working days after submittal date. Requlred onsite,CanstrucUon Plans,Stormwater Plans w/SGt Fence installed,
<br /> Sanitary FaciliUes&1 dumpster.Site Work Permtt tor ail new proJects.All commercial requlraments must mest complfance
<br /> SI�N PERMIT Attach{2)sets of Erigineered Plans... � �
<br /> ""PROPERTY SURVEY reguired for all NEW constructian.
<br /> D3rectians:
<br /> Fill out application completely.
<br /> Owner&Contractor sign badc of appllcatlon,notarized
<br /> !f over$2540,a Natice of Commeneement ts required. (AtC upgtades over$7500) . _ •
<br /> '" Agent(for the contracto�)or Power of Attomey(for the owner)would be someone with notarized letter from owner authodzing same
<br /> OVER TFiE COUNTER P.ERMITi1NG- {Front of Appliration Only)
<br /> Reroofs if shinglqs,,:�„��,��;s�,::s.,:;,Service�Upgrades A/C Fences(PIoUSunrey/Footage) ;:,::._ - - , _ � ,._...,,,. .
<br /> , ,, .
<br /> � -
<br /> t"'�'i'drt i .� :.y� ' ' `y " , c',���,_ _
<br /> Ltriveways-Natraver-��iriter if on publtc roaduiays..needs ROW �' . ;, �•
<br /> �, iu�S�r4�' :ti!ryU�Ytn1p;�+ ,, ?� �� - ' ' � ���1,: �j'
<br /> �?�1� �; RQiitilM1LiH%J • � ;�y . , , . , v C. _,'�.�
<br /> � _, .:'�w+tss'tqdt' :r;'1at,_? �,,�' , f�t'?"d�S � _ ,.;��,:,� � -:r; ��, , -, .
<br /> _ - �. ' , .��r- �.. � _.-: �r' r�;,�-�r,"r,; . _.- �
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