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a�s-7eaoo2o City of Zephyrhilis P'ermit Application Fax 813asa-oo2� <br /> .•� Buiiding Department <br /> :.: • <br /> Date 13ecetver! p� Phone'Contact for Permittln � ' � �� <br /> aurne�'s 4lame � �wner Phone Number <br /> Owner'a Addre:�s "1 �1J L.f �� � Ornrner 9�h�one Nantb�r � • r� <br /> Fee�imple TtQie6aider Name Owner Phone Number � � <br /> Fee Simpte Titleholder Address <br /> JOi3 A4}DRES� ��� � 1,�V` T � V • LOT# �,�,� <br /> ` `� ,��''�jp�� (� r�J� *� <br /> SUBDlV1310H �1'�11111�/U � ����V� 'PARCEt ID# � '���5t " � MQ���� �V V� �� i <br /> - (QBYAlkED PRt?M PROPERTYTAX NOflCE} <br /> WORK PROPOSED` NEW CONSTR AL1GlAL7 � S{GS11� Q [� DEMQLfSH <br /> iNSTALL REPAIR <br /> PROPO�aED:t1SE_ [� 'SFR [] COMM �!] OTHER <br /> TYP�OF CONS'i1tUC'1"(Otd Q BLOCK " [�] FRAME �,� STEEL C] <br /> DESCRtPT10H{}F Wf}tti� I�i Y� � <br /> �UILDING alZE $1�FOt3TAGE�� , HEIGHT ��i_� <br /> QBUILDIi�1G �� VAt..UATlOfU`OF 7`C?Ti4L COA1S'f'R!!CTlON <br /> C]E�ECTRICAL $ AMP SERVICE - [� PF20GRESS EMERGY Q W.R,E.C. <br /> �""'� = `� . <br /> C]PLliM8lidG - ;$ �(�1hJ,_�- ` <br /> QMECFIAPttCA� $ VALUAI'ION OF MECHAiVICAL INSTALLATION ��� ��� <br /> Qc,�s [� RooFirvc .[p sP�cr��nr [� o��� <br /> FINISNED fLOOR ELEVATtONS FLOOD ZOME AREA QYES NO <br /> �,� _ <br /> , - - <br /> BUIL�Ett COflftPANlf' <br /> �1GPl�.TUiZE REGISTEREp Y/ N FEE CURRk"i� Y/iV <br /> �ddres� . - Ltcense#'i �" � <br /> �LEGTRICiAN COMPANY -- <br /> ����A�� � REGISTEREp Y/ N FEE CURREP ' `Y/fV � <br /> Address .: license# � � <br /> �«,����. . C%2 - �a��� e��`x:�n l�ri �t�-r��. <br /> SIGNATUR� . R�ts�Rea. Y./..N. . �cuwz�n - N <br /> Address C e . Llcense# .���"—(�}��r��}� <br /> WIECHANICAL � COMPANY ' <br /> �«�A���� h , REGiSTERED �. _.Y../ PI . . FEE CURREI�. . Y/IV <br /> Address' , _ • � - : � ,Licanse# 1 - i <br /> OTMER ;COMPANY � ,� <br /> S1GP1R�i�RE . ._ ' ' `REC,ISTERED �(/ N_:_, . FEE CURREn Y I nI <br /> i�i{�dP@3� " ' ' " LIC@JtSe#��+� !� <br /> . ,. . ,.: , _ �. � , <br /> RESIDEW�'iAL`,;�: •AfFacfi`�2):Piot-Atans;(2)setsof8u11ding�Plans;(lysef of'Energy Fa'rtn`s;_R=0=1N Pertnik fo�new consUuction, ` <br /> . , ,. .,.._. .� . <br /> . - Minlmum.ten>(10)vuorking;days after"submtttai"date.�Reqalred ansite,:GanstiucBon�P-iens;Stofmwater Pians w!SilkFence ins�uaileid. <br /> San(tary'Facillfles.&:.1.dumpste_r,._SfteWorlc:Permitiorsubdivisloir�s!laige=proJecr"s_.,:�;_._ ' � . <br /> �ONiRHERCifi� Attach(3)complete sets`of BuilBfng Plans plus a Ufe Safety Page:(1)set of Energy FoRns.R-O UI►Pennit for newi wnstru�tlon. <br /> . . Minimum ten(10}woiking da'ys after su6mitfial date. Required onsi#e,Construc8on Ptans,Stormwater Pians w/Si1t Fence Installed, <br /> Sanitary�acllfBes&1 dumpster.Site Work Permit fir ai!new pmjeais.A!i cammerc�aT requirements must meet wmpiiance <br /> SIGN PERMIY Attach(2)`sets of Engineered,Plans: ,•�• ' - - <br /> ""PROP'ERiY SURVEY required.far all RiEW consiruction.. � <br /> Dir`ections: - �. ' <br /> Fil}out apptica�on compietely. <br /> Owner&Gontractor slgn back of appltca�an.notarized •, <br /> If over�250q.a Notice of Commencgrnsr�t ts�equired. (dlC upgrades ovet$7500� <br /> " Agent(for the contrae4orj or'Povuer of Attomey(for Uie owmer}would be som�one with�notarized letter from owner authorizing same <br /> dVER THE COUNTER PERMITCiWG -(Front bf-Application Only) . <br /> Reraofs if shingtes 8ewers Seniice Upgrades A/C Fences(PIot/Survey/Foatage) <br /> - - - • -. _.>. :w-3. . <br /> Drtvewrays-Not aver Counter tf;on grublic roadwiays..needs ROW *�,._,,,:..- .= ``'' <br /> _ �•, . .. ,. . <br /> � <br />