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-813-780=0020 City of Zephyrhilis Permit Application' rax-o,arou-uuc, <br /> Building Department <br /> Date Received' i 6� <br /> Phone Contact for Permitting <br /> owner'g;Nastie. v va' Owner Phone Number <br /> ,: .. <br /> Owner'sAddress,, 5 g ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone-Number <br /> Fee Simple Titleholder Addr[esss <br /> JOBADDRESS`. W { ��15 — t 33 't LOT# <br /> suBDivisioN; ray Z CS Z ti PAIiEEI;tD# t^c2�P (. ( i( 0,{ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOi2K`PR0F0SED- NEW CONSTft ADD/ALT SIGN Q MOVE Q DEMOLISH' <br /> INSTALL REPAIR ) <br /> PROPOSED44- <br /> USE . ' Q SFR - 0 'COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' 0 FRAMED STEEL. . OTHER C—( <br /> DESCRIPTION.OF WORK1 ew Q �2-fob i S i' ioc�s t e�. 1 <br /> BUILDING SIZE. i;fOOTAGE. HEIGHT- <br /> BUILDING $ " .` ,"'-' .w `': :; - <br /> :,:: UALUATIOtV=.O_F;TQTAL'.CONSTRUGTtQN <br /> w <br /> ELECTRICAL ($ AMP SERVICE PROGRESS ENE <br /> Q - PLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI <br /> 0 GAS ROOFING SPECIALTY OTHER . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA . . [ YES ONO::: <br /> BUILDER- COMPANY . <br /> SIGNATURE I REGISTERED Y/.-N ,=:FEE CURRENT: <br /> Address License# <br /> ELECTRIGtAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J 'FEE CURRENT `''Y/N <br /> Address License# 1 <br /> PLUMBER COMPANY, <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# .• <br /> MECHANICAL COMPANY " <br /> SIGNATURE REGISTERED ' Y/ N FEE CURRENT LL_y/N <br /> Address License <br /> .. <br /> •OT;FiEFZr=_ _ �„�s �"G0t1iIPAti1(. i�G•Ilo1 ' <br /> SIGNA7UREM�' REGISTERED Y N FEE CUR NT' /N <br /> AddresJs (o 13 5 t2 t bkt S IF r 33 S� L« ris # <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed-, <br /> Sanitary Facilifies&°1 dumps#er;Site Work Permit for subdivisions/large projects . <br /> COMMERCIAL. Attach{3}sefs of Building Plans;(1)set of Energy Forms:R-O-W.Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,"Stormwater Plans w7 Slit Fence installed; <br /> Sanitary Facilities&1'dumpster.Site Work Permit for all new projects.All commercial requirements must meet corinpliance` <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ! <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized : <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$5000) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Re-roofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />