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uIty of Zephyrh.1.[Is Permit Application Fax-813-780-0021 <br /> Building Department <br /> e-CAUC\)a i ak- <br /> Date Received Permitting 1(also <br /> M CA�-kor m, cum <br /> Phone Contact for <br /> .Owner's Name _b Qc� 0 ner Phone Number <br /> Owner's Address Z. cc)M -DK ___3dMfi6I 3 3�13 01 iner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder-Address <br /> JOB ADDRESS TSp,,i6c r Vmn6 20 PViq rhib:i, fC �354 LOT# <br /> SUBDIVISION PARCEL C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> 2� INSTALL E REPAIR <br /> PROPOSED USE 0 SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK New, 5im1p wilm nps,Apm_�_ ?, La:�o I <br /> BUILDING SIZE SQ FOOTAGE 1" 2!�6 " HEIGHT <br /> =BUILDING VALUATION OF TOTAL CO STRUCTION <br /> =ELECTRICAL J$ a AMP SERVICE PROGRESS W.R.E.C. <br /> t <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANI AL INSTALLATION <br /> 13-C C)Gb- I <br /> =GAS Ey 'ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> sysivill . . . . . . . . . . . . . . . <br /> BUILDER COMPANY I t. " 1r,C <br /> SIGNATURE REGISTERED Y/ N FEI'-CURRE� LZI N_J <br /> Address 02,� e- F License# Fu cb,scm 2 <br /> ELECTRICIAN > COMPANY <br /> SIGNATURE I �+r-n Aci Elerin, c <br /> REGISTERED Y/ N ' FEE-CORREN I Y-7 N I <br /> Address r License# I Ec 0 63-11 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N 'FEE CUAR t, L YIN 1 <br /> Address License# <br /> MECHANICAL COMPANY Woqt-e5s ,,*, � <br /> SIGNATURE REGISTERED N FEE CURREN -L��/N <br /> Address 5-q 0 7 hcn� 0 Wew i License# I cA co 33 �6 i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN <br /> q -se <br /> Address 3 NPU 0114-66-.A 3� License# I C-CC :1 2-,57,3 3 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Form R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,C nstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/larg projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)s t of Energy Forms.R-O-W Permit for new 'construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,C nstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> 111!1 commercial requirements must meet compliance <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects. <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$750() <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone With lotarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles sewers Service Upgrades A/C Fences(Plot/Survey/Fo ge) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />