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uity of Zephyrhi\lGPErmit Application F ax-813-780-0021 <br /> ' Building Dapa�n�� ' <br /> ' <br /> Date Received Phone Contact for Permitting PS10 ) - <br /> Owner's Name Owner Phone-Number ct� <br /> Owner Phone Number <br /> Owner's Addressi lug F <br /> Fee Simple Titleholder Name Owner Phone Number' <br /> Fee Simple Titleholder Address <br /> � <br /> SuooxxexON PAFoCsLxz# <br /> (OBTAINED FROM PROPERTY TAX—NOTICE) <br /> _ <br /> WORK PROPOSED mewcomuTn AoD/ALT �--� SIGN �-1 F--1 DEMOLISH <br /> E5 INSTALL E REPAIR <br /> PROPOSED USE F--1 . aFR F-� COMM F--� OTHER <br /> TYPE OFCONSTRUCTION r�V BLOCK �-1 FRAME F--� STEELBUILDING SIZE F_ Q FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK <br /> ::Z) (-)ee4 LLAO <br /> =BU/LD|N6 VALUATION OF TOTAL CONSTRUCTION <br /> F--7EL��[R��L AMP F--1 PROGRES3ENERGY [-1 VVJlE�� <br /> ���� <br /> =PLU MBING ` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �-��AS �-�1 ROOFING [-l � SPECIALTY | �OTHER���' ���` ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__]YES NO <br /> BUILDER ��p�� lr�C I <br /> SIGNATURE <br /> REGISTEREDL_��_l�_� rEftcunne^ L_2��L_| <br /> Address Uoansa# <br /> ELECTRICIAN Of COMPANY EhP rfn <br /> SIGNATURE L_Y/_N_ rescunnex L�Ll NL_\ <br /> Address License# <br /> PLVMBER COMPANY <br /> SIGNATURE nsG/urenso Y LN_J 'rssnunnb, L_ZlNL_l <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE , �-1?/.« peecu*nE^ -[�2��_| . <br /> ­ <br /> Address3 License# <br /> OTHER COMPANY <br /> SIGNATURE R I rEEounRE^ LIlN _.�J <br /> ' <br /> mddmss Liooneo# <br /> mxxxumnuxnxxxxxuumxxxxunxoxxxxxxuuxxxnuxmxuxnumxuxnxxuuummxxxxuxxxu <br /> RESIDENTIAL Attach C4 Plot Plans;(2)sets nf Building Plans;(1)set ofEnorg � 4m <br /> �Fonnm� � Pmnnitfornmwconsbuu8on. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects ' <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new 'construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered P|anm. . <br /> ~=°PROpER7Y SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> n over$csou.a Notice of Commencement isrequired. (AIo upgrades over qT5nV) <br /> � Agent(for the contractor)ur Power nfAMnmo�(for the owner)would be someone with notarized letter from owner euthohzingsamo <br /> ' <br /> OVER THE COUNTER PERMITTING (copy ofcontract required) <br /> Ramnfs if shingles Gavem Service Upgrades A/C Fences . <br /> . <br /> oriveways4otnva Coun�r�nnpu��madv�yoonogeR�VY ` <br /> ~ - | � <br /> / <br /> i <br /> ' <br />