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4E <br /> 1 <br /> e13-78MO20 City of Zephyrhil►s Permit Application Fax-813a80-0021 <br /> Building Department <br /> Data Received Fhono Contact for Permi}tirtg ` 1 <br /> Q� <br /> « Owner's Name Owner Phone Number <br /> Ownee's Address t Owner Phone Number <br /> Poo Simple Titleholder Name �,:•ac:p::ox:'.:am::.-: i 3 <br /> Fee Simple Titleholder Adross <br /> JOB ADDRESS ?. 1N :L \S LO71 <br /> SUBDIVISION , d£'f C�A PARC*L)!fir <br /> E (OSTAtNEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Q NEW CONSTR ADD(ALT CJ SIGN Q = DEMOLISH <br /> u INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTIOL 0 BLOCK Q FRAiv1E STEEL Q <br /> h <br /> DESCRIPTION OF WORK(( <br /> BUILDING SIZE �t� SO FOOTAGE HEIGHT <br /> [BUILDING ` « . ' « « « ` • - « «OF TOTAL CONSTRUCTION VALUATION <br /> I <br /> =ELECTRICAL I , AMP SERWr_.c ( I PR(1r PECC.FNCAGy u ;AID c,C• <br /> EZ;KPLUMBINGu <br /> I IS <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS �t 0 ROOFING M. SPFMtTY I-�j- OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREf Lj2 N <br /> Address i i License it <br /> ELECTRICIAN COMPANY <br /> SIGNATURE i Rtdrsrteto ii VN J FeeCURREt YI tN 1 �t <br /> Address Licenseft� � I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEECURREI, L..-' <br /> Address rati�7 E cya a tZ 1: —a 0 YL� <br /> MECHANICAL ( COMPANY Y <br /> SIGNATURE nCCrvTEnIaO YIN fCr rvfwl R I Y r tY �1 <br /> Address I License d i I <br /> OTHER COMPANY _ <br /> SIGNATURE i REGISTERED Y I N FEE CURREt Y I N <br /> Address License it �— <br /> tiQiQiQiitii§IQ ) QQltttiQiiQQf ittiiQitiitillittttitiQtiii111lQit+ QQoiltt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit for new construction, <br /> MWmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wr Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge 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 ennctnrdinn. <br /> Minimum ten(10)working days after submittal doto. Required onallo,Construction Plano,Stormwoler Plona w/Sill Fonco Inotalled, <br /> Sanitary Facilities&1 dumpster.Site Work Penult for all new projects.All commercial requirements must meet compliance <br /> SIGN PER4111T Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> c <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sirgn back of application,notarized <br /> rf ovor$2800,a Nottco of Commoneomont is required. (A!C upgradco ovor$TS00) <br /> '« Agent(for the contractor)or Power of Attorney(for the Omer)would be someone with notarized letter from owner autnonzing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Raroofs if shingles S-Avers Service Upgrades A1C Fenixs(P1uLaurvrsyirvviage) <br /> Driveway's-Not over I o unter It on public roadways.,needs ROW <br /> a <br /> 4 <br /> t <br />