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e13-7eo•o020 n City ofZephyrhilis Permit Appfication Fax-813780-0021 <br /> ). Building Department <br /> Date Received Phono Contact for Permitting MCI,--` pce s <br /> OwneeS Namo a Owner Phone Number <br /> C <br /> Owners Address I Owner Phone Number <br /> Foe Simple Tiuelfoldar N me ....:.c.^ a ;Na-bc: , <br /> Fee Simple Titleholder Address <br /> 2l / <br /> JOB ADDRESS t LOT* <br /> SUBDIVISION J f �QC p4Rr Fl IMt, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED f NEW CONSTR 8 ADDIALT SIGN Q DEMOLISH <br /> tttt P INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM u OTHER <br /> TYPE OF CONSTRUCTION = BLOCK [a FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> -- - - <br /> =l3UILDING f S VALUATION OF TOTAL CONSTRUCTION <br /> R <br /> =ELECTRICAL E S Remo sF?wCg Q pan_r.RGcc ENERGY n , .R c,C. <br /> VIP'LUMBING f S <br /> i •l'�t� �-�`CSC-'-h`1`1 <br /> =MECHANICAL II �� VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS (. = ROOFING (� SPFr:IXTY nTHFF <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> [�k <br /> BUILDER I COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEEcuRRen <br /> Address ( License ff <br /> ELECTRICIAN j COMPANY <br /> SIGNATURE {{ mGrsrtntu it yij I FEE CURREN YI !N I <br /> Address 4 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED N FEECURREN I Y/ <br /> Address .1 �.,rasi.9 �rre ee ry, 12iaG �FSrU <br /> ff <br /> MECHANICAL h COMPANY <br /> SIGNATURE 4 rtCeryTG:HD Y r N rcr GUMMIN I T r N <br /> Address 1 I License ill I <br /> I <br /> OTHER COMPANY <br /> SIGNATURE ° 1 REGISTERED Y/ N FEE CURREA' Y! <br /> Address ! license it <br /> 111111111111),IIIIIIIIIt1111B111111111111111t11111111I1111ICIe � � � � ato <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 Facilities&1 dumpster;Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Sefetv Pass:(1)set of Eneray Forms.R-O-W Permit far now mWnintinn. <br /> Minimutn tan(10)working days after submittal date, Raquirod onalto,Construction Plana,Stormwater Plans w!Sill Fonco Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permll for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons.• • • • •• <br /> Fill out application colPletcly. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2500,a No66o ofCommoncomontis raqufrod. INC upgradao over$760D) <br /> Agent(for the contractor)or Power cf Atlomey(for the owner)would be someone.wilh notarized letter from owner autrforizing same <br /> 1 <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Roroafs If shingles Se-" Service U�vadea rvi i E iu s(Fiwovrvtrpirvu agtsj <br /> r <br /> Driveways-Not over Gaunter If on public roadways.,needs ROW <br /> r <br /> t <br /> i <br /> f <br /> tt <br /> k <br /> e <br />