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Fe»813-780-0021 <br /> City of Zephyrhilis Permit Application <br /> Building Department <br /> ' . / . <br /> Date Received <br /> Phone Contact for lie'rmitting <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 11s,EL -3 LOT# <br /> �k�- � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR f__1 ADD/ALT SIGN DEMOLISH <br /> INSTALL F—] REPAIR <br /> PROPOSED USE SFR Comm OTHER <br /> TYPE OF CONSTRUCTION E:2— BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK J <br /> - <br /> BUILDING SIZE - ' <br /> L--JoU|LDU«o VALUATION OFTOTAL <br /> =ELE{TRlCAL AMP SERVICE �--| PROGREGGENERGY �--� W.RJE.C` <br /> F---lPLUM8|NG <br /> =MECHAN|CAL VALUATION OF MECHANICAL INSTALLATION u <br /> ' GAO r�� 0DO�|M SPECIALTY �---� DTH�R <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> g|sNAruRs nsG/srsnEo L�L/ | rEE"v""=^ LLN_� <br /> Address License# <br /> -ELECTRICIAN coMpAm, <br /> 3\mNAIVRE nsuISTsmso FEsounns^ L_l_LN__\ <br /> Address 9 06 License# <br /> :,LUMBER COMPANY <br /> 3ioNATUps nEemrsmso L_Y/_N_J pss13unne^ L_l/NL_> <br /> Address License <br /> I - <br /> NEoHpNICAL co�Pxmr <br /> [&�'\P, R-�r- <br /> 3IGNATURE nsomrEnso ` L_YLN_ psscunnsxv L_l_/N_} <br /> Address License# <br /> }THER COMPANY <br /> !\GmATUaG nEo/orsnEo _yi_N_ rsscunns^ [_y/N�� <br /> Address Ummsa# I cc <br /> m m x u x n w u x u o x m x x x o m n x x x m u`x x x u m 1px n x u m x x n x � V x x x x u m n u x x V m x x u m u n u x u m w x x x <br /> ZEoUzENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects _> <br /> ,OMMERC|AL Atfaoh(2)complete sets of Building Plans plus aU � � <br /> fe� � Page;(1)setofEoenQyFnnna.R-{-WPennit for nmwconstruction. <br /> Minimum ten(1O)working days after submittal date. Required ooaite.Construction Plans,Stunnwoter Plans y/Silt Fence installed, <br /> Sanitary Faci!itiao&1 dumpstar.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> UGN PERMIT Attach(2)sets of Engineered Plans. <br /> °°°°pRJPERrY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> ovmnr&Contractor sign back of application,notarized <br /> n over$2000'a Notice of Commencement is required. (AIC upgrades over$75VO) <br /> ° Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same <br /> x/ERTHE COUNTER PERMITTING (copy nf contract required) <br /> �mofs If shingles Seva,a Service Upgrades A/C Fencnn(P|obSumey/Footage) . <br /> ' <br /> Driveways-Not over Counter ifon public madwmyo..noadn ROW <br /> . <br /> ' <br />