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~'^'1""-u"4" City OfZephVrhU\s Permit Application Fa»813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address I_L_CCC)_L�T 7D <br /> 7--Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FT::_Y,,00 qc�( ve -A LOT# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> Ef INSTALL REPAIR <br /> PROPOSED USE �--1 eFg �-\ COMM �---� oTHER <br /> TYPE OF CONSTRUCTION �-��' BLOCK F-� FRAME F---� STEEL <br /> DESCRIPTION OF WORK to z�I&_ArJL I Z- S ex <br /> BUILDING SIZE F_ 0- EIGHT <br /> I SQ FOOTAGE llj��Z91 H I <br /> F--�BUiLD\NG <br /> �-� VALUATION DF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE [--1 P��GR�SG�NE�GY �-1 VY.R.E.C. <br /> ---- --- <br /> =PLUMo|NG <br /> =MECMANIcAL VALUATION OF MECHANICAL\NSTALLATON <br /> F--loA� ��� RO�F|Nn OTHER <br /> F-� SPECIALTY [---1 <br /> ��� <br /> FINISHED FLOOR ELEVATIONS -76 FLOOD ZONE AREA =YsS NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> aV|LoEm COMPANY nc <br /> SIGNATURE neomnsRED ` psEuuRREN <br /> Address <br /> =_LsCTR{C|AN COMPANY <br /> SIGNATURE neomrsnso ` FEE ounRex '- <br /> Address <br /> :'LUMBER COMPANY <br /> 31mNATuRE nso/arsnso <br /> Address License# <br /> mEoHmv|oAL COMPANY <br /> BsNAIVRE nea/orenso r <br /> Address 1-510 D��Y- (1: Kk3.tA f2i,-6q:�iHl License# ZA C-6 33 W 9 <br /> )TnER COMPANY <br /> �|GN4TURE REG/sreRso �-- <br /> Address k�f k�_.Pa+&6 M�i License# CC <br /> lEG|DENTAL 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 aftered. <br /> Sanitary Foc|i�no&1dumps�cS�eYVo�Penn��xaubdhb���a�epn4ada ' � � <br /> ,OMMEgQAL 8��oh;q complete s�sof Building Plans plus a Life Go��Page;(1)set ofEnanQy-Fo�� ���RVPennit for new 'construction. <br /> Minimum ten(1o)working days after submittal date. Required nnsitn.Construction Plans,Sto Plans*Y Silt Fence installed, <br /> Sanitary Facilities&1dumpoter Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> xGNPE0M\T Attach(l)sets cf Engineered Plans. <br /> °°"PROpEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> n over$2aoo.0 Notice pf Commencement}srequired. (AIC upgrades over$750V) <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame <br /> )YER THE COUNTER PERMITTING (copy nf contract required) <br /> mmofs if shingles Sewers Service Upgrades //C Fonnea(P|oVOuney/Footogo) � <br /> ' <br /> Driveways-Not over Counter ifon public modoaya..nondoROW <br /> ' <br /> ' <br />