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813-780-CM City of Zephyrhii(s Permit Application <br /> Stradng Department <br /> Data Rocalved Pbano Contact for ParmFHin a�1 x C,Si <br /> Owmor's Name "te�S`4l i Owner Phone Number <br /> # owner Phone Number <br /> owners address t ^—�I <br /> Fee Simple Tittehotdgr Name Oam4r Phone <br /> Fee Simple Twithold6r Address <br /> LOTS <br /> sea AtaDREss <br /> a. I <br /> SUBDIVISION err PARCIELID01 <br /> s IosTAII FRObt FROFERTY TAX NOTICE) <br /> WORK PROPOSED r PrE6YCohIsta ADDIALT ® SIGN © ® DEMOLISH°} ® INSTALL ® REPAIR <br /> PROPOSED USE SFR C,► rs y+ana �� v* L <br /> TYPE OFCONSTRU&ION L„] BLOCK ® I FRAME STEEL <br /> vZSCRiPTION OF WORK <br /> HUILIIINti SIYB Cr€ SQ FOOTA( HEI3HT <br /> r—I13UILDING ' 5 VALUATION OF TOTAL OONSTRUC71ON <br /> s <br /> i <br /> pELECTwC4 (3^� AMP SERVICE PROGRESSENEROY p w.R.E.C. <br /> G05LUMBtNG 15�._ �+■s..�t„ .` 1 1 °`k.0y I <br /> �MECHAR CAL 'VALUATION OF MECKANICAL iNSTALLATION <br /> i <br /> GAS ® ROOFING Q SPEax Tyr [Z-3 wrest Jy <br /> FINISHED FLOOR ELITVATIONS FLOOD ZONE AREA [ YES NO <br /> BUILDer; 3 COMPANY <br /> SIGNATURE I REGISTERED Y/N FEECURRREEN <br /> Address Ucense# <br /> ELECTRICIAN COMPANY t <br /> SIGNATURE � ` � t REGISTERED I YIN FEE CURREN I Y 1 N <br /> Addmss k License# <br /> PLUMBER + i COMPAW _ w ti C <br /> SIGNATURE s -- triaxSfUtED 1 ♦M I FEE CuaiiFz� Y/N T <br /> Address i�E' e3r ,�` a�+ License#MECH <br /> NY <br /> SIGMA A8OD41. COMREGIS ED <br /> SIGNATURE aEGisrEREfl I YIN FEE CURRfbi Y!N <br /> Address LSCanSB# 1 t <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEECURRM Y!N ---��- <br /> Add... (, License& t <br /> Ill !! ! tlItoll4itttrtitlti4lttiiiiilltililiit611ttlititttllltllllili <br /> RBSIDENTIAL Aftacn rl)mot Plans;rz)sets or tiutidtng wens;(t I set or i:nergy Norms,R-U-W t'ermit for new construction, <br /> Minimum ten(10)wanting days after submittal date_ Required onsite.Construction Plans,Stormwater Plans w1 Silt Fence installed, <br /> Sanitary Facilities&t dumpster,Site work Permit forsubdivisicnsAarge pro)eots <br /> COMMERCIAL Attach,(2)complete sets of Building Plans plus a Ldo Safety Page;(t)set of Enorgy Fom1s,R-O-W Permit for now construction. <br /> Minimum ten 00)vokno days aRbrsubmittal dote. Required onsite,constructon Plans,Storm later Plans wt Sift Fence installed, <br /> Sanita(y Facilities&I aumpster.Site Wont Permit for all new projects.AN commercial requirements must meet compliance <br /> SIGN PERMIT Attschl(2)sets of Engineered Plans. <br /> `131R 7PERTY SURVEY required for all NEW construction. <br /> i■i.i in`n�`■i■i++■`■�' `e■iC�■wi�i i !I iaii.i�.�.� 1++' !.:.1 ! Lel2lrl�I-1 6 w�+.�.t■i■i �l■e■Ir'■1■A■Is <br /> II <br /> }racoon:; <br /> R'el n4K 2pp!i�tiaz n»knilaia4}. <br /> Owner&Contractor Olin back ofappitcation,natanzed <br /> fl over$2000,o Nou4o of Commencemant is raquifetL (AID upgrades over$7000) <br /> Agent(tar the contractor)or Power of Anomey(forme Owtler)t;auld be someone with notarized letter from owner authorizing some <br /> to <br /> OVERTHE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingias Sawers Service Upgrades A/C Fences(PIDUSUNeyiFootage) <br /> 011vowaWN01 over dountor if on public roadViays-needs ROW <br /> s <br /> a <br /> Y <br />