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813-780-0020 City of Zephyrhilis Permit.Application w� 7/ Fax 813-780-0021 <br /> Building-Department <br /> Date Received Phone Contact for Permitting - z " <br /> Owne6kame e �tiy- G�j-ructi :l/�.�a 7 rie1 O�v_nerPtione::.Numtier:;; M1 L3.:3 C" """�.ct3 <br /> i; .,cc <br /> :-:"Owner P - <br /> Owner sAddress $� is �-r i�i�e GAY, `[ f �1�3 1 hons:Number., " <br /> Fee Simple'Titibholder Name Dwner:Phorio Number: <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .. .LOTX •'^"..l. g , ...•.�', ; . <br /> ' 't2 2� �.l otm 60gati ot8d " <br /> SUBDIVISION <br /> :. PARCEL:ID# <br /> !gBTAINED,FlRPM,PROPERTY TAX NOTICE). <br /> WORK'PROPOSED'` •NEWCONSTR ,,. :.. .:ADD/ALT " SIGN' DEMOLISH <br /> INSTALL ." :REPAIR, <br /> PROPOSED USE :0 "SFR 0 COMM'" :: `.. - OTHER:'::s; <br /> TYPEOF"CONSTRUCTION :0' BLOCK: Q" FRAME': ��_� `' : STEEL 0 <br /> DESCRiP:TION;OF.WORK.. ttitc • -71 `x' U <br /> .- �+ OOTAGE HEIGH]"� & <br /> BUILDING. r SQ F, _� '� <br /> '©0 VALUATiON:OF.TOTA .Ct7NSTR ' :'. <br /> =BUI6DING-.; $ t fSv UCT,ION. <br /> ]ELECTRICAL CC$ AMP:SERVICE;, Q :;PR06kESS,ENE <br /> RGY. W.R:E.C. . <br /> =PLUMBING. $ <br /> =MECHANICAL ]$ VALUATION OF MECHANICALINSTALLATION=:'," ^ <br /> =GAS ROOFING �] :-:,;.,SPECIALTY•::�� ;OTHER <br /> FINISHED FLOOR ELEVATIONS EL"O"OD20NE'AREA :=YES NO:" <br /> BUILDER // 'COMPANY <br /> RESERED RRESIGNATURE h <br /> Address " -LIbense•.#A- .. <br /> .ELECTRICIAN' COMP,,ANY,.::_. � <br /> SIGNATURE :'REGISTERED:; •sYT!N . '' ,,FEE;C,URRE.k. <br /> Address License#,rr <br /> "PLUMBER COMPANY. ,.. <br /> SIGNATURE ;,r .'REGISTERED,; lY/ N .. FEE;CURREK :.;`. sYa N:•r ". <br /> Address: <br /> MECHANICAL COMPANY_ <br /> 'SIGNATURE.. REGISTtRED -" ;Y.I,.N.. .. . €EEcoR'R�En`�.'.Y'1N"':: ."- <br /> Address -License:#;i(' <br /> OTHER COMPANY' <br /> SIGNATURE j' REGISTERED," Y/:N`_' "FEE CUR REN' ;.:YIiN#': ` <br /> Address tense <br /> "•J l•i - f•f f r - <br /> it <br /> RESIDENTIAL Attach`-(2)PI&Wa ;(2)''sets=of Bc111'dl'ng Rla is.s(1i);set'oi'Eiiatgy Form fRrQ=11V Permlt;f}ur iiewicoristruction;. <br /> Minimum ten(10)working.days after submiittat-date: Required onsite;Goiistruc n Piahs,:Stormwater Pians.w/.Silt Fence insfailed;i;-" - <br /> Sanitary Facilities&1 durnpster;::Site.Work Permitfo[subdiyislonsAarge"projects <br /> COMMERCIAL Attachh'(2)complete-setsof:,Building_Plans,,plusa;LifeSaf";';�P4ge;(1").set of:Energy.Forms..RA-W.P.,,ermltfor'newconstrucdon... ., <br /> Mlnimum"ten(10)'W'Oi ing dayt':A76r i uU6'tittal 4W.-'RegiiiW o6site;:Construction Ptens.';:StiirrtiiiVatar Plans w!Slit Fence instatied;" " " <br /> Sanitary'Facilities&'I'dumpster.Site:Work;Perri�iit foraltnew_projects.All commercial-requirements must ineet.campliance <br /> SIGN PERMIT Attach'(2).sets;of:Engineered Plans. <br /> ****PROPERTY'SURVEY required for all NEW.construction. <br /> Directions: <br /> Fill outapplication completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If over$2500.a Notice of-.Commencement Is required. (AIC:upgrades over$7500) <br /> ** Agent(for the contractor)"or Power'of Attorney(for the owner)would be-someone with notarized letter from owner authorizing same <br /> OVER-THE COUNT R PERMITTING "(copy of.contract EegWred)'. <br /> ,,.... <br /> Reroofs lfshingles S Sewers Service Upgradas..A/C,,r Fences(Plot/Survey/Footage).,-. <br /> Driveways-Not'over Couni4lf on'publie.roadways.-needs ROW <br />