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City of Zophyrhiffs Permfit Applicatiorl Fax-813-7sa-0021 <br /> Building Department <br /> Date Received Z <br /> r Phone Contact for Permitt1nj.L4i3jchi -O&aq <br /> o-noe-Nam- bAiNtEWE 141107LfAN Owner Phone Nunnibera 2 Lf <br /> Owners Address sqlo I&T7-1 &r. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1,5g TO T? 7W S T 4C"/-?14LI q N CaS LOT# <br /> L% <br /> SUBOMSION PARCELID#j j1 1 0 ' 6 14 770 0 - 0 9 0 <br /> (OBTAINED FROM PROVERrYTAX NOTICE) <br /> WORK PROPOSED NEW ADDIALT SIGN DEMOLISH <br /> R 7 <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK Fcll b1c — W54olyct) qo Pf;i�mfi <br /> BUILDING SIZE SO FOOTAGE' HEIGKT E/9 <br /> . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ... . . . . . . .. . . . . . . . .. . . <br /> =BUILDING S VALUA11ON OF TOTAL CONSTRUCTION <br /> No k"y l <br /> =MECAJAL I AMP SERVICE Q PROGRESS EN C. <br /> =PLUMBING <br /> =MECHANICAL 15 VALUATION OF MECHANICAL I ON <br /> =GAS Q ROOFING Q :SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY IvEnw (WAq <br /> SIGNATURE • <br /> REGISTERED YIN I FEECURREN LZIN <br /> 510 <br /> Ad -VF 0 141, IMAM h License 9 <br /> • C seV "r n R <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I YIN I <br /> Add. Rif 0 61 W- YA6141A a V E. License#1976 fl 06 <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/N rtmcuRREr, L_yj N <br /> Address F- License ffi F <br /> MECHANICAL COMPANY = <br /> SIGNATURE F REGISTERED I Y/ N I Fee CURREN <br /> Address I License 9 <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED YIN I FMCURReN LIL <br /> Address License# <br /> ttittittttttitttitttltttttlttiltlititttttttlittlttltittlttttttttttt <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,Stomwr"Plans w/Bill:Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit florsubdivisions/farge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal data. Required onsits,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Perrk 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 /> . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requined. (A/C upgrades over$7500) dit <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 COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Factage) <br /> Ofiveways-Not over Counter if on public roadways..needs ROW <br />