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•. r <br /> 813-780-0020 City of ZephyrF ills PermitApplication Fax-813-780-0021 <br /> Building.Department <br /> Date Received Phone Contact,for Permitting: — <br /> !zS' <br /> Owner'stNam® /a/x G i Owner.Plior�®;Numb'er <br /> Owner's dress °/ / a try /^ ►ner;P.hone:Number:• <br /> Fee Simple7itlehotder'Name. . Owner-Phone:NuM er <br /> Fee'Simple Titleholder Address <br /> JOB ADDRESS Lr� /i lj�/ �`✓� t50T# Lam. � `•.,... <br /> :: <br /> SUBDIVISION P'ARCEt:;iD#: � <br /> PT4!Npp;FROM.PROPERTY:tA)(,N6T(CE) <br /> WORK�PROPOSED' -:ADDIALT SIGN ;;0. .,.,. .., 0.. DEMOLISH . <br /> e INSTALL.. REPAIR <br /> PROPOSED USE Q SFR :0 ., COMM Q.:. .'. OTHERr, <br /> 1YPE.OF CONSTRUCTION Q BLOCK 0 FRAME'. : `.; }' : STEEC r0 y <br /> DESCRiPT(ON,QF WORK- / <br /> /� p <br /> BUILDING;SIZE., SQ F007AGE d _ HEIGHT <br /> • w <br /> VALUATION:OF.TOTAL CONSTRUCTION } <br /> =ELECTRICAL $_ AMP SERVICE>" 0, :PROGRESS ENERGY 0 '1!Ii:R:E.C.. <br /> i <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION:OF"MECHANICALINSTA TION_: ' <br /> � ROOFING , SPECIALTY.: OTHER. <br /> FINISHED FLOOR ELEVATIONS FGOOD-ZONEAREA: AYES: <br /> -11144+ <br /> BUILDER II <br /> COMPANY .•;;:. <br /> SIGNATURE r- ".`REGISTERED Y-6`N:'-.=... FEECURREh' Y7=N:';_-- <br /> Address a censer# (. <br /> I .. <br /> ELECTRICIAN' COMPANY:. <br /> SiGNATUR REGISTERED:' - !Y 1;iN.'. :,FEE,cuRREN )LI`N`.:..: <br /> Address Ldcense#z 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED: Y/ N;•.. FEE CfJRREK" .'r i'i,Y:/-N;:; <br /> Address . f ,Llcense#.j: 1` <br /> MECHANICAL COMPANY <br /> SIGNATURE'. :.". REGISTERED"•, .Y7 N: FEE CURRW .. Yi <br /> Address,,," -- : License'#' <br /> OTHER. <br /> SIGNATURE " REGiST�D :` -'1 Y"I;: FEE CURREE` :Y JiN",`. <br /> Aaa,re .I Y.C. <br /> se <br /> ' ' . . .. " . ' ` ` i . <br /> RESIDENTIAL Plot'Plais, 2 se ( Pia ) n9110n . ... <br /> — Minimum•ten(18)working,days.,after submittal date..Required onsite;:Co6is action;Plans;Stormwatet Pians.w!�S)ffF.,ence installed;`; <br /> Sanitary Facilities&1 dumpster;Site Work Permit;;fotsub_divisionsAarge prgjecis <br /> COMMERCIAL Attach(2)complete sets•of;Buildirig Plans+plus a L'ie-ao ej of go;{1-)-set of'.Energy:FgFMs._R:O-W.PemUt.for new consttucUon.r_ : <br /> Minimum ten 40)wor4dng daysafter submittal date:`RLi.44 `d:onsite,:Contftction Plans;:Stdimwater;Pians wl•SiitFence instailed <br /> Sanitar)rFaoilities&I-dumpster.Site Work;Perniit.for.ail•new.psojects;All commercdal-requirements must:meet.compllance <br /> SIGN PERMIT Attach(2).sets:of.:Engine ered Plans. <br /> ""PROPERTY'SURVEY required for all NEW construction. <br /> DirecFrons: <br /> Fill out'appiieation completely. <br /> Owner&Contractor sign,back of application,notarized <br /> if over,$2500,-a Notice.of..Commencement is.required.,.(XC up0rad6s-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-COUNTER PERMITTING {copy-of contract-required)- <br /> Reroofs if shingles Sealers Service Upgrades A/C Fences(PlotfSurvey/Footage) <br /> Driveways-Nat over Counter if on public roadways:.needs ROW <br />