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013-780.002D City of ZephyrI1109 Permit Application Fax-813700.0021 <br /> Building Department <br /> Date Recotved ^� Phone Contact far Pail, inq t i ti 1 1/ 1 1 I/ i 1 1 <br /> Owner's flame Owner Phone Number 0 ' [a <br /> Owner's Address J� >� OwnaPhone Number <br /> Fee Simple TiOeholder Name i —� Owner Phone Number <br /> Fee Simple Titleholder Address �^ <br /> JOB ADDRESS � LOT ��� <br /> SUBDIVISION PARCEL ID# - -12-Z 9`b�d — <br /> (OBTAINED FROU PROPERTY TAX NOTICE) <br /> WORK PROPOSED 14WCONSTO ADDIALT Q SiGN 0 DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE M SFR 0 COMM C] OTHER <br /> TYPE OF CONSTRUCTION [7 BLOCK Q rrFF�RAME � STEEL Q <br /> DESCRIPTION OF WORK � V , \V,—( Ck -t 14 3b O!, Z i-byi <br /> ~� <br /> BUiLOtNG SIZEQ FOOTAGE HEIGHT C� -V' <br /> r�---S � <br /> �B j <br /> UILOING i. { VALUATION OF TOTAL CONSTRUCTION <br /> [7ELECTF0CAL j$ �r_ J AMP SERVICE Q PRO©RESS ENERGY 1771 W.P.E.C. <br /> OPLUMBINO �is � <br /> =MECHANICAL $ ® VALUATION OF MECHANICAL INSTALLATION <br /> CGG✓✓� <br /> 0 <br /> =GAS Q ROOFING SPECIALTY [--J' OTHER vv <br /> FINISHED FLOOR ELEVATIONS (� � FLOOD ZONE AREA [ YES NO <br /> BUILDERSIGNATURE COMPANY <br /> SIGNATURE + f REGisTEfiEO �Y!N FEEca1RRGn <br /> Address License#F-- ! <br /> ELECTRICIAN --1i( COMPANY _ <br /> SIGNATURE ! REGISTERED I YIN FEE CURREn L.XLN <br /> Address Ucanse# <br /> PLUMBER COMPANY <br /> SIGNATURE ReolareRED � FEECUMSN YIN <br /> Address b� �t U enso N L <br /> MECHANICAL t�o-lYXVAJIA L.•--'"'"~�� COMPANY �1 okpl �u q S <br /> SIGNATURE �1 a REOtSTEREO w I YIN FEE CURREe <br /> Address tiSic ItIR �✓ `t A ~1�� License f, <br /> OTHER COMPANY <br /> SIGNATURE REGISTeREe I Y f N FEE CURREA <br /> Address License If F I <br /> II IIIIIIIIIIIti111111i1I11t1iliifit11 /1liti / Iifitil /llitl1111141111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Sulldtng Plans:(1)set of Energy Forms;R•O•W Perms far now construction, <br /> Minimum ten(10)working days after submittal date. Requited onsite.Construction Plans,Stormwatot Plans wt Sit Fence installed, <br /> Sanitary Facilities&t dumpalar,Site Work Permit for subdivisionsiiarge projace <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lifo Safety Page;(1)set of Energy Forms.R-O•W Permit for new construction. <br /> Minimum ten 110)working days after submittal dale.Required onsite,Construction Plans,Stonnwaier Plans wl S8i Fence installed, <br /> Sanitary Facilities&t dumpslor.Silo Work Permit(or all now projects.Alt commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sate of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conswction. <br /> Ol= <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> V over$2500,a Notice of Commencement Is regWrod, (AIC upgrades over y7S0s) <br /> Agent(lar the contractor)or Power of Attomey(far tine owner)would be somenne with notarized letter from owner aulhotizing same <br /> O1ft!R THE COUNTER PERMITTING (copy of controci required) <br /> Remofsitshingles Sowers Service Upgrades AIC Fences(PtotlSurveyfFootage) <br /> Drivoways•Nol over Counter if on public roadways..neads ROW <br /> -s.•sry <br />