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813-780-0020 City of Zephyrhiils Permit Application Fax-818-780-0021 <br /> Building Department <br /> Date Received kA +ti. � <br /> Phone Contact for Permitting 22 f zz <br /> Owner's"Name. �� i S Owner-Phone:Number." J ` ) J <br /> Ownees'Address " -Owner.Phone.Number <br /> Fee Simple Titleholder Name, F Owner Phone-Number - <br /> Fee Simple Titleholder Address <br /> JAB ADDRESS U Y-n InPar LOT# - a4 <br /> SUBDIVISION 3) : Vp:5 ..300 M 3q PARCEL.ID# i _6 l d U r 00(W'0,340 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED . NEW-CONSTR -ADD/ALT. C�:; SIGN CJ C] - DEMOLISH <br /> R INSTALL 8 .-REPAIR <br /> PROPOSED USE Q' SFR'• Q COMM Q OTHER•. <br /> TYPE OF CONSTRUCTION 0 ,BLOCK E 'FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 5 0� 0,91 rt E & -TGi � - <br /> BUILDING.SIZE . F J SO FOOTAGE r�1 HEIGHT.-. <br /> EIGHT -'E19 �. <br /> UILDING J$ VALUATION OF TOTAL CONSTRUCTION, <br /> =ELECTRICAL i ($ AMP.SERVICE 0., PRO.GRES.S_ENERGY Q W.R.E.C. <br /> =PLUMBING $' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS '�( �ROOFIOWQ SPECIALTY..,=. OTHER . J <br /> FINISHED FLOOR•ELEVATIONS', FL'OOD':ZONE AREA =YES'''% NO <br /> 4 . ., ,t,.,-, <br /> BUILDER , f� COMPANYc9t`a <br /> SIGNATURE l i n� Sm t1V"+ :REGISTERED.. Y•/...N• ;ik.FE,":euRREn;. t; Y:!Nr i` <br /> Address t $ e <br /> c� I Licensee#: � <br /> ELECTRICIAN COMPANY. <br /> SIGNATURE _ REGISTERED Y/.N "._ :_1;;,SE ,CURREN Y/N �( <br /> Address <br /> F�LUMBER COMPANY <br /> •SIGNATURE REGISTERED Y/"N;` '"''FEE:GURRE�~ Y 1 N. <br /> Address :4 License'# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN '0 FEE CURRE<`'" <br /> Address License#: <br /> THER. -COMPANY <br /> IGNATURE z.RWISTERED. .Y/"<W ;FEE CURREN Y. /N <br /> Address - License:# <br /> RESIDENTIAL Attach(2).;Plot:Plans;,(2)aets.,of•BuildingPlans;,(I,);setof,,Energy"Forme;RrO-W;:P",ermitfornewconstruction, <br /> Minimum ten(10)working days-after'submitiaFdate:"Required dnsite; ris'tructian Plans,-StbrmwaterPians w/Silt Fence ins_tilted; <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach.(2)complete sets of Building Plans plus a LifesSafgty Page;.(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)workingday§:aftersubmittal date:.:Required-onsite,Construction Pians;:Stormwater Plans w/Silt Fence;Installe_d, <br /> Sanitary.Facilides&I dumpster.Site Work Permit;for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered°Plana: <br /> ****PROPERTY:SURVEY requtred for all,NEW construction. <br /> `Der®ctions: <br /> Fill out application completely. <br /> Owner`&"Contractor sign,back of-application,notarized... <br /> If over$2500,a Notice of Commencement is required. (A/C 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 COUNTER-PERMITTING (copy _icoritr regitlred} <br /> Reroofs If shingles Sewer's Service Upgrades:-A/C Fences'(Plot/Survey/Footage) <br /> Driveways-Nat over Counter If on public raadwa}rs,.needs ROW <br />