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813- 780 -0020 City of Zep Bu' � n9 Department <br /> 1! w. N11vM,.v• • <br /> Date Received <br /> Phone <br /> - MI <br /> Contact for Permittins ■ ■ ■. ■ ■ ■ ■. ■ ■ ■ ■ ■ .' ■ ■ "' "" ow <br /> .. ..................... y■■■■ rt■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■ ■ ■ ■ ■ ■■■ ■■. ■ ■ OV Yner Phone Number B t 1 ea - 4 4 q <br /> Owner's Name 1\.1 o r y C <br /> +N 're• Owner Phone Number <br /> Owner's Address 5 3 � S 5 <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address LOT # <br /> a <br /> JOB ADDRESS ' 00 • t 1.-k .• O • • <br /> __ PARCEL ID# Z <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) DEMOLISH <br /> ADD /ALT SIGN Q MOVE 0 <br /> e NEW CONSTR REPAIR <br /> WORK SEE USE INSTALL <br /> Q COMM OTHER <br /> PROPOSED U SFR FRAME Q STEEL = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK =I <br /> 1 2j -- <br /> DESCRIPTION OF WORK - _ . <br /> HEIGHT <br /> BUILDING SIZE SQ FOOTAGE =1:1 BUILDING VALUATION OF S TAL CONSTRUCTION <br /> E. D W.R.E.C. <br /> AM S PRO SS ENERGY Li \ <br /> ELECTRICAL $ r <br /> 211111 C) <br /> ED PLUMBING 1111111101111111 -__ (9 \ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO aj ED ROOFING CC 0 SPECIALTY Q OTHER <br /> GAS tab <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES =NO <br /> AMAIMM <br /> MrjIMIIII MM • a � Schap cr •• gnu ��C. <br /> C OMPANY FEE CURRENT SCI® 0 <br /> BUI • REGISTERED Y / N <br /> TORE If G• U . • - -- .h ell <br /> License # C. • <br /> Address � <br /> ELECTRICIAN COMPANY Y / N FEE CURRENT <br /> SIGNATURE License # <br /> Address <br /> COMPANY Y /N YIN <br /> PLUMBER REGISTERED FEE CURRENT <br /> SIGNATURE License # <br /> Address <br /> MECHANICAL COMPANY Y / N FEE CURRENT MUM <br /> SIGNATURE License # <br /> Address <br /> COMPANY - YIN <br /> OTHER REGISTERED Y / N FEE CURRENT <br /> SIGNATURE <br /> License # <br /> Address <br /> RESIDENTIAL Attach u (10) working sets of Builing Plans; (1) days after d submittal date. Required onsit , Construction e Plans, Stomwater Plans w/ Silt Fence installed, <br /> MI <br /> Sanitary Facilities & 1 dumpster; Site Work Permit �orms. -W Permet projects new construction. <br /> COMMERCIAL Attach (3) ten of Building o k d s; (1) after set of submittal Pat <br /> Minimum tac (tie & 1 working days <br /> ster. S to Work Permit fo for new projects. All commercial Plans, equi ements m Stormwater Plans <br /> must meet compliance <br /> / installed, <br /> Sanitary Facilities & p <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized upgrades over $5000) <br /> If over $2500, a Notice of Commencement is required. (A/C upg <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 (Front of Application �C) Fences (Plot/Survey /Footage) <br /> Reroofs Sewers Service Upgrades <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />