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8�3-�so-oozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department � <br /> Date Received � -j ��� Y3� �� / <br /> Phons Contact for Permittin <br /> Owner's Name � �{�M\h�v � ` �er Phone Number � ^S��$^aQ�� <br /> Owners Address • , � � ' ��3�Sa'�' <br /> � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRES d � � '�CS� S �� <br /> � LOT# <br /> SUBDIVISION PARCEL iDA! <br /> (OBTAINED F�pROPERTY T�nce)DEMOLISH <br /> WORK PROPOSED B NEW CONSTR�ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM �� OTHER [-- <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> � DESCRIPTION OF WORkf� ,���c.y��, (�f�.� <br /> "r�._...��:.---:.:-. <br /> BUILDING SIZE � � bO � SQ FOOTAGE�� HEIGHT <br /> �BUILDING � $ � ,� VALIJATION,O�TQTAL CONSTRUCTION <br /> �ELECTRICAL ($ — AMPSERVICE /�Q PR06RES8•ENERGY Q W.R.E.C. <br /> L- ��i �) <br /> �PLUMBING $ � L��� � ---,���w- ��,e,rv� �v� � <br /> �/ �'� � —�f <br /> F -------" <br /> �MECHANICAL a VALUA N OF MECHANICAL INSTALLATION <br /> % <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> 9UILDER � '�j --'COMPANY 1 A�Jo,✓�Nv+lQo,✓M 6�t/1`AL S t R✓r t E-.j. �,K, <br /> S I G N A T U R E / REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o �QZ 735, 7'QJ�B`; `l- 3 3 s9 3 <br /> Ucense# CGCI o9ab <br /> EIECTRICIAN '�^ , COMPANY ���'►����°i 7��- <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address P�. Qbx '�f �4c�(.i ,'�(, ,3"3� �p License# �G�3r>o�3-�� <br /> PIUMBER /�, ��/, � (�COMPANY �� �c r{1 ��,� .� �,�(�t G L L L � <br /> SIGNATURE t „ t /` REGISTERED Y/ N FEE CURRE� Y/ <br /> Address �'�5 t �'1� U (L� (s�d} c�.e ��� �S�13 License# �� 1� ��-�� o� �� <br /> MECHANICAL U COMPANY dNl�✓ � � .���JZUCt�Z-- �JT�`f` <br /> SIGNATURE REGISTEREO N FEE CURRE� N • <br /> Address v S7u( ` �� �. �� ��- License# �� /���� <br /> OTHER COMPANY <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENT�AL 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,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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,Stormwater Plans w/Silt Fence insta�led, <br /> Sanitary Facflities 8 1 dumpster.Site Work Permlt 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 /> Directions: <br /> Fili out application completely_ <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgradea over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone w(th notarized letter hom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppiicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />