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• 813-T80-0020 Ciiy of Zephyrhilis Permit Application Faz�813-780-W21 � € :� <br /> � Building Department '� ��� � �; �,o-^ <br /> , � 4x � _ i ��, �!n� � <br /> Dale Received �� "� <br /> Phone Contactfor Permittinp __ <br /> -I-f'T-1- � ITf i p <br /> Owners Name M�+ \LA�� �'`� Owner Phone Number l '��d� a,� � <br /> Owner's Addreas � 0 �A E LLA �-�� L 0�L�L �b�her Phone Num6er � <br /> Fee Simpla Titlehoider Name I � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> �oeaooreess No�db ��Rrtp B��D. ,�noa �0• EP �uS � 33�o�'a I�(A <br /> SUBDIVISION � f� � PARCEIIQ!! <br /> (08TI11NE0 fRON PROPERTYT�%NOTICE) <br /> WORK PROPOSEO � NEW CONSTR 8 ADDJALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SfR � COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK �, PRAME Q STEEL J� v <br /> DESCRIPTIONOFWORK �V�O"o`rC OR. lo� n �RST Ft�Oa�L �PAC..0 �OQ.. E.V.1 ��AL USE• <br /> BUILDING SIZE �11�D V� T O R. SQ FOOTA " � HEIGHT I 'O��'T �SS �E�,,,�r �, , �` � <br /> t T 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ��� � M�� <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION � �° � F .+� <br /> QELECTRICAL S AMP SERVICE ��O � PRO�ESS ENERGY Q W.R.E.Q �" � 7 � <br /> QPLUMBING S -����� �J/`}(x.��l. J4 <br /> �y., � � * ,* <br /> �MECHANICAL �� VALUATION OF MECHANICAL INSTALlA710 L�J�, ,L;' y y � „ <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTN£R ���9i�� <br /> �! � � ' <br /> FINISHED F100R ELEVATIONS (�� � ,r� FLOOD ZONE AREA QYES �`P�0 �. �-�!� y' , , �, <br /> tJ ,u., F�--> � ry , <br /> BUI�OER COMPANY I.JA��flcE SSO(,tAT�s (..LL <br /> SIGNATURE �(w� REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address M�L��IAI�oST. • ,ST, ��103 Licenset �L d �-` <br /> ELECTRICIAN COMPANY �'N l� 1 V(,.i�K�� <br /> SIGNATURE REGIST£RED Y! N fEE CURREn Y/N <br /> Addre License x� (�l�vQ 0 2-�/ (..) <br /> PLUMBER COMPANY ` 1�-=��� ,//�� I� <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N '�x ^-'U��„ <br /> Addresa License i <br /> 7 � r M ` � C � <br /> I� � TURE � RE� Y/ N iEE CURRE� Y/N <br /> Q Ch <br /> J <br /> � h AtlY1�ss �I�Me� <br /> OTHER � � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CUFRE� Y/N <br /> Address License i � <br /> 11111111111111111 / 1111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Atlach(2)Plot Plaas;(2)sets ot Building Plans;(1}sel ot Energy Fortns;R-0-W Pertnil(or new consWCtbn. <br /> Minimum len(10)workinp days afler submittal dale. Required onsita,ConsWCUOn Ptans,Stormweler Plans w1 Silt Pence instatled, <br /> Sanitary FaGldies 8 1 dumpster,Site Work PertnA(a subdiHSionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of BuiMinq Plans plus a Life Safely Pape;(1)set of Enerpy Forms.R-O-W Pennit for new conswdion. <br /> Minimum ten(10)�+orking days aftar submittal dale. Required onsile,ConsWCtion Plans,Stormvsier Plans wl5ill Fence installed, <br /> Sani[ary Facilities d t dumpster Site Work Permfl for all new projects.All wmmerdal requirementa musl meet campliance <br /> SIGN PERMIT Aliach(2)sets oF En�ineered Plans. <br /> •••'PROPERTY SURVEY reqwred tor aA NEW construd'an. <br /> Diractions: <br /> Fill out apD��atan completely <br /> (Tnner&Contractor sign back of applicaUOn,notarized <br /> If over;2500,a Notice of Commencement Is�equired. (A/C upgrades over 57500) <br /> " Ayent(tor the contractor)or Power of Allorney(for the owner)would Ge someone with notarized letter tmm amer aulhorizing same <br /> OVER THE COUNTER PERMITTING (FrorN oC Applicalan Only� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PbUSurvey/Footage) <br /> Driveways-Not over Counfer rf on public roadways needs ROW <br />