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813-(80-�02Q Gity of ZephyrhiUs Permit Application Fax-813-780-0021 <br /> _ y ' Building Department ��� �'"l.��� <br /> C ` <br /> Date Received <br /> Phane Contact for Permitting -- <br /> � a� �;n � ,a i a <br /> ;et's Name � , Owner Rhane Number p � ���'�� <br /> Owner's Address r~ �'(� Owner Phone Number � i � <br /> Fee Simple 7itiehoider Name Owner Phane Number �— � <br /> Fee Simpie TitlehoiderAddress � <br /> JOB ADDRESS �� V� LQ7# � <br /> SUBDIVISION �,Q,��1���';����L� PARCEL ID# 2.'� " � - C.}�'d' {�l�"� '- lUL � <br /> (OBTAlNED FRdM PROPERTY TAX t10T{CE) <br /> WORK PFtOPOSED ,e NEW CONSTR [� ADDlALT Q SIGN Q MOVE Q DEMOLISH <br /> INS7'ALL. [ REPAlR <br /> PROPOSEp USE � SFR � COMM � QTHER e.-(Z.. �4. ' 2• <br /> TYPE OF CONSTRUGTtON Q BLOCK � FRAME � STEEL � OTHER <br /> DESCRfPTiON OF WORK S �Z„ Vl' (� �5S b" ��" f'�- ✓ 9Z- <br /> BUILDING SlZE �^_� SQ FOOTAGE �'�� �� NEIGHT ���� <br /> g�, �u � . i r i�V�NVEtl�momusemme��mrt�uuaoo�oam�@,h1Bi�M8�GtlP�iB�d <br /> V�� BUiLDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> �f.�fi�.�� <br /> � ELECTRICAL �$ � AMP SERV{CE � PROGRESS EN�f2GY � W.R.E.0 <br /> � <br /> �� PLUMBING �$ � <br /> � . <br /> [� MECHANICAI. ($ �� VALUATION OF MECHAN{CAL lNSTAl.LATl4N <br /> � <br /> �] GAS � ROOFING � SPECIAL,TY Q 4l'NER <br /> FINISHED FLOOR EL.EVATlC1N5 � � FLdQD ZONE AREA �YES �NO <br /> GuppqB&�hC�P9Ni9BP�IGAVp�I p�qPV911@IINl9nGILNBMu�flV9�l�(19@OV@Y�BW I �" r k �9d�B�B@RfNG➢P€F:EB��$ <br /> BUiLDER �I COMPAlVY �I� U�c'�G� �Ut?,�U�Co__��1�_ <br /> SiGNATURE �» REGISTERED �_ � IV FEE CUftR T Y IV � � <br /> Address ��JR1� (,1� �3� �Q �i �� 3��� License# �C_:C.��7a�.)i�`��, ,_� <br /> ELECTRIC1At� COMPANY <br /> SIGNATURE REG�STERED Y 1 N FEE CURREN7 Y(�1 <br /> Address License# �!� �� <br /> PLUMBER COMPANY <br /> . $IGNATURE REGISTERED Y/ N , FEE GURRENT Y I N <br /> Address License# �� � <br /> AnEGHANlCAL GOMPANY � <br /> aNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address l,icense# �� ^ � <br /> OTHER COMPANY <br /> S1GiJA i URc REGISTEftSD Y! R! F�E CUP.F�PJT Y/N <br /> p�'�«S� Lieense# �— � <br /> a�or�us�iswoHUOmmrOV�CUUtlV�B �VUN� - � ��� .� m� ,�.•. ;�;��y6�r��,�a��aa <br /> � FtESlDEN7lAL Aftach{2)Plot Plans;{2)sets of Building Plans;(9)set of Energy Forms <br /> Minimum ten{10)working days after submittal date. Required ansite,Construction Plans,Sanitary Facilities&1 dumpsfer <br /> COMMERCIAL Attach{3}sets of Building Flans;{1)set af Energy Forms. <br /> iviinimum ten(10)working days after submiftai date. Required ansike,Gonstruciion Plans,.Sanitary Faciliiies&1 dumpster <br /> A8 commercial requireme�ts must meet comp{iance. ` <br /> SiGN PERMIT Atfach(2}sets of Engineered Rians. <br /> `"*"PROPERTY SURVEY required for a11 NEW Construction. <br /> ° o ��� � ° I�I@�'�V96��6G9E�6�IG➢V � � �d°•99� <br /> rections; <br /> Fill out application completely. <br /> Owner&Contractar sign back of application,notarized <br /> If over$250Q a Notice of Commencement is required. (A/C upgrades over$5000) <br /> '* Agent(far the contracfoG)or Power of Attorney(far the owner}wauid be someane with natarized letter from owner authorizing same • <br /> QVER THE GOUNTER PERMITTING (Front of Application Only) , "' <br /> Reroofs •Sewers Service Upgrades A!C Fences(PlotlSurveylFookage) <br /> Driveways-Nof over Coun#er if on public raadways_.needs ROW <br />