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� ! <br /> 8t3-�so-oo2o City of Zephyfiill�Permit Applicatian Fax-813-780-OQ21 <br /> Building, epartment <br /> E <br /> Date Received ' <br /> Phone Contact tor Permittin <br /> r <br /> Owner's Name /-�, �� � � Owner Phone Number <br /> Owner's Address � � � Owner Phone Number �— � <br /> � <br /> Fee Sim'le 7itieh�fier Nam� t Owner F'h�ne Num�er � <br /> i <br /> Fee�imple Titlehotder Addreas <br /> JOB ADDRESS ��� � �I �`� � I.OT� ��.� <br /> suso�v�sioN � , � PARCE�1� ��?-.,� 2/ -C�C�1 v /ltr��►t� ~�'v.3� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VYQRK PROPQSED e NfW CONSTR 8 ADDlA�T �� SIGN [� Q DEMOk.ISN <br /> INSTALL REPAIR <br /> PitQPOSED ilSE Q SFR Q COMM � OTNER <br /> TYPE OF GONSTRUCTION Q BLOCK Q FRAME ; � STEEL Q <br /> DESCRtPT10N OF VYORK � , V e,� G� 7" J'V't � e L-C� /�c%+t�.�_ �/�3�'/ J �-^{, S <br /> BUI�DING 81ZE � � 8Q fOOTAGE�-----k—J HEIGHT ��....._.� <br /> I <br /> QBUILDING $ �} �„�� �A�UATION O�F T{}TAL CONSTRUCTION <br /> U'(J <br /> � <br /> �• QE�ECTRICA� $ AMP SE#2VIGF Q PROGRESS EiVEftGY Q W.R.E.C. <br /> •• �P�UMBISVG C� F 4 �`�+- <br /> � L..�� � .�� <br /> QMECHANIGAI $ VA�UATION C�F MECHANICA4_INSTALI.ATlON �� <br /> � � <br /> ! ��- T,`�.r� ( <br /> QGAS Q ROO�i}+!G Q SPECIALfiY � 07HER � �((U 6{��� <br /> � �r A <br /> FINISHED FLOOR ELEVATIONS FLOQD ZUNE AREA QYES NQ �� <br /> SUIl.DER Ct}IM�PANY <br /> SIGNATURE REGI�TERED Y I N FEE CURRE� Y I N <br /> Address � License# �— � <br /> ELEGTRfG1AN Cf3(1�PANY <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y!N <br /> Address � License# �� � <br /> PlUMBER COfi�PANY <br /> SIGNATURE REGI�TERED Y/ N FEE CURRE� Y/N <br /> Address 4 License# C � <br /> MECNANiCAL �a��A� <br /> SIGNATURE REGI�STERED Y! N FEE CURRE� Y/N <br /> Address �icense# C 1 <br /> � �w l� �l ,E �r <br /> OTNER �, CO(�IIPANY �i; 6�L ,r+a a.. .r 7�"r <br /> SIGNATURE � "`" REG�.STERED Y! N FE£CURRE� Y I N <br /> Address �d d.,�01�' � ��'r'"�' .fC n 1�+2 tfa's i •� !-'t License# � �� Gs /r,� 7 <br /> RESIDENTIAL Attach(2}PEot Pians;{2}sets af Buiiding Pians;(1}set c�f Energy�orms;R-O-W Permit for new construction. <br /> Minimum ten(10)warking days after submittal date. Required ansite,Construction P4ans,Stormwa#er Pians w!Silt Fence ins#a11ed, <br /> Sanitary Fadlities 81 dumpster,Site Wo►k Permit for s�bdivisfons/large projects <br /> CCIMMERCIAl. Attach{3}complete sets af Bullding Pians pius a�ife S�fety Page;(1)set of Energy Forms,R-O-W Pertnit for new canskruction. <br /> Minimum ten(10)working days atter submittal date. Rdquired onsite,Construction Plans,StormHrater Pians wJ Sitt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far aIM nqw proJects.All commercial requirements must meet complianae <br /> S1GN PERMIT Attach{2}sets of Engineered Plans. � <br /> "'"'PROPERTY SURVEY required for all NEW construqtfon. <br /> Dit�ectlans: ' <br /> Fill out application completely. <br /> Owner&Contracto�sfg�back of applicallon,notarized '� <br /> if over;2500,a Natice of Commenceme�t is requlred. (AtC upgr�des over 57500} <br /> •" Agent(for the contractor)or Power af Attomey(for the owner)would b�someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING {Front of Appllca#ion Only} ; <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences�PIaUSurvey/Footage) <br /> i <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW � <br />