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813-780-Od2U City of Zephyfiiil Permit Applicatian Fax-813-780-0021 <br /> Building Department <br /> � <br /> D`ate Received Phone Co�tast fo�Permittin <br /> Owner's Name �„� Owner Phone Number g���G��"�o 7�a <br /> Owner's Address ,">�SG� � Owner Phone Number �� � <br /> Fee Simpie 7itiehalder Name Qwner Phone Number �� � <br /> Fee Simple Titlehalder Address <br /> JOB ADDRE$S .lJG. �UF...� �� ��/f��/ �T��,, l.OT# �___�� <br /> SUBDIYISIdN ��i 1�t.�l��r PARCE! <br /> (OBTAINED FROM PRQPERTY TAX NOTICE) <br /> WORK PRt}PQSED � NEW C4NSTR 8 AQDIA�T � SIGN Q Q dEMOUSH <br /> INSTALL REPAIR <br /> PROPQSED ilSE Q SFR Q COMM � OTNER C.�.,? <br /> TYPE OF GON3TRUCTIQN [� BLOCK Q FRAME [� STEEL Q <br /> DESCR1PTiON OF WORtC � 11f} �CJ /.,t� ,,�C'L°... <br /> BUI�DING StZE � � $Q FOC1TAt3E FiE1GH7 ��� <br /> QBllILD4NG �� f � � VAt�UAT1UN TOTAL CONSTF2UCTION <br /> �..�_ <br /> QEt�ECTRtCAL �6� AMP SERVIC � PftOGRESS ENEFtGY Q W.Ft.E.C. <br /> QP�UMBING S � �_ j <br /> �..... � <br /> OMECHANICAL $ VAt�UATiON F MECliANiCAt INSTAL�ATfON f�� S� <br /> � <br /> QGAB Q ROOFltdG Q SPECIAL �- OTNER <br /> FINISHED FLOOR ELEVATIONS � � FLOQD Z NE AREA �]YES � <br /> SUI�.DER �n CC}M AMY ��� � LJk.� ` <br /> SIGNATURE (�.��1�I 1��1,) REGI TERED Y/ N FEE CURREP Y/N <br /> Addreas �icense# �� � <br /> ELECTRICIAFI Ct3 ANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> ._,.�_ ,,,.... <br /> Address �icense# �- � <br /> PIUMBER CO FANY <br /> SIGNATURE REGI TERED Y/ N FEE CURREA Y/N <br /> ,..., ,.� ,�._,......, <br /> Address �icense# �� � <br /> MEGt1ANICA� CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Acfdress �Icense# �� � <br /> OTFIER CO PANY <br /> 31GNATURE Reci �rtEO Y! N FEE CURREP Y!N <br /> Addrasa l.icense# � � <br /> RE8IDENTIAt. A#tach(2)Piat Pians;{2)ssts of Buiiding Plans;�1}set Energy�orms;R-O-W Perm�t fa�new canstruction, <br /> Minimum ten(10)working days after submittai date. R uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 81 dumpster,Site Work Permit for su divisionsAarge pro)ects <br /> CQMMERCIAE Attach(3}complete sets of Bullding Ptans plus a Life Sa sty Page;{1j se#of Energy Fomts.l2-4-W Pertnit for new canshuctEan. <br /> Minimum ten(10)working days after submittal date. R uired onsite,Constructfon Plans,Stormwater Ptans w!Sitt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster.Site Wonc Permit for all new projects.All cammerciai requirements must meet opmpiiance <br /> 8lGN PERMIT Attach{2}se#s af Engineeced Plans. <br /> ""PROPERTY SURVEY required for all NEW construc�ion. <br /> Direations: <br /> Fill out applicatlon completely. <br /> Qmisr 8 ConRractor sign back of applica�on,notarized <br /> if over;2500,a Notice of Commencement is r9equired. {AJC upgr es over x750Q) <br /> •• AgeM(for the contractor)or Power af Attomey(for the owner)would b someone with notarized lekter from owner authorizing same <br /> OYER 7HE COUNTER RERMC[11NG {Front af Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences( Iot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />