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e�s-�ea-ooao City of Zephyfiill Permit Application Fax-813-780-002i <br /> Buitding Department <br /> Date Reaeived � - �' _ ',�,�y�L,r Phone Contact for Permittin �5�� � �J�j -- U� � <br /> Owner's Name ��; t' Qwner Phane Number �i � � � <br /> Owne�'s Addresa ' 'rh �-1,,. �� Owner Phone lVumber � � <br /> Fee Simple Titleholder Name �! �� Uwner Phone Number �! �^�� <br /> Fee Stmple'1'Itleholder Addreaa <br /> JOB ADDRESS .3�r-I6 I 1� 3 J� LOT!� �_!,� <br /> StiBpNIS10N �! —....—� PARCEI D# »- a.�r' aZ.� � O C�s t t3 - O c�-3�b � �U� <br /> � . (OBTIUNEQ FROM PROPfRTY TAX NOTICE} <br /> WQRK PROPOSED e NEW CONSTR 8 ADDiAl.T � SIGN Q [� DEMO�ISH <br /> INSTA�L REPAIR <br /> PttOP08ED USE Q SFR Q COMM � OTHER <br /> TYPE OF CCINSTRIlCTION Q BI.00K [� FRAME � STEEL [� <br /> ' , , <br /> DESCRIPTION OF WORK C � �� r. <br /> / ,f�� _�•� <br /> BUiLDING SIZE SQ FOOTAGE NEft3NT �,�U`t'"' �s.-- <br /> BUILDING S��p b�� yq��ATfiON F TC}TAL CONSTRUCTION <br /> QELECTRICA� $ � AMp SE}2VIC Q PROGRESS ElVERGY � W.R.E.C. <br /> QPI�UMBfiVG (�"��� <br /> � � ��C/' <br /> OMECHANICAL $ � VAI.UATION F MECHANICAL INSTALLATION / 7� <br /> QGAS Q ROOFING Q SPECIA TY [� OTHER <br /> FINiSHED Fi.00R ELEVATi4{VS ��� FL4QD QNE AFtER [�YES NO <br /> BUILDER �'� ���y� Cp PANY <br /> $rIGNATURE ,,._^_�„ ��,, REG TERED Y/ N FEE CURRE� Y/N <br /> Address L,icense# ������� <br /> ELECTRICiAN CO PANY <br /> 81GMAfiUR� REG STERED Y! N FEE CURREt� Y!N <br /> Address � License# �� � <br /> PLUMBER Ct} PANY <br /> 3lGNATURE RE STERED Y/ N FEE CURREP Y/N <br /> Address �icense# �� � <br /> MECHANiGAI CO PAi�{Y <br /> s�cr�a�ruR� RE ISTERED Y! N FEE CURRE� Y/N <br /> Addre�s �icense# ���l��� <br /> OTHER C PANY <br /> SlGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# � � <br /> RESIQENTIAL Atkach(2}Piok Plans;{2}sets of Building Plans;{1)set f Energy Fotms;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days after submittal date. R ufred onsite,Constrvction Plans,Stormwater Pians w/Siit Fence instailed, <br /> Sanitary Fadlitfes 81 dumpster;Site Woric Rermit for bdivisions/large projects <br /> COMMERCIAL Rttach(3}campiete sets of Building Plans pius a L.ffe S fety Page;{1)set of Energy Forms.R-O-W Permik fo�new construcdon. <br /> Minl►num ten{10)working days after submikkal date. R uired onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Woiic Permit for II new projects.Ail cammercial requirements must meet compliance <br /> SiGN PERMIT Attach(2}sets of Engineered Pians. <br /> """"PROPERTY SURVEX required far all NEW cons 8art. <br /> Qirections: <br /> Ffll out appllcatian campletety. <br /> Owner 8 Contractar sign back of application,notarized <br /> if aver 52500,a Notice o#Cammencement ia required. (AJC upg des over S75d0} <br /> "" AgeM(for the contractor)or Power of Attamey(for the owriei}rvou'�d e someone with notarized letter fro�tr-owrrer autharizfng same •� ° � <br /> OVER THE COUNTER PERMITTING (Fron#of Applieatian On1y} ; { <br /> L <br /> Reroofs if shingies Sewers Servlce Upgratles A(C � �F {PIoUSuroeyCFoatage) � <br /> Driveways-Not over Counter if on public roadways..needsyRC�VN"'+` ` - °�' ' ' " ` ' " " <br />