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s�sasatwzo Ci#y of Zephyrhill Permi#Appiicatian Fax-813-780-Q021 <br /> Buflding Departrnent <br /> Date Received , Phone Contaet fo�Permittin r'� � �l v� -- �� <br /> Owner's Name ��17q)A/U CV ,p�/ A- t' � O�wner Phone Number �/.3'" ,�/r�'��� <br /> Ow�er's Address ���J� ��� a�.T• �'flll/5, ��, Owner Phone Number �� � <br /> Fee Simple Tltlehalder Name CNmer Phone Number �� � <br /> Fee 3imple 7ltlehalder Address <br /> JOB ADDRESS Jrf ���� o�� -d'7/ � �, 33�7� j����R {-° �OT# C�� <br /> SUBDiVIS10N � ( RARCEL D# �I �t� +� �l+V +lQ�i.�D D�G.� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VYOFtK FROPQSED e NfW CONSTR� ADDIALT [� SIGN � Q DEM4�ISN <br /> INSTALI REPAIR <br /> PRt3POSED USE Q SFR [� COMM � OTHER <br /> TYPE OF Ct�NSTRUCTION Q BLOCK Q FRAME C] STEEL Q <br /> DESCRIPTION OP WORK /�L°%?�D1J�` 9�- �QL° II�CL� ��"C.�A.�D�Tl�??!L}e�? �. Cl,D'rr1 ofVeN�,S <br /> 6UIl.DING SIZE � � SQ FQf�TAt3E HEIGHT C�� <br /> ��U�`���`r' � `� VALUATIt3N F TOTAL CONSTRUGTI{3N <br /> �.J <br /> QELECTRlCAL $ � AMP SERVIC Q PROGRESB ElVERGY Q W.R.E.C. <br /> OP�UMSING ��� � <br /> �MECHANIGAL $ J+� � a� VAl.UATIO(V F MECHANICAI.iNSTALtATlON � �C��� <br /> C.L' <br /> [�GAS Q ROOFING [� SPEC! C� OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ONE AREA QYES NO <br /> BUIt�DEFt CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address ��_—��—�� .'' License# �� � <br /> El.ECTRiC1AN � � CfJ PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURREh Y/N <br /> Address License# �� � <br /> PLUMBER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address �. .��^. -_.—__ Llcense# � � <br /> MECHANIGAL ` �.�_. Ct} PANY ��f/�S !'OP�}f1IGG�tt�f lG' �C, <br /> SICNATURE �r� *� ��/ REGI TERED Y/ N FEE CURRE� Y!N <br /> Addreas ��'t1<1 J�jtL�l�l�. Z-p�ill5 t`�.. License# ��l�� ''���7 ti � <br /> LITHER CO PANY <br /> SICiNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address ��_ _—___ ��cense# �— � <br /> RE5IDENTIAL Attach{2}Piat Pians;{2}sats of Buiiding Pians;(i}set Energy Forms;R-t�-W Petmit for new constrnctio�, <br /> Minimum ten(10)working days after submittal date. R uired onsite,Construction Plans,Stormwater Plans w/Sii#Fence instalied, <br /> Sanitary Fadlities 8�1 dumpster,Site Wo�lc Permft for s bdivisions/large prajects <br /> CCfMMERGIAL Attach(3}compfete sets of Building Plans plus a EJfe 8 ety Page;(1}set of Energy Farms.R-Q-W Permit far new canstructlon. <br /> Minimum ten(10)working days after submittai date. R ulred onsite,Construc�on Pians,Stormwater Pians w!Silt Fence instalied, <br /> Sanitary Faalldes 8�1 dumpster.Site Work Permft fqr al new projects.All cammercial requirements must meet campliance <br /> SIGN PERMIT Attach{2}sets of EngEneered Plans. <br /> •`",PROPER'fY SURVEY required for all NEW consUv on. <br /> Directiona: <br /> Fill out applicatlon cqmpletely. <br /> Otimer 8 Contractof sfgn back of applicaUon,notarized <br /> 1�over S2S00,a Notiae of Commencemetrt ia requlred. {A!C uprg s aver 57500} <br /> '" Agent(for the conVactor)or Power of Attomey(for the owner)would b someone with notarized letter from owner autho�izing same <br /> OV�R TNE COUNTER PE�tMiTTING {Front of Applic�tion,Oq1y} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences PIaUSurvey/Footage) <br /> Oriveways-Na#over Counter if on pubiic roadvvays..needs`ROt+Y <br />