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$��-��-�� City of Zephyrhiils ermit Application Fax-813780-0021 <br /> Building De rtment <br /> i ' pate Received �7 <br /> Phone Contact for Petmittin <br /> OwnersName WD w 2 .a. �n /1 ✓2�'�L OwnerPhoneNumber .2 ' y��� <br /> OwneYsAddress � !G iP'L�3� OwnerPhoneNumber <br /> Fee Simple Titlehalder Name Owner Phone Number <br /> FeeSimpleTitleholderAddress - - ' <br /> JOB ADDRESS 7 G 7 �.,1�J�f���A' � �G �Z LOT# � <br /> SUBDNISION .-- PARCEL ID# l oZ � 0� � � - <br /> � {�TAINED FROPA ROPER7Y TA%NOTICE) <br /> WORK PROPOSm NEW CANSfR ADD/ALT SIGN Q -Q�- DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q OCK �M STEEL <br /> I/� S /rt �- }j� �c��o V ( .r� <br /> C�/.g^ i A - ' ?S C�F'H !A�0 <br /> DESCRIPTION OF WORK L � m � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ D VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENE GY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION (`//-+-��i���Q Q <br /> l tN- �� <br /> QGAS Q ROOFING Q SPECIALTY IQ OTHER /���{ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO l / D(� U� \ <br /> l ` � �S <br /> V . � e S <br /> (;. � . � � <br /> BUILDER rI1 / � �COMPA Y 7 w 2� r•n lLiJ D <br /> SIGNATURE l.�ts+.r REGISTEf�ED Y/ N FEE CURREN Y/N <br /> , Q <br /> Address � °L���� � �oc� L- License# G 'o <br /> ELECTRICIAN - �MPA�JY JTu 1� �L/�C <br /> SIGNATURE / . _ l� EGISTEI�ED Y/ N FEE WRREN Y/N ' <br /> Address ���� C��l.� Q r�-I�/T�y I �t'�J License# ���3�p���/ <br /> \y /N PH 't (✓1 .S'it GS! <br /> PLUMBER � COMP Y 6 �li G• �r� <br /> SIGNATURE REGISTE ED Y/ N FEECURREN Y/ <br /> - Address License# G FG y.Z�7�8 <br /> J'MECF�/WICAL � COMPA�Y <br /> SIGNATURE REGISTE ED Y/ N FEE WRRFN Y/N <br /> -- Atldress I License# <br /> OTHER COMPA�JY <br /> SIGN�ITURE REGISTEf�ED Y/ N FEE WRREN Y/N <br /> Add ress I License# <br /> Illlllllillllllllllllllllllllllllll 1111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se[of En rgy Forms;R-O-W Pertnit for newconstruction, <br /> Minimum ten(10)vwrking days after submilfal date. Requir onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sandary Facilities&1 dumpster,Site Work Pertnit for subd' sons/large projects <br /> COMMERCIAL Attach(3)complete seLS of Building Plans plus a Life Safety�age;('I)set of Energy Forma R-0-W Permit for new construGion. <br /> Minimum ten(1�working days after submittal date. Requir�d onsite,ConstrucGon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sani[ary FaciliHes$1 dumpster.Site Work Permd for all ne projects.All commercial requirements must meet oompliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROP.ER7Y SURVEY required fw all NEW consWction. . __ <br /> Direcdons: , ' <br /> Fill o,ut application completelY�--- -- - .- _ , _ <br /> , ,.Owner&Contractor sign.back of application,notar¢ed, _.... - .- -. -_- - ._. <br /> ` If over 52500,a Notice of Commencement is required.. (AIC upgrades over$7500) <br /> _ AgeM(for the.contraato�or Powa�of Attomey(for the owner)vEOUId be so eone uJitti noharized letter froin ovrtier authorizing same - <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf.shingles ; Seners ServiceUpgrades NC Fences.(Plo SurveyJFootage) <br /> .._. n <br /> Driveways-Not over Caurder if on public roadways..needs ROW' <br />