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813-780-0020 City of Zephyr ills Permit Application Fax-813-7B0-0021 <br /> Buil ing Department <br /> Date Received Phone Contact for Permitting -- <br /> Ouvner's fdame /� � �(.�SC. Z, OvNner Phone Mumber �— ��g-�ZS-3 <br /> Ovener's�►ddress (� � ` Z- ( ST Owner Phone Number <br /> Fee Simple Titleholder Mame Ouvner Phone Idumber <br /> I <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS ry �.. ��' � s� LOT# � <br /> suBDidisio�a .-� PARC �so� D�L-Z 6-z I-o�q�o-0000�- ayy� <br /> - ---- - - - - -- - -- - -- - -- --- --- ---- SOBTAINED FROM PR�DPERTY-TNC NOTICE) -- - - -- <br /> MlORC(PEtOPOSED B NEW CONSTR B ADD/A T � SIGfV Q Q DEMOLISH <br /> INSTALL REPAI <br /> ��iOPOSED USE Q� SFR Q COM � OTHER <br /> qYP�OF COMSTRUC410td Q BLOCK Q FRAM 0 STEEL Q <br /> DIESCPtIPTION OF WORK b f A�e ��nct �''' <br /> � <br /> 8l➢Id.Dlfdts'SIZE �FOOTAGE l� ' HEIGHT � r <br /> �BUILDING $ •�JZ�r �� VALUATIO OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERV CE 0 PROGRESS ElJERGY Q W.R.E.0 <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION �� �� <br /> �� <br /> OGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FIRIISHED FLOOR ELEVATIONS FLOO ZO(VE AREA QYES NO <br /> �UILDER G MPANY (`�?e Ft�C'e <br /> SIGIdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> e4ddress � ,�O G Z"e!'G� L�/ License# <br /> IELEC7'RICIAN C RlIPAR1Y <br /> SIGIdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> /Address License# <br /> PLUAABER C INPAMV <br /> SIGMQITURE R GISTERED Y/ (V FEE EURRE� Y/IV <br /> Address License# <br /> MIECHAMICAL C MPAIdY <br /> SICzRIATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OYHER C MPANY <br /> SIGIdATURE R GISTERED Y/ I� FEE CURRE� Y/N <br /> Address License# <br /> RESID�IdTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)s of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COiMAAERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permft for all new projects,All commercial requirements must meet compiiance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> "'°PROPERTY SURVEY required for ali NEW constrrctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a fVotice of Commencement is requirecl. (A/C up rades over 57500) <br /> •° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ONER YHE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc s(PIoUSurvey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br /> I <br />