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813-780-0020 City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> IDate Receieed � Phone Contact r Permitting p�3 4?v7 -- .3 <br /> , <br /> Oxuner's fdame `2 5"�G�-'-�L' �..//w� ��G� ' � � Owner F'hone Number ��—S 8r-09� � <br /> Owner's Address �oZbb S ���1's��Ge �� Owner F'hone Nurs�ber <br /> Eee Simple Titleholder fdame Ovaner Phone Mutnber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (��� �� �`;�� �' � �.OT# � <br /> SUBDIVISION � (� C�-� PARC L ID� <br /> _ . - (OBTAINED FROM PROPERTY TAX IdOTICE) <br /> MIOR4(P6tOPOSED B NEW CoNSTR 8 ADD/A T � SIGN 0 � DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSED USE Q SFR Q G;OMM u 0 OTHER <br /> YYPE OF CONSTRUCTIOM Q BLOCK Q FRAM 0 STEEL Q <br /> D�ESCRI�TIOM OF HNORK Q�� °'L ����L�C.('( P -L-^�`��`��' <br /> BUILDIIdG SIZE SQ FOOTAGE HEIGHY <br /> QBUILDING $���Q �r� VALUATIO OF TOTAL CONSTRUCTION <br /> [�ELEC7RICAL $ AMP SERVI E � PROGRE S ENERGY Q W.R.E.C. <br /> � � 5��� <br /> QPLUMBING $ 1 N( ( � <br /> � � � � �v c <br /> OMECHANICAL ' $� �`U� VALUATIO OF MECHANICAL INSTALLATIOfV L���V <br /> �� ` �,�� � <br /> QGAS Q ROOFING Q SPECI LTY 0 OTNER ` ��/G r�� <br /> FINISHED FLOOR ELEVATIOPIS FLOO ZONE AREA �YES IJO (�� �s+ ' 'Z' <br /> � �� <br /> �UILDER - ----J-_ ~ � 'C MPANY ��l� /�L � <br /> SIGfdA7URE RE ISTERED Y/ fV FEE CURRE� Y/N <br /> Address - License# (.�i(J"C �S� s� <br /> ELEC�RICIAN C MIPAfdY 'FS� �r �"(d 1 ( <br /> SIGRlATURE R ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ���,l�� 7 / <br /> PLUMBER C MPAR9Y / <br /> 51GME1Tl1RE ISTERED Y I IV FEE CURRE� Y/N <br /> Address ' License# <br /> MECHAMICAL C MPAIdY ar,���l� �� � <br /> SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> License# C.—/� J �3��� \ �" `•,�'' <br /> Address d � <br /> OTHER C MPANY <br /> SIGfdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> FtESIDEMTIAL Attach(2)Plot 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 81 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL 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 Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIY Attach(2)sets of Engineered Plans. � - <br /> •'•"PROPERTY SURVEY required for ali NEW cons ction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicallon,notarized <br /> If over 52500,a Motice of Commencement(s required. (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 /> OVER THE COUNTER PERMITTING (Front of Applfcation Only) <br /> Reroofs if shingles Sewers � Service Upgrades,A/C Fenc s(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public ro'adways..needs ROW <br />