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s��-7eo-ooao City of Zeph �rhills Permit Application
<br /> 8uiiding Department
<br /> O
<br /> Date Received � Phone Qontacf far Perrrtif#ing �'
<br /> awner�s Name '���+-��"`- �C�.�- �� � � Owner Phane Number ' � �3'~ ��G- _t
<br /> awn��s Aaat�ss� �5 b 3� `l�- ��• � ��h �'�''�� �i �" �35`� Owner Phane Number� �
<br /> Fee Simple Titieholder Name I Owner Phane Number
<br /> 1
<br /> Fee Simple TitleholderAddress I .
<br /> JOB ADDRESS �O�j (p `��- `'^'v�'}'CG-�" ! � YI'11��S� tz.. �u 3S�I Z LOT# �
<br /> � �t-2.t�- 2l-t��c�-- Zt���-b2tb ,
<br /> ---SUBDIVISION '�- =--._- � PARCEL ID#
<br /> � " (OBTAINED FROM PROPERTY TAX NOTIC�) - '- ��i --- " --
<br /> WOttK PRQPOSED NEW CONSTR ADD/A!T [� SIGN Q MOVE Q D�MOLfSt�t
<br /> . ��. . '� ` ' e IIVSTALL e ` REPAIFt �' j�.e.-�Ot�
<br /> PROPOSED USE � SFR ;0 COMM Q QTHER '
<br /> TYPE OF GONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHEFt(-- ��
<br /> DESCRIPTION OF WORK} . ,�"�'� b-F-� �l" f2.-' I'Da�' 1� ��s. �f��
<br /> BUILDING SIZE � . � ,SQ FOOTAGE � HEIGHT �
<br /> � � � , ..
<br /> BUILDING , $ t_j�' J: '.�(j t2� ALUATION OF T07AL CONSTRUCTION
<br /> I6 ' - � � 1
<br /> 0 ELECTRiCAL � �{ AMP SERViCE Q PF20GRESS ENEFtGY Q W.Ft.E.G.
<br /> �
<br /> Q P�.UMBING �$ � � `�� ��
<br /> �
<br /> Q. MECHANICAL $ VAWATiC?N OF MECHANICAI.INSTALLATtON
<br /> Q GAS � ROOFING � SPECiALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES QNO
<br /> • I
<br /> BvILbER ' � COMPANY
<br /> SIGNATURE I REGISTEREp Y/ N FEE CURRENT Y/N
<br /> Address � . License# � �
<br /> �
<br /> ELEC7RICIAN CpMPANY
<br /> SIGNATURE REGISTEREp Y/ N �FEE CUf2RENT Y/N
<br /> Address � � ( License# � �
<br /> PLUMBER � COMPANY
<br /> SIGNATURE � � REGISTERED Y/ N FEE CURRENT Y I N
<br /> Address � Lioense# � �
<br /> MECWANICAL Ct3MPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address � - � License# i 1 �
<br /> �. (^�1tm.�'� �1���T,n � �Y�L .
<br /> OTHER � COMPAt+tY = .
<br /> SIGNATURE`� REGISTER�p I N FEE CURRENT N
<br /> Address �(o�i 3 5'� 5�t, �-h',t{s, � 33 �i 'License# ��f=.��.:�5.5 C��
<br /> � -
<br /> RES@ENTIAL Attach{2}Piot Plans;{2}sets af Butlding P}ans;{1)set of Energy Forr�s;Ft-O-W Perrnit far new corrstntction,
<br /> ; Minimum ten(10)working days after submiltal�dake. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence iristalled,
<br /> Sanitary Facilftfes&1 dumpster,S1te V1lork Permit for subdivlsionsAarge prajeots • ,
<br /> COMMERCiAL �"Aitach(3}sefs ofBuilding Plans;{1}set of Encrgy Forms.F2-O-W.Permit for new constntction.
<br /> Minimum ten(10)working clays after submitkal�da#e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> " Sanitary Facitities&1 dumpster.SIte Work Pe mit for ai!new projects.A1t commercial requirements must tneek ao►fipliance� � '
<br /> SiGN PERMIT Aftach(2}sets of Engineered Pians. ,
<br /> """PROPERTY SUFtVEY'required for all NEW construction. . , '
<br /> Dtrections:
<br /> Fill out application completely. �
<br /> Ownec&GonEractor s3gn baak of appBcation,natarized ` °
<br /> (f over$2500,a Notice of Commenaemenf is required. (A/ upgrades over$5088)
<br /> ** Agent(for the contractor)or Power of Attomey{for the owner) � ould be sameone with notarized letter from owner authorizing same
<br /> 'OVER THE COUNTER PERMITTiNG (Front3of<Ap "on Only ,,;. ;,�,�.
<br /> Fteroofs Sewers Senriae Upg'r"ades WC Fences(Plot/SurveylFootage) =�
<br /> �: -�r4 •:.,:.` v••,;:,si :;:a=�_p;t.. , ,. . •, ___ -. �' .
<br /> Qriveways-Not ove'r Counter i�'on public7oadiprays� eds RO � ,, ' `�` � -� �� . ��'J'`� ���~•�
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