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s�s-�eaoozo City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> � Date Received Phone Contac for Pertnitting 72� 847 _ 3898 <br /> Owners Name FRANK CHRISTMAS owner Phone Number 813-783-8658 <br /> Owners Address 37606 NEUKOM AVE Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phane Number <br /> Fee Simple Tideholder Address <br /> JOBADDRESS 37606NEUKOMAVE LOT# 2� <br /> SUBDIVISION GRAND HORIZONS ppRC L ID# 34-25-21-0090-00000-0210 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoN57R e ADD/ LT � SIGN Q Q DEMOLISH <br /> INSTALL REP/j R <br /> PROPOSED USE Q SFR Q COM� 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F E Q STEEL Q <br /> DESCRIP110N OF WORK EQUAL CHANGE OUT OF �(��a�� ���� � �0 N <br /> BUILDING SIZE SQ FOOTAGE 16 0 HEIGHT � <br /> Q BUILDING $ VALUATI N OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ `���� <br /> �MECHANICAL $ 6800.00 VALUATI N OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPE IALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA DYES NO <br /> 1 1 7 I i 7 i i..t�1..t •��i.-t i.-1 ' <br /> BUILDER OMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN OMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER ICOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY PROGRESSIVE AIR SYSTEMS,INC <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address 5907 DASHER CT,PO RICHEY,FL 4668 License# CAC033669 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111 11111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date- Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit or subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Li e Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stomtwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit or all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW co struction. <br /> i Directions: <br /> Fill out applicalion completely <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C pgredes over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)wo Id be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only <br /> Reroofs if shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />