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<br /> e�a-7ao-aaao City of Zephyrhilis Permit Application Fax 813-780-0021�
<br /> v_,A. �
<br /> Buiiding Department
<br /> Qate Received � P!hone Coi�tact'for'Pet�mtf#In �
<br /> Owner'�Mame ��i� VJ0.,�Q T �art.,� L.L..� pwner Phane Number
<br /> Owner's Address l l� �j�j �-O��L�,,,gt �ant� �Q ' j5�wner•Phona�Number �� �
<br /> Fee Simple Titleholder Name Owner Phone Number �� `�
<br /> ,,�{
<br /> Fee Stmple Titlehalder Addreas � �°
<br /> JOB ADDRESS �vS$'�3 �J �:�+�s �1,. �or# ��� I
<br /> SUBDiViSION �� � PARCEL.tD# �/-2.�p' 2{ -C�O l� --�,(ppj� 'OG►"Z'p
<br /> • (OBTAINED FRpM PROPERTY TAX N0710E) -
<br /> WORK PROPOSED NEW CONSTR ADD/A�T � S1GN Q ` Q DEMO�ISH •
<br /> INSTALL ,. 8� REPAIR
<br /> PROPOSEp USE Q SFR � COMM �� OTFlEF2- �
<br /> TYPE OF CONSTRUCTION [� BLOCK " Q FRAME � STEEL. [�
<br /> DESGRiPTIQN OF WORK 'e� 4 L'��" /3 l�` �� „�na�Q f�--/oZ GrGa��.2.� � �
<br /> BU1I.DING Si2E �3X `�2. SQ FOGITAGE� , HEIGHT w���
<br /> � � .,�,.m...;,�;H... .�. �_ ,
<br /> BtlII.DING
<br /> VALUATION OF TOTAL CONSTRCICTION I
<br /> � ,�,,,,. � ,
<br /> �EI.ECTFtICAL $'�,i�C]�� AMP$ERVIGE ' [� PFtOGRESS ENERGY Q W.R.E.C.
<br /> _�.
<br /> QPi.UMSiiVG $
<br /> C�. � , � � ���
<br /> i QMECHANiCAL $ VAI.tJAT10N C1F MECElAf+llCAl ENBTALLATION_ � �
<br /> QC� [� Rl?OFENG� Q SPECIALTY Q OTHEF2
<br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO
<br /> �„_
<br /> Bt1t�DER COMPANY - - .
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y./N .
<br /> Addrass LiC�nse# �— �
<br /> ' EtECTftIC1AM COMPANY� �4�n��'-C7tY"le��C.
<br /> ', SIGNATUItE � w--� "� REGISTERED Y F
<br /> , / N EE CURRE� Y/N
<br /> Addre�s .D .�?i �3 a �' - 33 -L�cense#, E�. (3b0 }3��. �
<br /> R�UMBER COMP.ANY^ -. - ' _
<br /> SIGNATUii@ , REOISTERED Y/--N � •. FEE,CURRE� � Y./`N
<br /> Address License# � �
<br /> MECHANIGAt: _ , ,GOMPANY -
<br /> SIGNATURE � ' J RE019TERED . ,: Y;/ N . FEE CURRE�` Y/�rN�
<br /> Address . � . . � , `. License# � �
<br /> OTHER ' COM,PANY _
<br /> SIGNA'�UFtE � ' - ' REGISTERED ' Y/ N:- � FEE CURRE� : .Y l>Nt.
<br /> Address , ��:-` � � = _ " , ; . • - �� Ucense# � �
<br /> RESIDEt+ITI_�,t;. �-Attaah{2):•P.:,Iot;Alans;{2);sets.af;8ull�ing'Plaits;`(1)ssf of�Eriergy�Fomis;'R=�1N;Pe{r'ini#:fo:r,ne'y.,congfiiction,
<br /> � :�Mln.imum�.ten:;(10)�Working;dayssafteci'submlftal:tlate:�'Req'uired ons(te;�C'onsUiiction�Plans;Stormwafe�Plans w%Stlt Fence installed,
<br /> ' SanitaryFacilfUes�,&�'�,dumpster,Slte4WoticzPermlt#or."sutidiqlslans/large`proJects;:.:�;`:w,.�''_';;'. ..
<br /> COMNtERC1Al. Attach(S}c:amplete sets of Bullding�Plarus plus a"Ufe Safety Page;(1}set af Energy Forms.R-O-W Perrnit for new-cons!ndc�on.
<br /> ' Minimum ten(10)working day5 after submltt�l dade. Requfred-ensl:�,Canstee�ctlan Plans,Stormwater'Plans w/Sllt Fence installed,
<br /> - - Sanlfary Faclli8es&1 dumpster.Site Work Permlt for al!new';prtijects,AI{commercial requlrements must.meat comp8ance
<br /> SIGN PER4VflT Attecti{2)set�of`Englneeir.ed.`,Pta�s�¢;{,.�,�:, ... . . ._ .• - �
<br /> ..««PROPERTY SURVEY reguired.forall NEW construction.. , �
<br /> __..�___....__.� _.. _ . ,.._ , .<:.. . �:, .
<br /> . -. -. .. .. _ ...
<br /> � Dlreatlons: <_. _. .. � ,. .
<br /> �, F(II out applicaUan completely.
<br /> Owner 8�Contraotar stgn back•of appticaUon,notarized
<br /> tf aver 52600,a NoNce of,Gommencement is requirad. (AIC upgrades over 575o0j a
<br /> �-'4.`:, ,;-..�cy,e>>y' I
<br /> " Agent(for tti'e contractor)or"Power�dfAttainep(fo�the�owner)virould be somenne with notarized letter from owner authorizing same i
<br /> DVER THE Ct3UidTER:.PERM1TfiNG -- (Front of Apptication Only} -� '�;==-� �
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ,
<br /> priveways-Not aver Counter if an publtc roadways.:needs'RQW �
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