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<br /> 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> , •• . Building Department �
<br /> Date Received 2— -- 7
<br /> �Phone Contact for Permitting � ��� ���' — ��oZS
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<br /> Owner's Name c�M �Os� Owner Phone Number G �� ����6�
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<br /> Owner's Address .J�� o l�GS� -1 "--��� Owner.Phone Number ;
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<br /> Fee Simple Titleholder Name �/h E� S� Owner Phone Number
<br /> Fee Slmple Titleholder Address .�� l� �3�� i �:1J{�
<br /> JOB ADDRESS ,J�l� �S A�OD+'>� LOT# �S�7� I
<br /> SUBDIVISION ��dAI — PARCEL ID# �
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED ,. (�EW CONSTR ADD/ALT �] SIGN Q � Q DEMOLISH ,
<br /> � INSTALL B REPAIR , ,
<br /> - PROP.OSED USE � SFR Q COMM 0 OTHER - ,� �, �
<br /> TYPE`:OF CONSTRUCTION Q BLOCK •• Q FRAME � STEEL Q - I
<br /> DESCRIPTIOfd OF WORK !�� d oZ I`*�a� fl-�rv�S `�a �a� a'� ��4�V� M��E ' �'��`��Ccs.� �L
<br /> � � f f7q o CoN ai.EC�'
<br /> BUILDING SIZE �� X 3� SQ FOOTAGE �da� HEIGHT • I � EV �u��9` s �
<br /> ` - ��17
<br /> BUILDING Flo��ls $ � /' Q j � (o� VALUATION-OF TOTAL CONSTRIJCTION Pl.,q��EPH �H� �i
<br /> � � o (9 M�NER�
<br /> ELEC7'RICAL _•---......___._._._.�._ /
<br /> Q, . $ AMP SERVICE r�=Q��� PROGRESS=,ENERG3l_.:� W.R.E.C.
<br /> �PLUMBING $ ,`Z�,��F�l4JlJy�$ ' 1'�e �U t �� 9,� C.O C� j^`'�''.;1'` I
<br /> . �..—� �I�l s 1 �'� 5 /e 1 � 1�'�
<br /> ��d+� $ , � VALUATION OF MECHANf�AL•�ILdSTALLATION �
<br /> �-�b -------...� �
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<br /> d � OTHER �^;_���'����►#
<br /> QGAS Q ROOFING SPECIALTY PRE1/AILING COD�g �j
<br /> FLORIDA���LDING CODE, �V���
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �lf�'IONA�� LECTRIC CODE,qND
<br /> �I7Y OF ZEP
<br /> BUILDER C�jHpqNy � �% �
<br /> SIGNATURE �� � �,REGISTERED Y=/ N FEE CURRE� Y/N
<br /> Address ��j � � � "License#
<br /> ELECTRIGIAN , COMPANY �
<br /> �SIGNATURE REGISTERED Y/ N " FEE CURRE� � Y/N
<br /> Address License# '
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<br /> PCUMBER,,, COIlfIPANY �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address I
<br /> - ` License#
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<br /> '.MECHi4NICAL � � COMPANY
<br /> SIGNA9'URE' ' REGISTERED , Y/ N _ FEE-CURRE� . Y/N ; I
<br /> aaa�ess+� .. " � i I
<br /> , License.# ,
<br /> r,,=�.,. .... . . I
<br /> . OTHER:�. �:��: � � • COMPAfdY
<br /> "SIGNATURE:��:�.< •^ - �- ' - REGISTERED Y/.N FEECURREK Y/N i
<br /> _ : -
<br /> � �Address,� • ' I:icense#
<br /> �+r ,., ..
<br /> ;`;�RESIDENTIAL•��;� .AttacFi`;(2)-.Plot'',P.lans;"(2)tseCs�of�Buildirig'Plans;(1j°setof�Energy,Fortns;R=O=W Peririit,fornew.construction, �
<br /> �•- Minimum,aten�(,10)working;days afte�:su6rriittal=date. "Required'onsite;Construction Plans;°Stormvirater Plaris w/Sllt Fence installed,
<br /> - � ;";`p r<,;=;t.;`. . ,w. .
<br /> ; �Sanitary;Facilities;&.1�;dumpster;�Sife:Wor,kRermitfoe'§ubdivisions/large'�projects� ' � , �
<br /> ``.COMMERCIi4L Attach4(2)'complefe`sets of'Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construct(on.
<br /> _ _ - Mi�imum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> '��- Sanitary Facilitles&1 dumpster,Site Work Permit"foF all�new projects.All commercial requirements must meet compiiance
<br /> �h�SI.GN:°PERMIT �AttacFi°(2jsetsof,Engineered;;Plans:�� : � �
<br /> :�:� �
<br /> �=,'-:° *'""PROPERTY SURVEY_required for.all,NEW construction. ,
<br /> :;�;Dire'ctions: , ;:: . , , .
<br /> � FilC:out application completely.
<br /> _- Owne�'8 Contractorsign back of applfcation,notarized
<br /> ifover$2500;a Notice.of Commencement Is required. (A/C upgrades over$7500) , _
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<br /> � ..:.,•,: .t_, .:;�., - - —
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<br /> "'"` .AgenY(for'the�cont�a"ctor)'orPower'of Attomeyjfor tFie owner)would be someone with notarized letter`from"ownerauthorizing.same. __. .. �
<br /> ��:r�OVER:]'HE COUNTER._PERMITTING. (copy_of-contract-required)"' �`' " � - i� � , � �� ' � ' � '
<br /> '=�Re�oofs ifsfiingles Sewers .-Service�Upgrades�,'A'/C '" Fences(Plot/Survey/Footage) �i • , , ' � '
<br /> . . __ �.._. . ...-� .'� ;:- ... � _ , - ,: , � ' ;
<br /> �..r,.;.,: r „ , ,
<br /> Driveways-Not over Counter if on publ'ic:�oadways:�needs ROW;.. ' ; ` --�� -- =- - _... ,, . , _ °
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