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i <br /> - - - _ : .__ ._____ , _... ___ _ �r <br /> ataaeaoozo City of Zephyrfiilis Permit Application Fax-813780-0027 <br /> Build�ng Depenment I <br /> Date Rete(ved phonn Contact for Pertnitllng 407 378 _ 6682 <br /> Owners Namo Harbor Freight Tools OwnorPhono Numbor 407-069-5599 X 2 ' <br /> Ownels dddress 176 E H( hland Avenue Ciermont,FL 34711 Ownor phano Numb�r <br /> Fee Slmple 7itioholder Name � OwnerPhone NumEer <br /> Fae Simple TltieholderAddress <br /> JOB ADDRE33 b935 Gall Blvd L071f � <br /> SUBDMSION Plne Grove pqRCEL IIXS 10-26-21-002a00000-0050 <br /> (OB7AINE0 FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED NEw cnNsrR ADD/ALT [�] SIGN Q Q DEMOLISH I <br /> B INSTALL B REPAIR <br /> PROPOSED USE L] SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL � � <br /> I <br /> DE6CRIPTION OF WORK Tenant Improvement to Exisiting Mercantile Space. � I <br /> BUILDINGSI2E SQFOOTAGE �5,168 HEIGHT � , <br /> Trrrrrr'rr� r'�-r-rrrrrl'rTr'r'r'r'r-rrrr'r'7"i'•rfr-t-r- <br /> [�]BLJILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> 95,000 <br /> [�ELECTRICAL S AMp SERVICE Q PROGRESS ENERGY Q W.R.E.C. � ��' I <br /> 12,Q00 <br /> mPLUMBING S ��� <br /> 15 000 g �/n <br /> � 6�... <br /> mMECHANICAL S VALUATION OF MECHANICAL tNSTALlATION � <br /> 10,000 + /+� ; <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ��� <br /> FINISHEDFLOORELEI/ATIONS FLOODZONEARFa �YES ��Jj��� ! � <br /> .�-i.a-i..�.a-i i i a a � a r • s-s,� �''�.� � <br /> � <br /> BUILDER j� <br /> 810NATURE � ftE�19TERED Y/N F�cu�rsen, /N �, <br /> I <br /> `� aaarass ucensea j.! <br /> i � <br /> � � � �i` l� L� <br /> ELECTRICIAN ..vNIPANY <br /> , SIGNATURE t I rtEaisr�o Y/N ree cuaaer. Y/N ' <br /> � Addreas �` ' <br /> Llcense& <br /> ,/ Q� � <br /> PLUMBER ��� / �. ....,�Y y�GLN/�l� GLIyJ4,wN �L� ' i I <br /> SIGNATURE '� /i//�G//,/�� 1 REOISTERm YI N cr�curwer. YfN � � i <br /> Addroas J �! � (�(f�Lf�//�j,"l� /��/'/�- UcenseA �%�G�(lJ-�Sr/�JrJ � <br /> MECHqNICAL I <br /> I <br /> SIGNATURE Y/N �e wartEn Y/tJ <br /> Addrass -- - - — - - ---- - - - - - --- Ucense S -- - - - - - - i <br /> OTHER COMPANY <br /> SI6NATURE REGIS7ERED Y/N t�cunaEn Y/N , ' <br /> Addrass I � <br /> Lice�se 0 <br /> IIIIIIIIIIIIIIIIIIIIIIIt111i11111111111111111111lIIIf11111111it1111 <br /> RESIOENTIAL Atlach(2)Plat plans;(2)sets of Build(ng Pians;(1)set of Energy Fortns;R-aW Pertnitia nenconstruciion, i I <br /> NWmum tan(10)vrorking days after submiltal dala. RegNred qnsite,ConsGucllon Plans,Slortnvrater Plans w/Sflt Fence Inslelled, 'I <br /> Sanitary Fedli6es 8 1 dumpster,Slfe Work Perrnit fot aubdlNslons/large projeds � <br /> COMMERCIAL Attach(2)comptete sets of Bullding Plans plus a LNe Safety Page;�1)sel of Energy Fortns.R-O-W Pertnit far new consWdion. • i <br /> Nlnimum ten(70)working days sfter submiltet date. Required onsite,CansWcfian Plans,Stormwater plans w/Stlt Fence installed, ' <br /> Sanilary Fadfilies 81 dumpslec Si�e Work Pertnit for atl new proJetts.AJI commerclal requlromenL must mecl comp3iance ' <br /> SIGN PERMIT Atlach(2)sets of Engineered Plens. <br /> ""PROPERIY SURVEY reqidred for etl NEW const�udlon. <br /> ' � ' . `. . . � . .-r,+-.�_H-1- ; <br /> ,i_. . . 1-FW-i-' �'t�_• <br /> Dlrectlons: ; <br /> Fi0 out app5raGon compleley. ' <br /> OvmerB Conhaclor sign haek of spplieation,nolarized <br /> If over§2500,e NoUce otCommancemont Is requi►ed. (P/C upgrades over ST500} <br /> " Agent(for Ihe contractor)or Power of Attomey'(for Ihe ovmer)Hould 6a someone wl�h notaraed Ietterfrom ovmer aNlwr¢Ing aeme ��, <br /> OVER TH£COUNTER PERMI7TING (mpy of canUact require� <br /> Reroofs H shinyles Sevreis SenAce Upp2des A/C Fences(PbUSarvey/Faotage) <br /> Drlveways-Nol overCounterf(on pubGc roadways..needs ROY�' <br />