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' 8�s-�ao-oozo �i�y�f ZephyPhill� Pernrit Applica�ion Fax 813-780-0021 <br /> Suifding begartrrsen# <br /> � T <br /> Date 4�ec��v�c9 ' � Phoe�e�an4ac�fo��erml4ti� ��� "t�� S�� <br /> C�wrngr'�R�ame �✓i' 1 tl 1 Cj�,� (/ �uarr�r P@�one Aiurvab�r <br /> Owner's Addr�ss 11G�� W C � ' Owr�rer Phone R9umb�r � � <br /> V�oe 51mpY6�kleholder P7�me Ow�r�ar Phors�r P9uenber � � <br /> Fee Sirvrpt�TI4i�holder dd�r�ss <br /> �o������� �fi c�Yl l �.�n �-- c� 10� f�v � �o�� �..� <br /> SUBDOlftS��t� i��ti� �� ���I�� �A13CEL i� �` <br /> (OBTAIfdEp FROlA PROPERTY TAX NOTIC� <br /> lNO�OC F�R��O�E� , e tvEW CON51'ft 8 ADDG4�T � SIG� � Q DEMOLlSH <br /> ItdSTAI.L REPAIf2 <br /> P�YQFOSE�lD�� Q SFR Q CQ�11M � QTHER <br /> TYPE O�COGdSTRUC'CYOPd Q BL.00K " Q FR,4ME � STEEL Q <br /> i�ESCE�i�TiiOP!O�l�IC3REt <br /> �U1L�IAIG�1�E � � �Q�OOT�,GE�� H(EIGFIT E�� <br /> Q BUI�E}IN� �� VALUATtON OF TOTAL CflNS7ftUCTiOiV <br /> �ELEGTRICAE. � � AMP SERV3CE Q PROGF2ESS EP�IERGY Q W.R.E.C. <br /> [�]PLUMBtRlG � y�� . � ` �� <br /> f - �j� <br /> Q�lIECNANlCAL $ VA�t7AT10N 4F P�tEGHA1�2fGAi.INSTALLATtON �? �� (�/ <br /> �GAS Q RQOF(NG Q SPcGIALTY �] OTHER <br /> Fl(VISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> �UI�C}�F3 ^� C�k3PAPtY <br /> $IGSdAYURE ,,, REGISTERED Y/ N FEE CURFtEt� Y 1 N <br /> �ddre�s Cicense# � � <br /> �I�EC�'�6��&�l C��3�APIY <br /> S�C9R1AYU6aE } REGISTERED Y/ fV • FEE CURRE� Y/iV <br /> A4�tOr�sS llCBtiSB# � � <br /> �LU�U9�E� ���� �� G0�9��tY l. W t i�V � "T � <br /> �i������� ��� REGIS7ERED Y/ N FEE CURREh Y <br /> Addr��s "i��� �,�,�,`�, t�C 1'�i"'� J")C.�. L�cense# ��� ��� <br /> ��c��a��.. ca���r <br /> �frsidA'PdJF3� REGISTERED YI fV FEE CURREP Y/iV <br /> ,�ddr�s� Liaense# �� �� �` <br /> A�PiE� C�11fJi��Y . - <br /> �ICxR1�Tl8�E REGIS7ERED Y/ id FEE CURRE� Y/N . <br /> ,�����3�; L1ceISSe#��� �� <br /> �ESI��R9gi�9. Attach(2}Ptaf Ptans;(2}Sets af Buiiding Pians;{9)se€af Energy Farrtts;R-t3-W Permit for new constnsc6on, <br /> ivlinimurn ten(10)warking days aftet submittai date. Requtred onsite,Construction Plans;Stormwafer Ptans xl Sirt Fence installed, <br /> Sanitary Facilities&1 dumpste.r,Site Work Permit for subdivislansAarge projects <br /> Cf}i1�il(��93�0� Attach{3)complete sets of S�ildirig Plans plus a Life Safety Page;{i}set af Enatgy Forms.R-0-YY P�nit`or r,ew c�nstruc�ion. <br /> Minimum ten(90}working days after submittal date. Required onsite,Construc8on Plans,Stnrmwater PL s wl Sitt Pence instailed, <br /> Sanitary Faailities&1 dumpster.Slte Wor1t Permlk Wr all new projer�s.All commercial requirements must rraeet compfiance <br /> �lG�F��t�#'f Attach{2)sets of Engineered F3ans. <br /> ""PROPERTY SURVEY required for ail NEW constructian. <br /> t}Ir�cftan�: -- - �- - ` - <br /> Fiii aut appiicaUon compietely. " <br /> Owrner�Contractar sign back of appifcatlon,notarized � <br /> I2 4Y0Y�$�OO,a�to4Ec�o����m�rsc��nen�E�raqui�et�. {,�JG e��ge��c��over$7500) <br /> _w��r.fcr the conVactor)or Pow+er of Attomey(far the oumer)would be someone with notarized letter fram owner authorizing same <br /> } �a��-ti`�--��;.:.zZI—�P�Rt�flT1'IF3G {Frant ot ApplleatEon Onty} <br /> �.s�=s::.�• :,,.�h=- Service Upgrades A/C Fenoes(PIoUSurvey/Footage) <br /> . ���:.�".::�•~+..�:�v �:.`r�in.r..nee�s ROW � <br /> ���`.�t�4,J . <br /> �: },a , • _ , <br /> .:..� - -—�____.__ ..� ._.___�^_._._- - -.- - <br />