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eta 7eaoozo City of Zephyrhilis Permit Application Fa"13-780-Ml <br /> Building Department <br /> Date Received b Phone Contact for P&MItU11j F( ya <br /> oamses Name SLOAN BEVERLY A Owner Phone Number 813-361-0334 <br /> Ow was Address 5929 17TH ST ZEPHYRHILLS FL Owner Phan*Number <br /> Foe Shriplentlaboldsr Name F- Owner Phone Number <br /> JOBADORESS F 5929 17TH ST LOT 0 <br /> SUBDIVISION PARCELIDSF-11-26-21-0010-04200-0070 <br /> (0111111JUNIED FROM PWO"XFY TAX NoTm <br /> WORK PROPOSED NEW CONSTA ADDIALT SIGN DEMOLISH <br /> R INSTALL R REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK F MTEPIAME SIZE WINDOWS 2 <br /> BUILDING I SIZE SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . .. .. .. . . . . . . . . . . <br /> BUILDING $3,490 VALUATION OF TOTAL CONSTRUCTION <br /> MFLECTRICAL AMP SEkVICE M PROGRESS ENERGY Q W.R.E.C. <br /> [=PLUMBING <br /> 1$ Te -7 <br /> r—IMECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> r—IGAS Q ROOFING M SPECIALTY M OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . . . . <br /> BUILDER k: COMPANY I NEW SOt3TH WINDOW <br /> SIGNATURE V^X�� REOWEM I Y/N MEWIRM I YIN- <br /> AddrQ1W 4901 Oak Fair Blvd Tampa FL 33610 License 6 1 C 13 <br /> 30822 <br /> ELECTRICIAN COMPANY r <br /> SIGNATURE AEOIaTERED Y I it MCURRft <br /> Address License 6 <br /> PLUMBER COMPANY r <br /> SIGNATURE REGISTEM I YIN rise CUPJM <br /> Address licenses r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEEGURM Y/N I <br /> Address LicenseS <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED I-YIN FEECURREk <br /> Address <br /> RESIDENTIAL, Attach(2)Plot Plans;(2)sets of Building Plow;(1)set of Energy Forms;R-O-W Permit for new oonstruction, <br /> Mintrinum ten(110)worldno days after submittall data. Roquimd onsite,construction Plan,StormwaterPlanswISift Force installed, <br /> Sanitary Facilities&I dumpstar,Site Work Parmitfor sub-divislorMarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date.Required onslto,Construction Plans,Stormwater Plane Vd Slit Fence Installed, <br /> Sanitary Faciredes&I dumpslor.Site Work Pomrdfor sit now projects.An commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sob of Engineened Plans. <br /> "PROPERTY SURVEY mqlared for all NEW consbuction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaftm notarized <br /> it over$2600,a Notice afC*mnmncomwdism4u[fed, (A/C upgrades over 011m) <br /> Agent(for the contractor)or Power of Attorney(for ft own"would be someone with notarized lefter from owner authadzing same <br /> OVER THE COUNTER PERMITTING (copyof contract required) <br /> Remola If shingles Sewers Service Upgrades A/C Fences(PlottSurwy/Footage) <br /> Driveways-Not over Catinter If on public roadways-needs ROW <br />