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�813-780-0020 City of Z,ephyrhilis Permit Application Fax-813a80-0021
<br /> • Building Departments,
<br /> `(ecelved ., . -.Phone Contact'forPennittin ': -`'13t3 ` "1`31 _. 005(P
<br /> ep i noes Name RO'f('0 Val O d Owner Phone NumberD4-
<br /> ' Owner's Address . 305� SU. �f\' O S " r P1014 Ci owner phone Number
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<br /> Fee Simple Titleholder Nam `� O*noiPhone.Number'
<br /> e-- ~ 0 ' D\
<br /> 'j Fee Simple Titleholder Andress ' 30Sg U s ,( )1 n. 33sL3
<br /> JOB ADDRESS 3toZ1 t,0 t?�CtttC� f. Zt: r�\}11S FL• 33��Z LOT#
<br /> sUBDlulSiot+t:. PARCEi:-iD# r—2'l -O00.0-00100 -0c'i 0
<br /> (OBTAINED.FROM PROPERN TAX NOTICE) '
<br /> WORK PROPOSED NEW.CONSTR: •X ADD/ALT -SIGN- 0 Q DEMOLISH
<br /> .' INSTALL REPAIR
<br /> El
<br /> PROPOSEMUSE, Q SFR "GOMM 0' OTHER '
<br /> TYpE OF CONSTRUCTION. BLOCK FRAME STEEL ' Q
<br /> DESCRIPTION"OF WORK
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<br /> -$UIL'`iN'?$IZE ' =40-Y-15 _j`SQ:F6GTAGE:EED_ HEIGHT 1"l
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<br /> ,UILDING $ r �� VALUATIOIgOF TOTAL CONSTRUbT.ION
<br /> i LECTRIGAL $ . AMP SERVICE Q' PROGRESS ENERGY Q' W.R.E.C.' .
<br /> Qt?LUMBING $
<br /> u..
<br /> QMECHANIGAL VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS �. ROOFING:' 0: SPECIALTY. F-1 OTHER 1
<br /> FINISHED,,FLOOR ELEVATIONS FLOOD ZONE AREA =Y.ES NO
<br /> -BUILDER` ) CUMPANY R
<br /> SIGNATUR REGISTERED Y'/ N FEE CURREt, Y'/N.
<br /> Addre License;#
<br /> - 'ELECTRICIAN: ;. COMPANY ,
<br /> ''SIGNATURE REGISTERED Y/ N FEE GURREA' , `Wit N
<br /> Address "Ltdense#. I
<br /> =:Pl:ilIVIBER:: GOIGtPANY: ;
<br /> {t, ;SIGNATU `' ,;,.
<br /> . 'REGISTERED Y/'+Nr. '' :.::..FEE CURRE� YI N.RE:' .
<br /> Address License'#>
<br /> MECHANICAL `COMPp►�IY
<br /> :'SIGNATURE:`''' ' REGISTERED YI-N F,CURREN,
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<br /> ta. Aaares=f' License.# I•.
<br /> GONiPANY'
<br /> rIGIVI4TUREz4=: ;; • 'REGISTERED Y f.N FEE=CURREnr Y/N
<br /> 4
<br /> Address., : .,=
<br /> ..
<br /> License'#
<br /> RESI I+ITI' .f__ cl►} Pt' `P' a`"x' ,i it l tP)a` 1)'s' fE': 'F QDD ,R6s .,Atta q12)#„ of> laris�,.{2•}ys ts.a#Bu d ng ns,.{ ) et o nergy• cnns;R-0=;1I11 P Cmtto a "iistru ,.,�
<br /> s. +- ^�. �,zr, ;:-... .:�;•, . <.;.:
<br /> c=' s A:. .=YaMinlriium�ten 1'0 inro n'LLt'da''�afte�suit rriittaladate `Ete/�ui�ed'onsite�"Coristruoflon.Plans:Sto�yy�water`'Plans Wl SIIt.Fence installed+
<br /> Oaf fy M •5a:t�
<br /> -J Sanita, clllbes,&,9 dum to%e;uc ra. e4 ro e'cts
<br /> tYaa. i,. Ps< f�. I �1A!otk i'eririTtforsuhdivls rstlarg. -
<br /> i';.C:'.=i:..:. - - .Mm s.., ._..ak:i.. -
<br /> y;;saGOMMERCtAI Attecia�{2)'cdmplete�sets afBdIIdIr g�PiW1 plus a Life Safety Page;`{1}set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence,installed,,
<br /> Sanitary Facilities&1dumpster.,SlteWg! Permit$0i411-nerii*fects.All-commercial requirements-must meet.compllance
<br /> it_,SIOWPERMIT "`lttacli-(2j"s"ets;f Iting nearedt Ian :.,:y:,�y:;
<br /> ****PROPERTY SURVEY re ulre ,gor,.aII,NEW cons ctlon...
<br /> Fill out:application_completely.
<br /> OUirner&Contractor,sigh back o.application,notafted
<br /> :-`If;pVer:$2500;.a'N.otide:of Commencementas required. (AIC'upgrades over$7500)
<br /> Ag owrnet)vroutd'be sorrteane with notarized letter-from owner authorizing same _
<br /> �.O,VERT.ttE CIUNTERPEpRMITIttIG:',. :.: (copy ofpcontract required) '
<br /> 109r9.0
<br /> fs if'sliingles S®wets :Service Upgrades A/C Fences(Plot/SuNey/Footage)
<br /> :Driveways-Not aver Counter if on public'roadways::needsR01N
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