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` 813-,780u020 City of Zephyrhillspenmd Application rm~813-780-0021 <br /> � Building Department <br /> Date Received OCT 29 Phone Contact for mtin <br /> nxnnxuxn unomn <br /> Owner's Name Own�rxonoNumuu, <br /> Owners Address 4600 ress FL 33607 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 139575 Dawson Chase Drive I LoT# F0210 <br /> ���_____J <br /> $uooN|S|om Hidden River Phase One B I P4eoEL|m* <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW cowsrx Aoo0\LT [---| a|oN F—� F—� oEwoVaH <br /> P INSTALL �_] REPAIR <br /> PROPOSED USE arn [—1 COMM [---1 oTnse <br /> TYPE OF CommTRuoTlVm �uoCn �—1 ����� �--� eTs�� �—1 <br /> DESCRIPTION orWORK Single Family Residence/Pool/Screen Enclosure/Fence <br /> BUILDING SIZE ao FOOTAGE����� | xs|GxT 12 Story <br /> 101BUILDRI�G 2W <br /> y'2L1_ VALUATION OF TOTAL CONSTRUCTION <br /> VMECHANICAL VALUATION or MECHANICAL INSTALLATION <br /> = F— � ` <br /> o*� h�V� nooRmo F—� SPECIALTY �---| oTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA J--I [--L YE� O <br /> - - - - - - - - - - - - - - - - - - - <br /> COMPANY Edmonson Electric, Inc. <br /> SIGNATURE <br /> Address License# F <br /> PLUMBER COMPANY Bayonet Plumbing, Heating &A <br /> SIGNATURE F <br /> Address P.O. Box 51�ayonot,JL-34674-5308 License# FCFC042998 <br /> MECHANICAL COMPANY LBLayonet Plumbing, Heating &AC, Inc <br /> V I C Sterling Quality Roofing, Inc <br /> OTHER COMPANY <br /> Address 14211 Shoal Vneyd,Spring Hill, F License# 1 CCC057991 <br /> RESIDENTIAL Attach p0 Plot Plans;;g sets of Building p|omo;(1)mgo[snorgyFonno;n-O-Vvponnit for new construction, <br /> Minimum ten(1N working days after submittal date. Required nnmUe.Construction Plans,0onnwomr Plans w/Silt Fence installed, <br /> Sanitary Facilities&1dumpomr;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach pV complete sets o«Building Plans plus oLife Safety Page;(1)set of Energy Forms.R-O-WPermit for new construction. <br /> Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I bumpster,Site Work Permit for all new projects.All commercial requirements must meet compliance' <br /> SIGN PERMIT Attach Vq sets of Engineered Plans. <br /> ~**^PRDPEnTY SURVEY required for all NEW construction. <br /> Fill out application completely, <br /> Owner&Contractor sign back o[application,notarized <br /> n over$o*un.e Notice n,Commencement isrequired. (A/o upgrades over$7sOu) <br /> � Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy nr contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Femma(P|ottSumey/Footage) <br /> Driveways-Not over Counter Ifon public modvmya'nnouoROW <br />