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� <br /> 813-780-0020 City of Zephyrhilis Permit Application rox-* 3-7«»-0uu <br /> Building Department <br /> Date Receive� Phone Contact for Permitting 813 363 2891 <br /> Len Owner Phone Number <br /> Owner's Address 4600 W.Cypress St.Ste.200,Tampa,FL 33607 Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address N/A <br /> JOB ADDRESS F35958 Saddle Palm WayLoT# <br /> auoovWSIOm Silverado Ranch Su bdivision Ph 6,8,9A P4moEL|n# 05-26-21-0080-00500-0040 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ms*coNSTn ADo�a� �--7 SIGN F—� �—1 DEMOLISH <br /> [��l INSTALL [_1 REPAIR �-- <br /> PROPOSED USE arR �—1 COMM F--� OTHER <br /> TYPE mpCONSTRUCTION ouocx [—1 FRAME F---1 aTssL <br /> DESCRIPTION oFWORK Single Family Residence/Pool/Screen Enclosure/Fence <br /> au|Lo|mG S|os U/R SF SQpoOTAos HEIGHT 2 Story <br /> BUILDING 11 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 10 [��—1 Pn��ne��swsRuv F—� vx�s�� <br /> �`�_. � � � <br /> AMP SERVICE <br /> �� <br /> �� VpLUMB|NG <br /> �� <br /> �� <br /> U»� �MECHAN|C*L \»�VKr|ONOF MECHANICAL INSTALLATION <br /> �� <br /> F--lG/uS h���y Roop|No F—� Spso|A[rv = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA J--�YE� �--lo <br /> U U | p <br /> �� �� <br /> Homes,LLC <br /> Address License# F <br /> ELECTRICIAN COMPANY Edmonson Electric, Inc. <br /> Address 1034 Skipper Road,Tan;fKa, FL 336 <br /> PLUMBER COMPANY =Bayonet Plumbing, Heating &A <br /> Address P.O. Box 5308, Bayonet,FL 34674-�W License# <br /> MECHANICAL COMPANY �=ayonet Plumbing, Heating &AC, <br /> Address <br /> oTasm OMPANY Sterling Quality Roofing, Inc <br /> SIGNATURE <br /> REGISTERED <br /> Y/ N ] pssounnsN � <br /> Address 14211 Shoal Line Blvd, Spring Hill, FL 34607 Ummno# <br /> xmnxxwxxomxxmxuxmxxxxxumnxmxxxmoxmmnnmxomnxxmnxvmxomxxxmxxxoxxmxxum <br /> RESIDENTIAL Attach(2)Plot Plans;;q sets nf Building Pmnu;(1)metofEoorgyFonnu;R'O-W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Fou|||Ues&1 dumpmar;Site Work Permit for subdivisions/large projects <br /> ummMsnoAL Attach(2)complete sets of Buildtng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1N working days after submittal data. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach;g sets of Engineered Plans. <br /> **~pnVPEnTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> |,over$uso0,a Notice ov Commencement Is required. (Ao upgrades over$r5nn) <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 uf contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fon000(MoVGumoy/Foutoge) . <br /> Driveways-Not over Counter ifon public mouwoy ..noadaa{W <br />