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t3 Teaggzp City of Zephyrhil)s Permit Application Fate eta 7eaagzl <br /> Balding Department <br /> Date Received _ 1 Phone Contact forPerm(ttimo Iti't"r�" ) _ <br /> TvI r r T IT �' .'C7. J r <br /> ..1:1- / r-1'T T 1�1'T'I'Ti' <br /> Oemees Name P H LS S EET LLC Owner Pr/hone`N',umber 8$3-581-4222 <br /> Owners Address 601 21ST ST STE'300YERO BEACH FL 32960.0a60 owner 4one)Numbor sjoneS@jbreaitypat(ners corn <br /> Fee Simple Titleholder Name Owner Phone Number 1 <br /> Fee Simple Titleholder Address <br /> 309 ADDRESS 5935 7th Street Ze h rhills.Ft_33542 LOT* <br /> SUBDIVISION 1 ( PARCELiD#. 11-26-21-0010=00800-0260 <br /> roeTAn"FRGM PROPERTY TA%RORM <br /> WORK PROPOSED NEYJCANsrRB ADDIALT �� SIGN u 0 DEMOLISH <br /> RINSTALL REPAIR <br /> PROPOSED USE 0 SFR Fx-1 COW OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Infectoralfera on to convert existing surgery center to health Clinic <br /> BUILDING size F SO FOOTAGE 57a5 HEIGHT 31'3' <br /> QBUILDiNG J$ VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL I$ —`� AMP SERVICE Q PROGRESS ENERGY Q W.R�E.CC.. J <br /> PLUMBING $ ,u�„_ pf-j,'CAL � <br /> QMECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> ��L! `f�t� (JG�-+^✓ <br /> [ GAS QROOFING <br /> Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS gp,g FLOOD ZONE AREA =YES 0 NO . <br /> BUILDER j COMPANY SHARP GENERAL CONTRACTORS,INC <br /> SIGNATURE ( REGISTERED I Y J N FEE CURREN LMAN <br /> i <br /> Address 3553 SW 10th ST,POMPANO BCH,FL 33069 (�ucen�satJ CGCOB0906 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y 1 N FEE CURREN LILN <br /> Address Uccenssee Py�Cy {� <br /> PLUMBER COMPANY <br /> SIGNATURE t REGISTERED �Y/N I PEEcuaRElt I Y (H <br /> Address V V 1�3 License#C_. ."! -7 t <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE cumnN Y J N <br /> Address License d F— ; <br /> OTHER COMPANY <br /> SIGNATURE { REGISTERED YJ N FEE CURRflt YJN <br /> Address License* —� <br /> I / Itltltittallrift.T / t'111111111titilititiili / IItltltltlliTitittllitilil <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R•O-W Permit for new construction, <br /> Afinunum ten(10)vmrking days after submital date.Required onsiita,Construction Plans,Storm+eater Plans wJ Silt Fence installed, <br /> Sanitary Facilities&t dumpster,Site Work Permit for subdivisionsnarge 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 new construction. <br /> Minimum ten(10)worldag days after submittal date.Required onsite,Construction Plans,Stommater Plans vd Sit Fence Installed, <br /> Sanitary Facilities&1 dumpster.She Work Permit for all new projects.AD commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cwnstructlon. <br /> DirocOons: ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractog or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) i <br /> Retoofs It aMngtes Sewers SevAce Upgrades A+C Fences(PloltSurvayJFootage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br /> • i — <br />