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s � <br /> si iliaooiti otyof Zephyrliills Per it Appiicatibn Fax=813.7So-oo21 <br /> Building Depart e.nt <br /> 1ca <br /> Phone Co <br /> Dale:Recolvod <br /> • <br /> r r rr;-rr r- hw-n ntacf for Perrin <br /> Ownai's;Naitle. `:: �11� UC MI Ile i Owner Rhope;Number .52 <br /> Owner's Address° „Osrfnera'hone..Nurtiber ; <br /> Fee Slmple`.Tltlefiolder Name . OWner .Phone Number• <br /> Fee:Simple Titleholder Address = <br /> JOB ADDRESS j 3 8 21 :CO.T-#: F7771- ' <br /> $UBDIVISION _Z.. .5... __ PARCEL,ID# ^Z�0'^2 — ^�2��" OCI <br /> (OBTAiNEDFROM PROPERTYTAX-NOTICT). <br /> WORK,PROPOSED- N_EW.coNSTR::-.s °ADD/ALT SIGN DEMOLISH <br /> R . 0. <br /> INSTALL REPAIR <br /> PROPOSED USE .::SER u .-'COMM OTHER ' <br /> TYPE.OF CONSTRUCTION[ Q ;BLOCK FRAME-,-. STEEL 0., <br /> 7777 <br /> / \ 1 — <br /> DESCRIP.TiON:OF WORK. / 1p/ �V/ C A.� ...�iJ QaTc <br /> V <br /> BUILDING SIZE So 0 TAGE HEIGHT <br /> 29 VALUATION:OF TOT, CONSTRUCTION.. <br /> (slip i } <br /> =ELECTRICAL S AMP SERVICE. •PROGRESS ENERGY _ 0 W.R.E.C.. <br /> =PLUMBING $ <br /> =MECHANICAL S.. VALUATION OF MECH NICAL•INSTALIATi6 <br /> GAS: ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 'FLOOD20NE AREA =YES. <br /> . <br /> BUILDERS COMPANY <br /> SIGNATURE REGISTERED: ;LFEE:CURREr.: Y i N'. : <br /> Address <br /> : <br /> 2.19 TS <br /> ELECTRICIAN <br /> :COMPAhIY_ <br /> SIGNATURE. REGISTERED !,:Y/:N _ FEE CURRE►: Y f:N <br /> Address <br /> Licenso*: <br /> PLUMBER CQhAPAHY <br /> SIGNATURE Ed, RED <br /> Address <br /> -License`#= - • <br /> MECHA NICAI-:. ;. COMPANY '; ` : ` ,': ';`. `• _ <br /> SIGNATURE REGISTEREO ( Y:/"N ` 11FEE:CURREn Y>7 N . <br /> Address. <br /> License.#- <br /> OTHER COMPANY <br /> SIGNATURE ' REGisTERED .i • Y!.N Y :.FEE:cg(aR�.E{'; ,- 4 :Y hN <br /> Address License:#:I —� <br /> 1,1..1 UI,,1 T. 1;.1 1;-11-J.I 1 1 1.I',I'1 1 t <br /> RESIDENTIAL Attach.(2)PIot;Plans;;(�}set$of Building:Plans;(1),set:of Energy owns R O;W Permtfornewconsfructiori ' <br /> Minimum ten(10j woiking clays after submittal date: Required.ons W Constiiid16h PIbr Std-`wate�`P(ans w/:Silt Fence Installed, <br /> Sanitary Fac111tioiA-i dumpsOmSite Work Pennit for subdivision, largo projects <br /> COMMERCIAL. .. Allach.(1)complete sets of Bu:iIding Plans plus a Life:Safety:Page;(1)set bf•Energy-Forms.R-0=W.'Pennit'for new construction. <br /> Minimum ten.(10}`iv0rking.days`after subrnittal:date: Required'.ons te,Conslructiorl Paris,Stormwater_Plans w/Silt Fence 6stalied. <br /> .Sadita,ry:FacJliltes&_i duinpster.:.Site Work Pemnit for.ail newproj cis.All commercial requlrenienls must.meet compliance <br /> 'SIGN Pf:RMIT — ;.,,loch(2)sets ofErigiAddre'd Mons: <br /> •"'PROPERTY SURVEY required for.-eli-Nt-V W.,-e.sirucUon.- --�- <br /> - - <br /> DJrect(ons: - 3 i :- - -- - - <br /> •Fltl out application completely. <br /> Owner 8 Contractor sign tiack:of application;notarized <br /> If over$2800,a:Notice of Commencement:ls required.. (A/C:upgrades overl 7500) <br /> Agerit(for the contractor)or.Power of-Altomey(to(tha`owner)would be someone vdth notarized'le.lter from.owner authorizing same <br /> OVER THE`COUNTER,PERMITTING (copy pt contract required) <br /> Reroofs if shingles Sewers $emce Upgrades A/C Fences:(PIWSUrv,(footage) <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />