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813-780-0020 City of Zephyrhilis PermitApplication Fax-813;780-0021
<br /> Building Department
<br /> Date Received Phone Contact.for Permitting -
<br /> Ownec's Name 1�..L ,a `Own er;Plion®•.Number; /
<br /> Owner's-Address : �✓� s/ '� S � �. ',: :_OwnerPhone.�Number
<br /> Mrw i ru� a271
<br /> Fee Slmple'TitIbholder Name �' Owner,Phorie Number. .;
<br /> Fee Simple Titleholder Address /
<br /> JOB ADDRESS-, �`3. cifot/-Esc G.a�cx_ lntlLr .,�� LOr#:: :
<br /> SUBDIVISION PARGEC';ID#'
<br /> .
<br /> (OBTAINED;F.ROM pRO PERTY TAX,NOTiCE),
<br /> WOMPROPOSED- tVEw:EON5TR s=.:: ... ..ADWALT SIGN ::: ,----� DEMOILISH .
<br /> e AN . .: ..REPAIR
<br /> PROPOSED USE Q SFR• 0 COMM- ;: __ :PTHERI: :..:; ..
<br /> TYPE.OF:CONSTRUCTION' 0' BLOCK Q FRAME'. " "' STEEL: = v.
<br /> DESCRIPTION:OF WORK. , , :j-.'`&CfVtt41 S'4*t/t se r" tei e I
<br /> BUtLDING:SiZE, ySQ FOOTAGE L. HEIGHT*:,'C
<br /> BUILDING $
<br /> VALUATION,OF.TOTALGQNSTRUCTION
<br /> �ELECTA16AL $ ZSa AMP_SERtiICE.: �o�">. .. 0` PRGGRESS;ENERGY Q., W.,. E.C.
<br /> =PLUMBING $
<br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION
<br /> o $ q
<br /> GAS ROOFING SP.ECIALT :: ..... ',OTHER, '
<br /> FINISHED FLOOR ELEVATIONS FIOOD-ZONE AREA �QYES• NO.-
<br /> BUILDER :COMPANY ..
<br /> SIGNATURE REGISTERED a -`FEE-CURREn - Y/-N
<br /> . -. .. . -
<br /> .. 11cense.#3�
<br /> Address
<br /> ,. .
<br /> ELECTRICIAN` `COMPANY....
<br /> SIGNATURE :,REGISTERED: ,,y Y`F N E�,c,URREN YIN::..:
<br /> Address 2 •tX Jam - FL ...License#,a +� r3ocS7'ZZ
<br /> PLUMBER COMPANY
<br /> SIGNATURE' ' . _ ;: : " , j;: REGISTEREDs - ";"Y;,I:N<, FEE;CUR,REN l f N',
<br /> Address _,License-#
<br /> MECHANICAL = COM,t?ANX .,
<br /> 'SIGNATURE REGISTtRED `:Y'/ N `FEE 'CURRE� :;YIN"
<br /> Address, -- ` 1cense#
<br /> OTHER, COMPANY,"`
<br /> SIGNATURE `'"°REcrsrRea' -; Y:I;::N;::, : aEt:cURREn :<.Ya4N'4.
<br /> ;`>
<br /> Address..
<br /> RESIDENTIAL Attach 2'PiotPlaris`2 setstofBuildln`:Plahs,:11 sefot':E'ne ;Fomss.,R�O=WPermit=for'new,coistniction;.
<br /> Minimum ten(10)working,days after subrhittal date. Required onsite;:`Ecnstruc6lan-Plans,Stbrmwatet Plans.wl SIIfFence jru t k4"'.
<br /> Sanitary Facilities&1 dumpster,:Site Work Permit:fot:subdiyislons/large projects
<br /> COMMERCIAL Attach(2)complete sets of;Building.Plans•.;plusael:ife S4$6,0h6o;(1).set offnergy.Forms..R-O-W:Petmit,far new coh$Iruction.,.. :
<br /> Minimum ten(10)working days after:6u6r» Construction Plans;;';5f6 iviiafer?Plans W/:SiitFerice lnstatled.-
<br /> Sehitary'Facilities&'1`dumpster.Site Work:Perrhit for:al[newprojects.All commercdal-requirements must-meet.compliarice
<br /> SIGN PERMIT Attach(2).sets.of.-Ertgdneered'Plans.
<br /> ****PROPERTY SURVEY required for all NEW:construction.
<br /> Directions44":
<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 contractor):or Power of Aftomey(for the owner)would be someone with notarized lettee from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (copy'of.contract required)-.
<br /> Reroofs if shingles Sealers,•.. ..—Service, A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter#on public roadwaps:.needs:ROW
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