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t <br /> 813-7810-0020 City of Zephyrhilis Permit Application---- Fax- ,13-7s0-0o21 <br /> Building Department <br /> Date Received f 2- 2-Z /3 0 13 9 ` 1 ,� <br /> Phone Contact for Permitting <br /> € €€€€€€ EXIOEX213=Owner's Name Ke S+oAIE L.C Owner Phone Number rea - <br /> Owner's Address 3 83022 A I N TE;R i- Zoo' RK/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Add s <br /> Q 4 <br /> JOB ADDRESS ,$Ozz i4twrERS br ZePh r2H/i_c.S ' FL LOT#- <br /> oe <br /> SUBDIVISION & ?rgrFP s M l-t/" PARCEL ID# 14 '2 4- 2 1 - c © ©© - &0,9-© <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> Pq INSTALL R. REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK �Y / '��L E ?/9 yeg_ Ecl <br /> BUILDING SIZE C;�c , t o , SQ FOOTAGE /�vOd HEIGHT <br /> .LLL_LLLL.LE;LLLLLL'LLLkLL'L'LLEkIL LLLLLLLILLE;LLLLL'L' LL'LL'�ELLL3EL.L'LLL'L'LL"EL"L � <br /> EBUILDING POv/ $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ I _9 06 o^ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ I O �O�m ±ANNSTALLATION <br /> �h L� L <br /> C1 � B . <br /> $ VALUATION OF M <br /> =GAS = ROOFING 0 SPECIALTY .0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> _ <br /> BUILDER r� COMPANY l^4A T <br /> SIGNATURE REGISTERED �_ Y _N; E FEEURREt3— <br /> Address - z 12 /1/• PRR$ow-f/4✓r �R'19A D O1J License# CPC 14.6 <br /> ELECTRICIAN COMPANY CA <br /> SIGNATURE O REGISTERED N FEE CURREN Y/N <br /> Address �� /1���{�/€w //�' /1/y,-Rw/EV_J License# <br /> PLUMBER COMPANY rA / 00.4.S SAAC, <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N . <br /> Address 12/z n4. PQ qso q5 xke /53R/J Dal✓ ?e:� License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address License# <br /> IEEIFI�i >FI[ItIEii €Il..ii.I€"I6IE-ICIE. IE [ i'I6IliIEtIIf: E.II €a,fE"E€[sIF11IEI[ Ea! >€ ti.[ If €.ti.I[1,11.i.IItlI 111I <br /> RESIDENTIAL Attach(2)Plot,Plans;(2)sets of Building Plans;(1)set'of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 durripster;Site Work Permit for subdivisions/large 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)working days.after submittal date.Required onsite,Construction Plans,Stormwater.Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY,required for all NEW construction. <br /> Directions: <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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />