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<br />813-78GoOO20 <br /> <br />City of Zepbyritllls Pwmit Application <br />Building Department <br /> <br />Fax-&13-78G00021 <br /> <br />D... R_iv... <br /> <br /> <br />OWne". Add..... <br /> <br />Fee Simple Titleholder Name Ln I C. <br /> <br /> <br />'d~"__"~_. ~ <br />J06 ADDRESS ~l to L\ ~ <br />brMd NOr\7CJm. <br /> <br />-1"2 - m <br />13-1 2- <br />OWner Phon. Number 18 I :\ - l ~ 2 - Y (p f)O I <br />Owner Phone Number Is I ~ - 1<0 2 - lHr ~O I <br /> <br />~) ell\'. om R~ IL I co," 114 i <br />PARCEL ..~ - d 6 ~ d I - COqO.- tJOOQQ- 01 LJO <br /> <br />tOBTAlNED FROM PROPERTY TAX NOTICE) <br /> <br /> <br />0WMn __ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />B <br />CJ <br />CJ <br />roof.' <br /> <br />ADDtAL T <br />REPAIR <br /> <br />D SIGN <br /> <br />0' OTHER <br />D STEEL <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />~r rF~\~ <br />OTHER r 0 r <br /> <br />SFR <br /> <br />COMM <br /> <br />W.R.E.C <br /> <br />D <br /> <br />SPECiAl TY D <br /> <br />OTHER <br /> <br />b}SQ re~ <br />IE) rCfJ~ . <br /> <br />GAS <br /> <br />~ ROOFING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />FLOOD ZONE AREA <br /> <br />DYES <br /> <br />~ <br /> <br />MMrJ!:--W _~~E~_ ----r--- ~-_.- -~:\Ii",,:,~'--'rIlilIIiHMJfJtIIRIIBM~1il <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />1lEQlS1UlED LY1..!!..J fEE CYllREHT l...!L!U <br /> License # <br />COMPANY <br />REGISTERED LY1..!!..J FEE CURRENT ~J <br /> License # <br />COMPANY <br />REGISTERED L.r..L!!...J FEE CURRENT ~J <br /> <br />Addr... <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Add..... I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />Add..... <br /> <br />MECHANICALI COMPANY <br />SIGNATURE . REGIS1ERED LY1..!!..J FEE CURREHT <br /> <br />Addr... I License # I <br /> <br /> <br />=~, f\~cO~ f :'.-:::.:: I~~~~ iry: <br />Addr... i8~ ~ q al -I R v d License # Ice - c O~~ 131..0 <br /> <br />-----,€/;!I"~~~~~~ <br />RESIDENTIAL Allach l2) PIal PIlIns; (2) _ or llulIdfng PIens; (1) lI8I or Ene;gy Forms <br />Minimum len (10) worlling days aller submillal dale. Required onstte, Construction Plans. Sanitary Faciltties & 1 dumpster <br />Allach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum len (10) worlling days aller submillal dale. ~equi"'" on8ile. Construction Plans. Sanitary Faciltties & 1 dumpllle~----' <br />All commercial requirements must meet compliance. <br />Attach (2) sels of Engineered Plans. <br />~-PROPERTY SURVEY required for an NEW construction. <br />~~~~~~.~~~~~!m;~~~~:D::-'i;iI!:~:J.:iir.;-:M <br />Directions; <br />Fill out application complelely. <br />OWner & Contractor sign back of applicalion. notarized <br />If over $2500, a Notiee of Commencement is ...quir.... (AlC upgrade. over $5000l <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from ~ner authorizing same <br /> <br />OYER THE COUNTER PERMITTING (Fron! of Application Only) <br />Rerools Sewers Service Upgrades IVC <br /> <br />License # <br /> <br />~J <br /> <br />COMMERCIAL <br /> <br />Driveways <br /> <br /> <br />. !!J.m~~-m:;;; <br /> <br /> <br />~ <br /> <br />'\ <br /> <br />UGLAS.AlLEN <br />- State of Florida <br /> <br />SIGN PERMIT <br /> <br />o<c <br />