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� � 813-784-0020 City of Zephyfiills Permit Application Fex-s�a.�so-oo2� <br /> Build&ig DepaNnent � l 0,1. � <br /> ( <br /> Dab Rsesiwd —� �=`� Phons CoMact for PermttH _ -_ <br /> .. " � <br /> Owners Name g� G✓ E�/I}RC1 �—S� Oiwnsr Phans N er ^���e ^�F �] f� � <br /> Owrwr'a Addresi T7 9'S « xr ZM.�fr 33� 7' Ownar Phone Numbsr <br /> Fm� Simple 7ltlaholdor Name -� pymer Phona Numbsr <br /> Fw Simple Titl�holdar Add►qs <br /> JOB ADDRESS � '�-`��, � myfi FL-33S a' <br /> LOT A C� <br /> sue�msioN PARCEL� ik-•�6 o3rrD-�►3o <br /> (OBTAl1�D FROM PROPlRTY TAX NOTICE) <br /> WORK PROPO$Ep e NEW CONSfq� ADDlALT Q SIC3N Q Q DEMOLISH <br /> ��T� REPAIR <br /> PROPOSED USE _�' SFR Q COMM � OTHER <br /> TYPE � CONSTRUCTION Q BLOCK Q FRAME � STEEL Q r" <br /> DESCRIPTION OF WORK 1 � ' �Nf�B'Y�A�.t W/ ' <br /> BUILDING 81ZE � gQ FOOTA(iEC� ��p� � <br /> QBUILDING S�/� , p,0� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R,E.C. <br /> QPLUMBING = <br /> QMECHANICAL E VALUATION OF MECHANICAL INSTALLAT'ION <br /> ��S Q ROOFINO Q SPECIALTY <br /> C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER Q� � COMPANY <br /> SN3NATURE �c,�srEqep Y/ N FEE qxtaEn Y/ N <br /> Addraas LJcense # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISIERED Y/ N � q�� Y I N <br /> Addnss <br /> u� # <br /> PLUMBER � COMPANY <br /> SHiNATURE � REGISTEF�D Y/ N �e cuaf�n y/ N <br /> Addross <br /> Ucense � <br /> MECHANICAL � C � P � Y � <br /> 8KiNA7URE rs�c�o Y/ N � a�. Y! N <br /> Addrass Ucense � � <br /> OTHER � C011PANY � <br /> SIGNATURE rtEG�sTERED Y/ N F� (�RR�. Y/ N <br /> Addross � <br /> u�e a � <br /> RES�ENTL4l, Attach (2) Pbt Plans: (2) sels of Buliding Pla�: (1) set of Energy Forms: R-O-W PennR for r�ew oorffitru�or�� — <br /> MinNnum ten (10) Mrorkirq days after �pmiqal date. ReqWred onalte. C�S�� P�. Stamweter Plans w/ Silt Fence hu(alled, <br /> Sankary Fadlitles 8 1 dumpster: SRe yyoNc Permft for subdiylsbnsl�rfla projeas <br /> CONNERCIAL Atfach (3) complete sats of gupdinp p�a� p�us a Life Safety Page; (t) set of Energy Fqms. R-O-W Permit tor new conatruqbn, <br /> Mkdmum len (10) wa�kk�g days aRar submit�� d�te. Requlred onslte, Cons6uqlon Plar�� Stqmw��� Plans w! Sllt Fance Installed, <br /> Sanitary FadNtles 3 1 dumpater, Site Work Pertnk for ag new pr�et�s, qfl commardai requirements must meet canpiarxe <br /> 9KiN PERMR Attach (2} sets of E�I�eered pla�, <br /> ""PROPERTY SURVEY requlred icr aB NEW oaistrue8on, <br /> Dlnetions: <br /> Fill oul appYcatbn competely <br /> Owner & ConVactor sign badc of appitcatlon. nofarized <br /> H owr �2500, a Nodq oi Commooc�� �s rsqulnd. (A/C uppradst uyer:7300) <br /> ,• A9ent (for tlie contrador) w Powar of Atfort�eY ffor the ownar) waAd be someone with not�ized IeUer from owner autlarizing same <br /> OVER THE COUNTER pERMITTNp (�t p�,q �,� <br /> Reroofs If shingles Sewe�s Service Upgrades q/C Fencea (PbVSurveylFOOtega) <br /> �Nvaways-Not over Counter Ii on public roadwaya..neeAs ROW <br />