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i <br /> a�saso-oo20 � City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permittin �� 3 y�G -- 0 3 63 <br /> Owner's Name �FW N 19i'� K ONl �J Owner Phone Number �.Z 7 7 77 ^��� <br /> Owner's Address �J��O f-� 6�TW9VE �#Z C�RRp,�A �� er Phone Number � <br /> Fee Sfmple Titleholder Name � � Owner Phone Number �- .� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS T+M�iQL l,,� Z,�H �t�it(,�5, FL 335�p LOT # ��7 � <br /> SUBDIVISION ����N� �Q/�[,- �� PARCEL ID# O� "� �p'� �� <br /> (OBT/UNEO FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT O SIGN Q � pEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /VFhI �ONS'r/Q T/ON '� V�LL/qS <br /> BUILDING SIZE �_� SQ FOOTAGE �S� HEIGHT SGL s�O�C <br /> �BUILDING $ � � •OO VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ 2C,2O � bO AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ (� rC ' oO <br /> "�J7 <br /> �MECHANICAL $ 2� � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � � O D FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY LENNA�- l� OM�S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address SSSD L/iNflv �• �?/0 GLFi�itN FL 3J7�� License # �GG /S/ S/ G� <br /> ELECTRICIAN COMPANY Gl��ONSoN El-E���C 1NC� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> E►ddress /� y.sKI//�E p, %�AM A jL.�3!/ �icense# EG000�S79 <br /> PLUMBER COMPANY � M W PL ����� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � 27 N p E L��'f7 �icense # CFC O.Z / SD O <br /> MECHANICAL COMPANY I3A5/ONfT � ��+a�^��, f/E�InNL , � /¢ � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � �• t�ox �30 �A ONF� Na�N� FL �/'G �icense # CAC O.S $ � 6 2 —� <br /> OTHER COMPANY C SrfiQL/N� (//�(,/ /100F/IUG� ,ZNC• <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address y1// .yiri�DA UNE GUO �' R/N� ly/l1 F �rd � License # � C� C— � J'` 7 9� <br /> Illllillllllllllllllllllllllllllllllllllltllllllllllilllllllllllltl <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/ Siit Fence installed, <br /> Sanitary� Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page, (1) set of Energy Fortns. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Cor�structi�n Fia�s, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 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 /> . . . . �_�_._,_�_. <br /> Directlons: • <br /> Fili out application completely <br /> Owner & Contractor sign back of application, notarized <br /> if over 52500, a Notice of Commencement Is required. (A!C upgrades over $7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PEPtMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />