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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permittin �� 3 y 7G ._ 03 d3 <br /> Owner'a Name �� N IV /q/'Q K O N� EJ Owner Phone Number �.Z 7� �, %"�/ �� <br /> Owner's Address �SS'SO L/ 6�/T� vE .� C �q�y (� er Phone Number <br /> Fee 5lmple Titleholder Name � Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS p�-�; Z E�°H .CfjIL(,�S' � FG 335�� LOT # ( I <br /> SUBDIVISION ��� pN/� PRQ�C. �IF PARCEL ID# 0� '��'� �— 0�5Q - Q(�QQ) I I(� o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONS7R 8 ADD/ALT � SIGN Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSEO USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK � FRAME � STEEL O <br /> DESCRIPTIONOFWORK NFhI CONS�R T/D/� " VrLLI�IS <br /> BUILDING SIZE SQ FOOTAGE ��C�v HEIGHT S�aL S�D�C <br /> �BUILDING $� n� Q� VALUATION OF TOTAL CONSTRUCTION �i irg� <br /> � <br /> QELECTRICAL $ 2C,2O, bO AMP SERVICE � PROGRESS ENERGY Q W R.E C <br /> QPLUMBING $ , ��7`� �� � <br /> �55 ��� �� t' �_��-�� <br /> QMECHANICAL $ 2.� , � Q VAIUATION OF MECHANICAL INSTALLATION �� 1� ��p <br /> K z lC.D <br /> QGAS Q ROOFING Q SPECIALTY � OTHER a � ^ N�`� �� S`' �����I <br /> FINISHED FLOOR ELEVATIONS /� v� FLOOD ZONE AREA �YES NO �� �� ��' �� <br /> V . �, <br /> BUILDER COMPANY LENNA� /y O,Nf�S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address s� L/i E�(. �?/0 GCFijM1Q/V FL 31'�� License # C6G /S/ 8/6 6 <br /> ELECTRICIAN COMPANY G OHONSoN EL-fCT7�/G .SNL • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address o3�5/ SKi�PE/� ,�19M jL j3�r/ License # EC�d �.�.s79 <br /> PLUMBER COMPANY � � �I PG NI✓�/J ��� <br /> SIGNATURE REGIS7ERE0 Y/ N FEE CURRE� Y f N <br /> Address 2 A/ D ✓ E L.�3578 �icense # �FG o z � So 0 <br /> MECHANICAL COMPANY BAyoivET I%�c ✓M6�N 6 � �F�try^/� � � /¢G <br /> SIGNATURE REGISTERED Y/ N FEE CURR£N Y/ N <br /> Address • OX S.3 ONFT �0/Nf ��'G license # �CO,s $ D6 Z- <br /> OTHER COMPANY C S�RL/�/L j//R / RDaFJItJL� ,TiVG'• <br /> SIGNATURE ISTERED Y/ N FEE CURREA Y! N <br /> Address .p/�/DA UNE BLYD s R/N� fi�/G( (r07 License # � C� t_ O S 7 9 g�� <br /> 11111111 IIi11111111111111111111111111111111111111111f11111111111f1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Fortns; R-O-W Pertnit for �ew construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach 13) complete sets of BuildingPlans plus a Lffe Safety Page, (1) set of Energy Forms. R-O-W Permi4 for new constructiws. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Pians w/ Siit Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for all new projects All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> «"•PROPERTY SURVEY required for ail NEW construction. <br /> .... ... ..... . . . . . <br /> Dfrecttons: " <br /> Fiil out application completely <br /> Owner & Contractor sig� back of application, notarized <br /> If over 52500, a Notice of Commencement is �equired. (A!C upgrades over S7500) <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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage} <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />