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�! ���5� <br /> 813-780-0020 City of Zephyrhilis Permit Application /�' Fax-813-780-0021 <br /> . Building Department �� <br /> Date Recelved Phone Contact for Permittin i� � 3 y 7G ._ 0 3 63 <br /> Owner's Name �� N N A/'� � p M EJ Owner Phone Number 7� 7� ��7 ��/ �� <br /> /SS'SO �/ 6//TGv �=io 33��0 � <br /> Owner's Addreas 91�E CtEARp&4 �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS ► �- Z Ei°H �ffi�l�S , FL 335�2 LOT # � l� <br /> SUBDIVISION �� L�N� /l�Ql�.' �IF PARCEL ID# 03 '� �P '� �— 025� - �U�� i� g o <br /> (OBTAINED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK a FRAME � STEEL a <br /> DESCRIPTION OF WORK /VFh� �ONS'l/Q T/ON "' VILL/�JS <br /> BUILDING SIZE � SQ FOOTAGE 1"J�� HEIGHT SGL s�� <br /> QBUILDING $��� �O VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 2�20 � b� AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> QPLUMBING $ n �C ' oO <br /> �� 7 <br /> �MECHANICAL $ 2� � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIAI.TY � OTHER <br /> FINISHED FLOOR ELEVATIONS �Q �� FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY LENNA�- I�j� 4M�s <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y i N <br /> Address SSSD L�sN �t. �1ie uE Ft 3�lo License # CC�G /S/ 8/G 6 <br /> ELECTRICIAN COMPANY G I��ONSoN �LE�TX�G SNL • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address ��3y SK/�/�E/� �/�M A�L �.3�./ License # EC000,�S79 <br /> PLUMBER COMPANY �� V1I P� v�/ �� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N <br /> Address 27 N 1/ E L•q3S78 License # CFC 0.Z � s� 4 <br /> MECHANICAL COMPANY BAtiIONfT �✓�'r6�N6� KF�w� � � /¢G <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address ' 0 • 80x J�30 ONF1" A�/Nf FL �9'G License # �C �S 8 0 6 2 <br /> OTHER COi�APANY C STE�QL/N� (//� / /QO�GFN�/�.� ,rj�/C• <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address /l .9/�/D14 UNE gL✓D S/lnflf f//G( f�07 License # �C— C OJ�') � <br /> IIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111lIIIIllilill <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 Ptans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach �3) complete sets of Buiiding Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Permit for new construGron. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwatef Plans wt Silt Fence instaHed, <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 /> Dlrectfons: <br /> Fill out application completely <br /> Owner 8� Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is �equired. (A/C upgrades over E7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized fetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front ot Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Dr(vewaya-Not over Counter if on public roadways..needs ROW <br />