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813-780-0020 City of Zephyrhilis Permit Application Fax-a�s-7so-o '' ' <br /> Building Department : �. <br /> . � <br /> oate Re���ea _� �—� 8� 3 y 7G -- 0 3 b3 � <br /> Phone Contact for Permitti� <br /> fJ 7 - t - <br /> Owne�'s Name �� NW AJ'� M ON� �� Owner Phone Number ?.� 7� 7�9-� /�Qa n <br /> Owner's Addresa ���'�� L/6/YT�.v,gt�E .#Z ��q� �`330w er Phone Number [ <br /> Fee Simpie Tltiehotder Narne Owner Phone Number �� � <br /> Fee Sfmple Titteholder Address � <br /> /,, � <br /> JOB ADDRESS (y,�'�,(? ��� � Z E�y �Cy�t.L�S , FG 335�Z LOT # � �' <br /> SUBDIVISION � ��pN� �,Q�f�, � PARCEL ID�! �� ' � �Q'a /" 02" - �(��)— � r � Q i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) "; <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN � � DEMOUSH ' , <br /> � INSTALL 8 REPAIR �_ <br /> PROPOSED USE O SFR Q COMM � OTHER �_ <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEE� � <br /> DESCRIPTIONOFWORK NFhI �O/VST/Q�JC'T/Dl� '� VfLL/`�S _ � <br /> BUItDiNG SIZE SQ FOOTAGE , ✓V� HEtGHT SG� ��J 's� <br /> QBUILDING $� � �0 VALUATION OF TOTAL CONSTRUCT!ON <br /> a <br /> �" ' <br /> QELECTRICAL $���' bO AMP SERVICE � PROGf2ESS ENERGY � =�,r q� <br /> PLUMBING <br /> $ q$�5 �00 <br /> OMECHANICAL $ 2320 � VALUATION OF MECHANICAL INS <br /> t <br /> QGAS � ROOFING O SPECtALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS $� r7U FLOOD ZONE AREA I�YES NO <br /> ; <br /> � <br /> BUILDER COMP/kNY LE��MR� /�jl� �,Nj�S ':� <br /> SIGNATURE ��E�p y �!� � �� Y� � ( <br /> Address � SSSO L!� A✓E �(. �?IO C�C1�1y6Qiy FL 33��� �,�ense = Cb �i l S� 8/�� <br /> ELECTRIClAN COMPANI' ���lo%3o�t L�L.gCT�C/G .��1,/� . <br /> StCiNATURE REG�STEi�o Y/ tv �EE G;JRREN { y fV } " ' <br /> Addresa ��.3y .sJ�'/ ��i M �0 �C �3(r/ �.cerue �s 4 ��t�31'�4.?S` � <br /> PLUMBER I COMPANY ��J W PL t�/�'7�11ti/ <br /> � , <br /> SIGNATURE REGISTEREC i Y =__ _:ar�p, . <br /> � <br /> Address �o3Q7 N ✓ E L 33S?8 ' <br /> _ce�se= ,CFG D.Z/$'DO <br /> MECHANICAL � COMPANY BA�JOMET p✓M61N6� �fF�� � 6' /�C <br /> 31GNATURE REGISTER£D Y'V �EE �.JRtZEA j�' , y � <br /> Address � � • 80X .'S �/Nt �G ��'�r�j L�certse � i �� (,�S 8 � � 'Z � ; <br /> } �. <br /> OTHER COMPANY C STE�QL��/t I�Lf ���e�F/�tt{.A .Ti�• : ,: <br /> SIGNATURE REGISTERED Y � '� �E Ct1���n Y y .• �j � � � <br /> Address y:L�� .pjt/AA U BL.i/D S/1lN6 IyJG1 � 0'7 L� ;ense = �_ � L. - C Q J' ? Q C� � ` <br /> IIIIQtlllllllllllllilllll1111111111111lllilflitltiltiilllltttliflil �n <br /> RESIDENTfAL Attach (2) Plot Plans; (2) sets of Building PI2ns, {1) s8t of Energy Forms, R-O-Y1' Perm�t for new consin,c;r; �t' <br /> Minimum ten (10) working days after submittal date Required cnsite Cortstruc:�cn �ans Stor^�water P?ans .ti Si, _�-- '� <br /> Sanitary Facilities 8� 1 dumpster; S+fe Work Permit for subdivisions/la e v � n �`� <br /> COMMERCIAL A!tach (: ) complete sets ef Buitding PI2ns plus a lffe Safety Page; (1s epo�f Ene-gy Forms R Perm:, e�. ;,� �,,�, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construc: on Pta�s. Stor�nara2sr Ptans ,� Sia; F� .,,��,� <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for aii new projects. Ail comrercial reQuirements must ;rse� ��,�� <br /> SIGN PERMIT Attach (2j sets of Engineered Ptans. ' <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> FiN out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If o•+er 52500, a Notice of Commencement is required. (A�C upgrades over 5750G. � <br /> " Agant (f�r the contractor) or Nower of Attomey (for the owner} would be someone v,ath ^�tan�� _� °-=- :,,�_- �_--_ � -_ _ ` <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers ServiCe Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter H on public roadways..needs ROW <br />