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<br /> a�saso-oo2o City of Zephyrhilis Permit Application Fax-813-780-0 <
<br /> Building Department
<br /> � <
<br /> Date Received b
<br /> -�^ C Phone Contact tor Permittin � �.3 'y 7G -- O 3�,.,�
<br /> Owner's Name AF W N�/'Q /Y O/VJ F� Owner Phone Number ��� 7� 7 79- /��Q� r � x'
<br /> OwnePs Address �J �SO ��l�TGtllg �/E #2/O 339�0 r
<br /> GcEARW4 �� Owner Phone Number L
<br /> Fee Simple Tltlehoider N��e Owner Phone Number
<br /> Fee Simple Titieholder Address
<br /> JOB ADDRESS (DJ7` 0 �..II'1 �� Z E�y �Cf,r��S , FL 335�;� LOT # �v�
<br /> SUBDIVISION G�`�N� /1r�/Q/�,' �j¢ PARCEL ID# �� '/� �Q'aZ �� Qz' - p(,Q�)^ �� Q
<br /> (OHTAINED FROM PROPERTY TA7( NOTiCE)
<br /> WORK PROP03ED NEW CONSTR ADD/ALT � SIGN Q � DEMO�ISH
<br /> INSTALL 8 REPAIR
<br /> PROPOSED USE Q SFR Q COMM � OTHER �— �
<br /> TYPE OF CONSTRUCTION � B�OCK O FRAME � STEEL � i `�
<br /> DESCRIPTIONOFWORK /VFhI �O/VS�i4�,JCT/O/� -' VfL`�IS
<br /> , � '` �.
<br /> BUILDING SIZE SQ FOOTAGE ��! % HEIGHT S�L ,��
<br /> �'
<br /> �BUILDING $ VALUATION OF TOTAL CONSTR'��T!ON
<br /> a ��oo � o0
<br /> ��
<br /> �ELECTRICAL $ �� 1 bO AMP SERViCE �" PROGRESS ENERGY `� :b R = �, �
<br /> QPLUM8ING $ � 5C, , OO
<br /> �MECHANICAL $ 2320 � VA�UATION OF MECHANICAL INS`�LLATIQN
<br /> OGAS Q ROOFiNG Q SPECIALTY � 071tER
<br /> FINISHED FLOOR ELEVATIONS c�Q FLQOD ZONE AREA QYEg Np
<br /> UO�
<br /> BUILDER COMPANY LENIMIJ� /�I �,�5 '
<br /> SIGNATURE �casrE�o Y/ N � e v p�y ,�
<br /> Address lSSSD L� ✓E �j. �J/O GIFijEQN FL 3?7�0 �,�nse � C�L� ���,8 f�� ',
<br /> ELECTRICIAN COAAPANY �D�"1oNScN �L- �'rt,I'iC . t
<br /> SI<3NATURE RE�CISTEItEC Y� P� rEc ��t��tEr. ,-�,
<br /> Address /O�y .s/�I� . �AM r 0 fC33L/ "cense � �Ct�00��$"�
<br /> PLUMBER � COMPANY ���I PG vr✓l�'�/irG
<br /> SIGNATURE REGISTEREC � Y �t= _,:,:�,, . a�
<br /> Address �327 N E L 33 S78 _ � eRS� = CFC D,� / s� Q
<br /> M CHANICAL � COMPANY BA�/ONFT P✓M6�� /�{EAf7+VL� � if�G
<br /> $I TURE REGISTERED Y� "d cEg r���, ! �� y !
<br /> Addreas P 0• 80X .'S ONF �o�ar Fe ��� �ice�e tt I �� D,S S �('1- �
<br /> OTHLR COMPANY C STE�QLtNL � � ���L� �,
<br /> SIGNATURE REGISTERED Y! N FEe q1R��. Y t N '
<br /> Address y1// .p pA UNE 8Lt/D s/lJM6 fflG( D7 u�� � !� C C os ? 9 g/
<br /> Illlllllllllllllillllllitlllll
<br /> RESI�ENTIAL Attach (2) Plot Plans; (2) sets of Buliding Plans; (1) set of Energy Forms; R-O-W Pertnit for new corrstnsL�t�or, ;
<br /> Minimum ten (10) warking days after submittal date Required cnsfte Construcecn aians S:ormwate{ a��� ,�. �i• =o-.,� ,�� ;�
<br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projec;s �
<br /> COMMERCIAL Attach (3) complete sets of Buliding Plans plus a Life Satety Page; (1) set of Eneray Forms R-�-vti :e.-�nr, # „�,,, �.� .�
<br /> Minimum ten (10) wo�lcing days after submittal date. Required or.s�te. Construc.:�n P�ans Sternwatef ,=,ares ,N.� Si�� �an,.,, ,,.� �
<br /> Sanitary Facilities 8 1 dumpster. Site Work Permit fer all new projects Ail coe�^��•ael req��-<-��=_�ts -�,:s: ^*s=; v�T�•;a-��
<br /> SIGN PERMIT Attach (2) sets of Engineered Plans
<br /> ""PROPERIY SURVEY required for all NEW construction "
<br /> . �,.
<br /> Directions:
<br /> -- � . � , , ,;,
<br /> Fill out appiication completely
<br /> Owner & Contractor sign back ot application, notarized
<br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 5750C,
<br /> " Agent {tor the contraCtor) or Power of Attomey (for the ownerl would be someo�e w�th - �tar�= _ �-__ - _ _ _ _ _ _ _ _ _ _ __ _
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs if shingles Sewers Service Upgrades A!C Fences (PIoUSu��eyJFoc?age,
<br /> DrNeways-Not over Counter H on public roadways..needs ROW
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