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813-780-0020 • + <br /> City of Zephyrhilis Permit Application FaX-B�s-�so-oa `�:; �. <br /> Building Department � � �� , '� <br /> ' �: , �. ,��c. <br /> Date Received l�' d t� , J n � -- Q ��� r ,ri;: <br /> i Phone Contact for Permittin t� 'l i � <br /> � <br /> Owner's Name �FIW NI�J� �ON�F� Owner Phone Number �i� 7) 7�9" ���QF � � <br /> Owner'sAddress ���'so Ladh'TwgvE #1/0 337�0 (" � � <br /> GtERRp/,4 L� Owner Phone Number � � <br /> Fee Simple Titleholder N�rne Owner Phone Number �— � <br /> Fes 8imple Titteholder Addresa � <br /> JOB ADDRESS (�P� �C..� n�. (.cs Z EPy �Cy�� , FG 335�� LOT # �vU <br /> SUBDIVISION ���pN�J �Q�1�, �jQf�¢1"J PARCEI ID# 0� '��'a � 0250 - oo�- la.i o � <br /> (OBTAtNED FROM PROPERTY TAX tJOTICE) <br /> WORK PROP03ED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTAIL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � B�OCK O FRAME � STEEL � <br /> DESCRIPTION OF WORK NFhI �ONSTi4 T/OI� " VIGLI�IS __ � <br /> BUILDING SIZE � SQ FOOTAGE l � U HEIGHT SGL �'9�yt �� <br /> �� �__-�; <br /> �9 . " <br /> QBUILDING $��� n QO VALUAT�ON OF TOTAL CONSTRL ;T'�'v <br /> V t' <br /> ,-� }, <br /> QELECTRICAL $�C,2O r OO AMP SERVICE � PROGRESj ENER3� ! ! :y q g . <br /> QPLUMBING $ (� SC, • OO <br /> QMECHANICAI $ 2 � 2 O, VA�UATION OF MECHANlCA� INS��+L�ATION <br /> QGAS � ROOFING Q SPECIALTY O OTHER <br /> FINISHEO FLOOR ELEVATIONS �� ,-7C: FLOOD ZONE AREA �YES NQ <br /> 4 <br /> BUIlDER COMPANY LENAr� � �� ;� <br /> SIGNATURE � y � � �� y ,� <br /> Address � Sss� L �f �. �?IO G�f'�Q/y /CL 3?7� Licertse # C6G !S� 8 r 6�, <br /> ELECTRfCIAN COMPANY G I�/`�oNSoN 1�LEC �7'CJC .1,�1,/� . ; <br /> SIf3NATURE REGi$TEREC Y � M FEc �.;�n ;- ti <br /> Address /O�'y .S'/�'/�F O. �f�M /! fG �.3j/ �.ce^se � G��f.�4�.?,S'� <br /> PLUMBER i GOMPANY ��/�I PL t//✓�i/,���'S�(S � <br /> SIGNATURE REG�STEREC i v =__ _ o��, � _ <br /> _ � 't <br /> Address 1O32 N ✓ E L.��578 _ �P. - C�G a,� t S � <br /> MECHANICAL � COMPANY �AyDNET p✓M6��✓� i/�}FA't1�tJt ,�/� G <br /> SIGNATURE ' REGISTEREC �' c_c �_.qE,� � ti ! <br /> Address � �• 80x � FT �o/NT LG �9'(r�f �icertse # i�G �S $� 6 2 � <br /> O7HER COMPANY C .SrfRt�a� � � /�pq�Cy� <br /> SIGNATURE / �+"�+�� � <br /> REGiS7ERED Y/ N FEE c�1RREN Y/ N <br /> Address yZ// .9 Q� NE BLYD s IN� f�ll� 07 ;� ���'— C ps �j 4�} � ; <br /> IIIIIilllllilillilllllllillll llllllitlllii/lllltllitflitlttltltil ll <br /> RESIDENTIAL Attach {2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy Fortns; R-O-W Pertnit for new construc.�or <br /> MiNmum ten (10) working days after submittal date Required cnsite Construc:+o�+ aaans SFOr^�wateF � a^s .. S:�- __--_ � ,-�.. <br /> Sanitary Facilities & 1 dun�pster; Site Work Permit for subdivisions/large pro�ects <br /> COMMERCIAL Attach f3) complete sets ot Building Plans plus a Life Safety Page; (1) set of Ene-gy Forms �•��-iro per-;� ;�r .,� �T <br /> Minimum ten (10) working days after submittal date. Required onsite, Construc::on Plans Storrnwa� Ptans w; S+tt cF�ra .�; ,,_ <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new pro}ects. Ail commercial req�,reRre>_nts must :rre� r,���-�� <br /> SIGN PERMI7 Attach (2j sets of Engineered Plans. � <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Di►ections: , <br /> Fiil out application completely <br /> Owner & Contractor sign back of appiication, notarized <br /> If over 52500, a Notice of Commencement is required. (ArC upgrades over 575GC <br /> " Agent(forthecontractor)orPowerofAttomey(fortheowner wowdbesomec^en�tr =--- -- - -- -- -------- <br /> OVER THE COUNTER PERMITTING (Front af Application Only) _ <br /> Reroofs ff sMng{es Sewers Service Upgrades A/C Fences (PIoUSurveylFootage; <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />