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s��-�so-oo2o City of Zephyrhilis Permit Application ?/f �� Fax-813-780-0021 <br /> Building Department ; � <br /> Date Received $ � � a <br /> Phone Contact for Permittin �'� � � __ (� � �� <br /> Owner's Name � FN/V 19i\ aMES Owner Phone Number i�s� ��'�-� �� � <br /> ISS50 L/6lfTwA✓F J�l.�?/a CtE 3 ���� �' <br /> Owner's Address IP�I✓�/1 `C Owner Phone Numb�tr i .'P ' <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> s <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS !� � [/ �%" J ZE/�,Nj/�Q�,,/'L�` , L�, ,3� �jLf � LOT # ql.(� <br /> SUBDIVISION f�LpNp f�fl�� PARCEL ID# 43 -•��'a -2/- d;2 3 D- QQ - C�� (pQ <br /> (OBTAINED FROM PROPER7Y 7AX Np7'ICE) <br /> WORK PROPOSED � NEw CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME O STEEL � <br /> DESCRIPTION OF WORK /V �` W CONcSTRI/C o fQ/l/'� °°- TO (.L//1//�Q/1/J��'S <br /> BUILDING SIZE � SQ FOOTAGE I J3 r HEIGHT C`jTp� 7 <br /> � <br /> �BUILDING $ �/' ��O VALUATION OF TOTAL CONSTRUCTION <br /> 4 <br /> �ELECTRICAL $ � U� AMP SERVICE �' PROGr2ESS EAtERGY a yh{ , <br /> 7 <br /> �PLUP.181NG $ ���, � �_� <br /> �MECHANICAL $ VALUATION OF MECHANICAL iNSTAILATIU� ' <br /> �'ayS � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR EIEVATIONS �� FLOOD ZONE AREA �YES NO <br /> � � � { �� <br /> -.�.� <br /> BUILDER CpMp,twy eL��/✓9� �D�GS <br /> SIGNATURE REGisTERED Y! N FEE Cu� Y/ h <br /> Address �ss$ �lGN �.�/4 CLE9IPN�Ei(� FL ,� 7�0 ��� � C �T C � � ; <br /> �� � � � � <br /> ELECTRICIAN COMPANY OMoN.Sp�/ ��EL�T/�/C.� ..���C. � ! <br /> SIG N ATU R E REGiSTERED Y/ N F�E Ct1d�Ek y J I� <br /> Aadress /03� , �C�PI�f2 %A B, F�C 33G/ ���� # FC d7pp 2S'? <br /> PLU^^��R I COMPANY �� KI ,p�.V`�I1i{ �' <br /> SIGNATURE REG�STERED Y! N FEtCtlR�n YtN <br /> P�i. �327 f'� w 1 ylE�4J �i'._ ,� � l r- c - f <br /> Ltcense # �-- �, , �,, ;; �. . <br /> ME�'�^.�iCAL COMPANY �R ?!o{c' " "� Yr�rt�:/ti :s f'�E�iA.�{r,, � <br /> SIG� "'�E REC,ISTERED Y i N F'EE CUf2RE1. Y,' iy '� <br /> ''.�, �. <br /> Ac+nress ��.�07�-3.'�OS ONFI r0/NT L.3h�b7'y� Licertse # �ry �d J IO �^ i <br /> OTH�� COMPANY C .F7l� ��R/Er <br /> l� �J�4L�� /QG�Gt�'r�l-�r 1�/YC• <br /> SI G "' '^ F — REGISTERED Y/ N FEE Ct1RREh Y/ N <br /> � -5 yz►� .SNoA� �.�Nf �evo SPR„vs fiic� �c 3y'i� i uce�,� # ��- L t?�''� a� % � <br /> ��������� <br /> RF ^� � �� L Attach (2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy Fortns; R-O-W Permit far new �stn�tion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Constniction P}ans, gt�mw�er p'�S Ny S� Fer�oe ir�qecl, <br /> Sanitary Facilities & 1 dumpster; Site Work Permft for subdivisiw�s/iarge projects <br /> COr ^^^��� � n L Attach (3) complete sets of Building Plans plus a L'rfe Safety Page; (1) set of Energy Fom►s. R-O-W Permit 1w new �u�n. <br /> Minimum ten (10) worldng days after submittal date. Required onsite, Constrvcbori Plans, gtrnmwat� pfans v�d S� Fe� i� <br /> Sanitary Facilkies 8 1 dumpster. Site Work Pertnit for all new projects. A11 comrtteraa) require� re�t ►�t � <br /> Si�"' � °"'T Attach (2) sets of Engineered Plans. <br /> "'""PROPERTY SURVEY requfred for all NEW construc�on. <br /> -�.4.• ` i .�, <br /> Dire <br /> � ��or�,cion completely <br /> � ��or ractor sign back of application, notarized <br /> ' 'sn , a Notice of Commencement is required. (A/C upgredes over 57500) <br /> "' ` r the contractor} or Power of Attomey (for the owner) would be someone with notarized letter from owner autharizi�r, sars+e <br /> OVE" nUN'ER PERMITTING (Front of Application Only) <br /> Rer- '' = Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> �ys-N�r over Counter if on public roadways..needs ROW �� <br />