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.;� <br /> a��-�ao-oo2o City of Zephyrhilis Permit Application �/� �� ax-813-780-0021 <br /> , Building Department � � <br /> Date Recelved Phone Contact for Permittfn � �� �� � t0 -- v.J �o� <br /> Owner's Name � FNNA� �r/ES Owner Phone Numb��r +�� f 7��',�,��� <br /> /SSSo la 6�TwA✓F 1Y1. �+`?/c C 3��s° <br /> Owner's Address �f�Nr9l�Yl �. Owner Phone Numb�r <br /> s'�'• <br /> Fee Simple Titieholder Name Owner Phone Numb�sr � a• <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (,Q�`1' l � m be �l �a..r� ZEpNy/RNILLS ,o �L 3� �57 � LOT # �� <br /> SUBDIViSION f�LpNp /�A�/� PARCEL ID# 43 -Z('o -'2/- 0,2 3 D- �jOD OR�C7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH „ <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME O STEEL Q 4 <br /> DESCRIPTION OF WORK �f W�ONST�P!/C �J' * J/1,/� �" �O t%c�'r�OryOM�L. <br /> BUIIDING SIZE SQ FOOTAGE ��J HEIGHT C`��� � ,"�� <br /> �-r-r'r�- <br /> �BUILDING $ 3�, G5o VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ 3y �� AMP SERVICE � PR(3G3�ESS EAtERGY � W.�C. <br /> �"P' <br /> �PLUMBING $ ���, S <br /> �MECHANICAL $ y � h , s . VALUATION OF MECHANICAL INSTALLAT10Pf <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS Q � FLOOD ZONE AREA �YES NO <br /> V0� <br /> �.J_.4.�iM.h�.-�_. <br /> BUILDER I CpMpqNy IL� N��/1 ��MGS . <br /> SIGNATURE REGISTERED Y/ N FEE Ct�+ Y/ A! '��+ <br /> Address �ss$� �/LN A �.�/O �LfI�QN�4TE/{ FL jt> ,�^ � / `� <br /> / .3 LiCe(1Se # �tT � �SJ d�{p �p <br /> � <br /> ELEr'TRICIAN COMP/WY Oj`rI4/t/.SO/lf ��L�C'�% .s�S✓{. • , <br /> SIGNATt)RE REGiSTERED Y/ N f�fE CURREA Y I N n <br /> ,4ddress /03�{ SK� o %A A, F�C 33G/,� �icense # �� DOC� .�„4 �f R � <br /> PLU^nQ.�R COMPANY BO �N P�U'�T/�ft' <br /> � <br /> SIGNA7URE REGaSrERED Y/ N FEE CUl�2Eh Y f N <br /> ad�+rnc5 b 3'�7 � �S' 1 �IEW L.� r L�cense # �� 1�C '� ��J` Q: <br /> ME� , „iCAL COMPANY �A',' ?�t! c T ,�t vt{q,g�� (`s ?�,��� e�' �'�' <br /> SIG � '"" E REGISTERED Y/ N FEE CURREt� Y( N <br /> �. �, <br /> A�+''r°-SS ��/ .Bax.33 NFrTO �.�{`?7 LIC@ftSC# L�/7���� f � � � <br /> iP �� :,� � <br /> OTu�^ COMPANY t- ••�' yu�4L� i /QlAGI'�tfU� ,�/Cr- <br /> SI G '� � F REGISTERED Y/ N � Cu�xEH Y i N <br /> � b��l sHoAL i.�NE B�vo �S'P�e�.vs,�icc Ft 3�' � ���,. # L"t -£^ OS ;7 ��,�` <br /> IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII11111lIIIIIIII11I111t1!l11111f <br /> RP �' ' '' L Attach (2) Plot Plans; (2) sets of Building Pians; (1) sei of Energy Forms; R-O-W Pertnit fat new consfi�ctiorz, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction P1ans, Stortnwater Ptarts wf Sift Fence r.�rstaUed, <br /> Sanitary Facilities 8� 1 dumpster; Site Work Permit for subdivisions/large projects ,� <br /> COr^° ��^�� ^L attach f3) comptete sets of Building Plans plus a Life Safety Page, l,1) set of Energy Fo!ms R-O-W Permit for new construc�iaa .`�: <br /> M�nimum ten (10) working days after submittal date. Required onsite, Construciion Pians 3:�rmwater Plans wr StiAt Fer�oe ie�t�e�d, � <br /> Sanitary Facilities & 1 dumpster Site Work Permit for all new projects. Ail commercial requirements musf inee� �oe <br /> SI��� � ^'T Attach (2) sets of Engineered Plans. + <br /> ""PROPERTY SURVEY required for all NEW construction. ' <br /> t r� i <br /> ��• ° R .LL . 6 ■ ■ ■ . ■ . ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ • ■ � ■ ■ ■ ■ ■ • a � � � <br /> Dire <br /> F �noii��tion completely <br /> � �on ractor sign back of application, notarized <br /> ' '���, a Notice of Commencement is requireci. (A/C upgrades over 57500) <br /> " r thn contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner auihorizing same <br /> OVE" �UNrER PERMITTING (Front of Application Only) <br /> Rer� `-� � Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) ; <br /> l <br /> �ys-N�t over Counter if on public roadways..needs ROW <br />