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813-780-0020 I �/ �+'
<br /> City of Zephyrhilis Permit Application � l v` � Fax-813-780-0021
<br /> Building Department
<br /> Date Received
<br /> Phone Contact for Permittin $ l� �� tp __ Q 3��
<br /> � ENN91e 0 ` A �7 �7 �./ °°
<br /> Owner's Name r/ES Owner Phone Number �/ � f j���Q,D
<br /> 3?7�m � --"��
<br /> Owner's Address SSSO G 6/iTwAVE � . �`2/a �i.Fp,�� � p� Phone NumbE:r
<br /> Fee Simple Titleholder Name Owner Phone Numb�r
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<br /> Fee Simple Titleholder Address �
<br /> �i
<br /> JOB ADDRESS _ �Qp�,�� t �Y'rl���( 1ri�E/�i�S//QM/LZS > t"L. � '� "S�C� LOT # �, J °.�
<br /> SUBDIVISION flLlrlNp P9R� PARCEL ID# �.3 "' �� "2l" �� �J �� UQ(� —O� 3�
<br /> (OBTAINED FROM pROPERTY TAX NOT1Cq
<br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN � O DEMOLISH
<br /> INSTALL 8 REPAIR
<br /> PROPOSED USE Q SFR Q COMM �� OTHER
<br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �
<br /> DESCRIPTION OF WORK NFw Co�vsr�PvcTio�/ �- To r.�.Vyon�fs
<br /> BUILDING SIZE �_� SQ FOOTAGE ���0 HEIGHT e� 'sTa� 7 �
<br /> '7'TITP7T-
<br /> �BUILDING $��, G50 VALUATION OF TOTAI COIVSTRUCTION
<br /> �ELECTRICAL $ 3 y � o AMP SERVICE �` PROGRESS E►�RGY � yy.{�,�C
<br /> OPLUh981NG $ �����
<br /> �
<br /> �MECHANICAL $ y � y . s VALUATION OF MECHANICA� INSTA�LATIOt� s
<br /> 1
<br /> �GAS � ROOFING � SPECIALTY � OTHER �
<br /> FINISHED FLOOR ELEVATIONS 4 � FLOOD ZONE AREA �YES NO �
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<br /> BUILDER COMPANY •��N��7/'� l7���S
<br /> SIGNATURE REG�STERED Y/ N I�CU� y/�j
<br /> Address /SSSo 4�Nrw �.?io �`�E,qyq►f,,,�,�,,c�� 7!o ucer,se# CGC /s �!�'a �',
<br /> ELECTRICIAN COIIAPANY 1.�M01!/�j,p^/ G LEC"'T/e/C� .,�i�� •
<br /> SIGNATURE REGISTEI�p Y/ N fEE(xlfiREltl Y/N
<br /> Address %03�{ .s'KfP %A . FL 33G1 �icense # �� �cr.►O �.,�.►' ,r! � �
<br /> PLU""^�R COMPANY BM {N P�.�`�'✓�1B/l�r';s-
<br /> SIGNA7URE REGISTERED Y! N FEECURREA Y t M
<br /> p��.�=S 3� y �s � E .� �._ -�. ,. , x
<br /> 6 7 � ✓! W - a:.� � License: # - "". `- ..` �.Z r°' � :1 ;;;� r
<br /> MEC{�,.�iCA� COMPANY ��4'-J�?Nc i �c ✓r��r� ;r . .�°�F � �c.�
<br /> SIG t '''^ E REGISTERED Y 1 N FEE CUt�82ER Y,` N '' ` '
<br /> A��r��s P D.f3ox.�3o8 Pu�,rr �.3�f`�� �,��# CRCa,S'� �, ,
<br /> �,�� , � l
<br /> OT COMPANY �%1�,'F'L. � N� iy}� � r_ ,; /� 4A��`. � 1�,�'C' •
<br /> S�C '^ 5 REGISTERED Y �` N FEc CURRE� ' Y/ N �
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<br /> � --5 yz1�.SNoql L�NF Bt-vD �SPRrnrb flicc �c. 3�Yi� �I License # C�;'�— � rJJ" ;� ± j
<br /> ��������������������������������������������i�i
<br /> RF ���� �^ L Attach (2) Plot Plans; (2) sets of Building Plans; (1) sei of Energy Fortns; R-O-W Perm# for new �,
<br /> Minimum ten (10) working days after submittal date. Required onsite, Constn�ction pfans, g� p{� y� � F� �,
<br /> Sanitary Facilities 8� 1 dumpster; Site Work Pertnk for subdivisions/tart,�e projects
<br /> CCr ^°��^� � r L ,4ttach (3) complete sets of Building Plans pius a Lffe Safery Page; (1) set of Energy Fortns. R-O-W Permit Sor nev�, �
<br /> Minimum ten (10) working days after submittai date. Required onsite, Construction P}ans, gtocm+rater plans r�d Sit Fer�e i�
<br /> Sanitary Facilities 8 1 dumpster. Site Wo�lc Pertnit for all new projects. All commercial requirerrwerMs �st m�t �
<br /> Si�"� '� '�T Attach (2) sets of Engineered P�ans.
<br /> `""PROPERTY SURVEY required for all NEW construction.
<br /> �.,,�•' 4 •��
<br /> Dire
<br /> F •,.�lir�tion completeiy
<br /> � ��on ractor sign back of application, notarized
<br /> ' � 5�^, a Notice of Commencement is required. (A/C upgrades over S7500)
<br /> "' r the contractor) or Power of Attomey (for the ownar) wouid be someone with notarized letter trom owner autl�oriang same
<br /> OVE^ �UNTER PERMITTING (Front of Application Only)
<br /> Rer. °-� , -i-��. Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) ±
<br /> �ys-N��t over Counter if on public roadways..needs ROW
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