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813-780-0020 City of Zephyrhilis Permit Application FaX-8�saso-o '�''�; <br /> Building Department <br /> Date Rr�ceived a � 3 y 7G _. 0 3 63 ��"' � <br /> Phone Contact for Permittin <br /> Owner's Nam� ��W N�/'� �ON�E� Owner Phone Number ?.Z 7, 7�9" ���� "`. <br /> Ownera Address �J��� L./ 6f�TGt/Ij(/E�. #2/O 33 � <br /> CtEARrua4 �� Owner Phone Number <br /> � <br /> Fee Simple Titleholdor Name Owner Phone Number � <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS `7 (o I I e� Y� VtG� vq. � Z E�H �Cf,IICLS , FG 33 S�� �or # I I <br /> SUBDIVISION �'�pN� �R�((, ��¢ PARCEL ID# �� ' � t� '� / — 025Q — �(��)— 13 � (� <br /> (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> WORKPROP03ED NEwCONSTR ADD/AlT O SIGN � � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /vFhl CONST/e�CT/Ol� —' VrLL/�IS <br /> BUILOING SIZE �— � SQ FOOTAGE �� NEIGHT SbL S?�! , <br /> �BUILDING $ � � �O VA�UATION OF TOTAL CONSTRUCTlON ' <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY a W.R.E. "� • <br /> 2520 , o0 <br /> [�PLUMBING $ a sS � OO �" j ZZ� ( <br /> [ ` t <br /> QMECHANICAL $ 2 � 2 Q � O VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIAITY Q OTFtER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY LEN�AI� � �S► <br /> SIGNATURE ��p y � N � �, f <br /> Address � SSS� L .�?IO GCfIAiQ/V FL 3?7� �;�� #, C.� G!S� 8�` 6 <br /> ELECTRICIAN COfiAPANY G D/`�oN.SaN EL-K�lG .�./VC � <br /> S1�3NATURE RE(313TERE0 Y/ N FEE Ct�fN Y! N <br /> Address /03y Sl�///� M r 0 �G 33L/ �icense # ��C400.��$" � <br /> PLUMBER COMPANY � M�I PG V/�i(�//V!s °� <br /> SICiNATURE REGISTERED Y` IV =EE CURRE� t Y 9V <br /> Address �0�'7 N E L.�3578 _ cense = CFG D�Z / SQ Q <br /> MECHANICAL COMPANY BA5/ONfT Pt✓�INb � KF9rl�tlt ��/f C <br /> SIGNATURE REGISTERED Y% N FFE CU2REN Y ' N <br /> Address P �• 80X T�0/NT �G ��'6 licer�se # ��C�S S�(� 2.. <br /> OTHER COMPANY C STfRL�Nt /Q � /Qpqr¢j�lq�. ,�',�.� <br /> SIGNATURE REGISTERED Y/ N FEE c�Eh Y/ N <br /> Address �/l// .9 pA NE LA/D s R�RK /�//[.� D7 Lir,ense # � C C o5 � 9 g! j <br /> Iilllllllllllllllillllllll lllllillllililllltlllllllittlititlit!l11i <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy Forms; R-0.W Permft tor new consgtyceon. <br /> Minimum ten (10) wo�lcing days after submittal date. Required onsite, Construction Pfans, Stormwater Ptans wr Si�c F� � <br /> Sanitary Facilities 8 1 dumpster; Site Work Pennit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a L'rfe Safety Page; (1) set ot Energy Forms. R-O-W Permst ta r� cor�s.crucbn <br /> Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Sbormwater Pians w� 3'rt �ence � <br /> Sanitary FaciliNes 8 1 dumpater. Site Work Permit for alt new projects. AII commercial requ;rements must rt�eet carnplearice <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlreetions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (AIC upgrades over $750G � <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with �otanze� sr,e• `�: _. e a_--��� -, s,—_ <br /> OVER THE COUNTER PERMITTiNG (Front of Application Only) <br /> ?eroofs if shingles Sewers SeMce Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />