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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> • " Building Department <br /> Date Recelved Phor�e Contact for Permittin $� 3 �{ 7(o _ O 3 6�3 <br /> Owner's Name ��NNAi\ D�ES Owner Phone Numbor `7� / y �--��QQ <br /> /SSSo 4��trwAVF 1�Yt.�`?lo C 33 <br /> Owner'a Address L�p/�¢f�'/1 �C. Owner Phone Number �°� <br /> Fee Simple Titleholder Name Owner Phone Number ��"• � <br /> r,G <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS �� �� � d ZEp�yRN/�LS , LG 33 �S�d LOT # �� <br /> SUBDIVISION �/LpNp f A�2�- PARCEL ID# 43 -�b -2 /- D� 3 O- 000 -$ ZQ <br /> (OBTNNED fROM PROPERTY TAX NO'11C� <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � O DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK iVFw Co�vsr�vcr�o�/ "— TOGt//✓�OM�S <br /> BUILDING SIZE SQ FOOTAGE �� HEiGHT a���e y <br /> �BUILDING $��� GSO VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY � W_}�.C. <br /> "� <br /> �PLUMBING $ � <br /> OMECHANICAL $ y � ys VALUATION OF MECHANICAL INSTALLATiON <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> -}�-��-�-�- <br /> BUILDER CpMpqNy �EN/{��/� Q/V��S <br /> SIGNATURE REGISTERED Y/ N FEE Cu� y/� <br /> Address /SSSo 46N �.�/O �LEIyJPNR7'fj(� FL,� 7�0 ucense # CG C/S 8/(o (o <br /> ELECTRICIAN COMPANY OMoNSp^/ G LEtT/Q'/C. -Z�i�1/G • <br /> SIGNATURE REGiSTERED Y/ N FEECUF2�N Y/N <br /> Address iO3 y SkrP %A A, f� 33G1 u�er,se # F� DOO 2S'I <br /> PLUnnncR COMPANY BNI VLI P�.�N�'/NG' <br /> SIGNATURE REGISTERED Y/ N F�E CuRREr� Y/ N <br /> A���o�S `32� y F �,EW �.� � ��� # c�c o a �sa a. <br /> MEC��^�'ICAL COMPANY �A</O�t/�T �LvM�B/N� rlE�TiN¢ �1�t� <br /> SIG � '' � f E REGISTERED Y/ N FEE CURREk Y J N <br /> A��!ress ��•pQ7�.�.3 FI�pVT L.3h��►'f�f LiCense# C J <br /> OTu�� COMPANY C-t'�ieUNb 1,�,��, i <br /> /�oc�i� �/V C. <br /> SI G "�^ F REGISTERED Y/ N FEE CURREN Y/ N <br /> ��� �;5 y�I�.SNoAt 1.�Nf Bt�vo �S'PR�robflicc F� 3yi � uce�e # CC- �' OS Qcl/ <br /> � <br /> RE °�� � °� � L Attach (2) Plot Plans; (2) sets of Building Plans; (1) set af Energy Forms: R-O-W Permit for new oonstrtx�ion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Ptans, Sbormwater Plans ny Sdt Fence instaNed, <br /> Sanitary Facilities 8� 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COn^ ^^�^^ �^ L Attach (3) comFlets sets of Building Plans pius a Lffe Safety Page, (1) set of Energy Fortns. R-O-W Pertnk for new construdion. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructiori Plans, Sbortnvvaber Ptans w/ �lt Ferxe �ed, <br /> Sanitary Facilities 8� 1 dumpster Site Work Pertnit for all new projects. All commercial requiremer►ts must meet oort�piarxe <br /> St�" �' '^�T Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .�1�-. ` , ' � .LL J • ■ ■ • • • • • ■ ■ • • ■ � ■ ■ • • ■ • ■ ■ ■ ■ • • � <br /> Dire <br /> F �no�ic�tion completely <br /> C Con�ractor sign back of application, notarized <br /> ' �Sn�., a Notice of Commencement is required. (A/C upgrddes over S7500) <br /> " � � r the contractor) or Power of Attomey (for the owner) would be someone with notarized Ietter from owner auttwrizing same <br /> OVE^ OUnlTER PERMITTING (Front of Application Only) <br /> Rer� '-i , i�.= Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> " �ys-Nnt over Counter if on public roadways..needs ROW <br />