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' 813-760-0020 City of Zephyrhilis Permit Application r 2,(�' � Fax-813-780-0021 <br /> Building Departrnent � <br /> Date Recelved Phone Contact Tor Permittin $� 3 7/ tv -- Q.J �+a,J <br /> 'T'IT <br /> Owner'a Name L. �NNA �r/E� Owner Phone Number `/ 2/ � "���0 <br /> �5550 L,16/iTwA✓F A2.�2/D C 33�sm � � <br /> Owner'a Address �NJAl�`/ k Owner Phone Numbor <br /> �� � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> � <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS � �I..�� Y �E/ �L ' -57 U LOT # �O <br /> SUBDIVISION �ILANp /�fJ/Q/�. PARCELID# D.3 OD � <br /> (OBTAINED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED � NEW CONSTR � ADOlALT Q SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR a COMM � OTHER <br /> TYPE OFCONSTRUCTION � BIOCK � FRAME �� STEEL Q <br /> DESCRIPTION OF WORK /VFw Co�vSr�Pvc r�o�/ "— TD G�/N�iyOM�S <br /> BUILDING SIZE � SQ F007AGE � HEIGHT sZ sT�� y <br /> �BUILDING $��, G50 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY � W.t�.C. <br /> ;� <br /> �PLUMBING $ � <br /> �MECHANICAL $ y � ys VALUATION OF MECHANICAL INSTALLATIOh <br /> OGAS Q ROOFING � SPECIALT( � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �-•F-�-F-*-�-- <br /> BUILDER COMPANY �EN/V�/� QNJGS <br /> SIGNATURE REG�STERED Y/ N PEE CtA32EN Y/ N <br /> aadress /SSSo 46N �.�/0 CLEM�PN,9TFi�� FL 3 !o ucense # C�z C/3"/8 /(o lo <br /> ELECTRICIAN COMPANY OMoNSOn/ FLEfTrQ/G -�IIIG • <br /> SIGNATURE REGISTERED Y/ N FEECIAiREN Y/N <br /> Address �037 .�C1P %19 /� , f� 33�i/ LiCer�se # F� DO� .?J�7 <br /> PLU�^��R COMPANY B�'I KI P�VN�1Bl1V G' <br /> SIGNATURE REGISTERED Y/ N FEE CUFtREt� Y/ N <br /> A��.a�s `32� N � F �,EW � 3 � �;�� # c Fc o a iso a► <br /> MEC��^��iCAL � COMPANY �Ayo�vFT f�vn�,8i,v� ��+9'Trni(T F e�c,,. <br /> SIG� '���'E REGISTERED Y/ N FEE Cl1RRE� Y/ N <br /> A��!res5 �D•p07�-� frrOiNT L��►77 l.iceftse# C <br /> OTN=� COMPANY �' s�R���� �ALi i /QpiGi��i� 7/�/C• <br /> SI C "� � E REGISTERED Y/ N FEE CURREh Y/ N <br /> �� �s yz�f .SyopL �,� f 8t-vd S'pR�NS f/icc Fc 3�t�i ? u�,� # CC— �' OS7 9�!/ <br /> �iiii���i�ii���it����i��i���ii�iii���i�i���i��i����t��i�������i���� <br /> RE�" ��' '�^L Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians, Sbormwater P�ans w/ S�t Fence msta�ed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COF^ ^^ �^�+ n L Attach (3) aomplete sets of Building Pl�ns plus 2 Life Safeh; Page; (1) set of Er.ergy Fortns. R-O-W Pertnit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Snortnvvater Ptans w/ S� Fence ir�ed. <br /> Sanitary Facilities & 1 dumpster Site Work Pertnit for all new projects. All commercial requiremerrts must meet canpiance <br /> SI�"' " ^"!T Attach (2) sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> ��,.• � 1 ,L,. . . . . . . . . .. . . . . . . . . . . . . . . <br /> Dire <br /> F nolic�tion completely <br /> C � Con�ractor sign back of application, notarized <br /> ' 25�^, a Notfce of Commencement la required. (A!C upgrades over S7500) <br /> " � �r the contractor) or Power of Attomey (for the owner) wouid be someone with rtotarized letter from owner autlwrizing same <br /> OVE� OU�!'ER PERMITIING (Front of Application Only) <br /> Rer� `-r , - , i�� Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) � <br /> " �ys-N�t over Counter if on public roadways..needs ROW <br />