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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-4021 <br /> Building Department <br /> Date Reaeived �'�. Phone Contact for Permittin � l 3 y 7G ._ 0 3 63 <br /> Owner's Name �� N N�l'Q K ON� E� Owner Phone Number �il 7� 7 7�" �/ �� <br /> Owner's Addreas �s��o La 6NT�,vg vE #2 c q 337�a � <br /> tf RM�o4 �G Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��(O� � L-oRc�aq �E/1 Z E�y ,���� , FL 335�� LOT # �� <br /> SUBDIVISION `�L�N� /fj�Q/�,' /yi(fiM�' PARCEL ID# �3 �� �P'� �'— �Z�� — Q(���� � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT O SIGN Q � DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK NFhI CO/VS'lR�JCT/Ol� '— V/LLI�IS <br /> BUIL�ING SIZE � SQ FOOTAGE � HEIGHT SbL s�� <br /> QBUILDING $� n� oo VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ 2Cj2O � OO AMP SERVICE � PROGRESS ENERGY O W R.E.C. <br /> QPLUMBING $ � rc ' OO �� ���� <br /> J� <br /> �MECHANICAL $ 2 32Q , � O VALUATION OF MECHANICAL INSTALLATION <br /> �GAS O ROOFING Q SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS n �LOOD ZONE AREA �YES NO <br /> '7 • �� <br /> BUILDER COMPANY LENNA�- I�j� 4M�S <br /> SIGNATURE REGISTEREO Y/ N FEE CURREN Y/ N <br /> Address � S� LIi/yf A✓f A(. �?le G�fiJiJi�/y FL 3.T�1�� License # C6�i �5�8�` 6 <br /> ELECTRICIAN COMPANY �I�/'�ONSO�I E�-E���C .�NC • <br /> SIGNATURE REGISTEREO Y/ N FEE CURREN Y/ N <br /> Address ��3'y .Slr//I�E/e O. ��M A�L�36/ License# EC000�S79 <br /> PLUMBER COMPANY iJ � V1� P� v�/J �N <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/ N <br /> Address `327 N �y E L.�3578 �icense # CFC O,Z / SO O <br /> MECHANICAL COMPANY L�A�JONfT �✓��6�N�/ �F��N� i � �C <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/ N <br /> Address P 0• 80X '•S30 �AA eNFT �oiNf LL �9'6 l.icense # �C O$ $ 0 6 2- <br /> OTHER COMPANY C SffRl/N� (//¢ / /�OQF/l�/L� INL'• <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address Sl1// .9�DA UNE LYD S/li�V� f//[,( (�07 License # � t,. — C � S'� � <br /> ���i�i��i��ii�����t��������i��iii������i�i�ii�i�ii�����i�i����i�iii <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Pians; (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, Stortnwater Plans w/ Silt Fence instatled. <br /> Sanitary Facilities & 1 dumpster; Site Wortc Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets oT Buildinq Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit `or new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction P1ans, Stormwater Pians w/ Silt Fence instatled, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for all new projects. Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . ■ <br /> Directions: • <br /> Fill out application completety. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (for the contraCtor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />