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'813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Reeeived� Phone Contact for Permittin �� 3 y 7G _ 0 3 63 <br /> Owner's Name � F N N AI'e � OM FJ Owner Phone Number �il 7 7'7 ��/ �� <br /> Owner's Address ����� L� v�TWI� {/E #1 G�t1�4Rp�cq (� er Phone Number � <br /> Fea Simple Tltleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �76 � E�RG/Nq (E/� . Z E�H �cf/i[LS , FL 335�2 LOT # !�� <br /> SUBDIVISION E � � �n�n �,¢k /7�l'11� PARCEL ID# 0� " � �P — a �� QZ�� " �U��� O� � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 A�D/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK NFhI CO/VS'T/Q�'CT/D� '— V/L�I�IS <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT SGL sT4iC <br /> QBUILDING $� n� QO VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ 2 1 OO AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ a s'� . OO <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I"��� <br /> � 232a•mo � <br /> �GAS Q ROOFING Q 3PECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES NO <br /> BUILOER COMPANY LENNA�- J� �'M�s <br /> SIGNATURE REGISTEREO Y! N FEE CURREN Y/ N <br /> Address � SSSD L/i A✓E A/. �?Ie GLfi�N FL 3J'��O �icense # C6�i �S� CJ ��(p <br /> ELECTRICIAN COMPANY G a�"1oNSoN E�-E���C 1NC • <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y! N <br /> Address /03y SK//l� /QD. ��M A FL �3i/ License # ECOOO�s'�f9 <br /> PLUMBER COMPANY J M W PL v����G <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/ N <br /> Addresa `327 N ✓ E L •�357 8 �icense # CFC O,Z / f0 O <br /> MECHANICAL COMPANY I3A5/ONfT �✓�'�6�N�'/ /�E�N� i � � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address p �• 80)c ',f' p� ONFT �/Nf LG ��'G �icense st �CO.S $ D6 2- <br /> OTHER COMPANY C STERL�NL (//¢ / �O�OF/�tIL� ,TNG• <br /> SIGNATURE REGISTEREO Y/ N FEE CURREN Y/ N <br /> Address �/�ll .91�/0/4 UNE 8LV0 S/ll�Vi /y/C1 frD License # � C� C O S 7 � <br /> IIIIIIIIIIIIIt111111111I1111111t11111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot 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 Plans, Stormwater Plans w/ Sift Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COKFi�KCif.� Atiach (3) �cmp!ete sats of Building ?!�ns �lus a life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construc5on. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ali NEW construction. <br /> . <br /> Directlons: • <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicatlon, notarized <br /> If over 52500, a Notice of Comme�cement is required. (AIC 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 Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fe�ces (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />