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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Recelved � � 2� l� phone Contact for Pertnittin �� 3 7 7V – � 3(D� <br /> 4 <br /> Owner's Name �� N IW l�1'Q � D/H EJ Owner Phone Number �.Z 7� 7'�� �7�� <br /> /SSS�O L/ 6NT�,v t�iio 33��0 <br /> Owner'a Address gvE Gt�PRI✓4 �L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/GI� � EORG/�/�¢ (E/j Z�H �tfli�Cd', FL 335�2 LOT # � <br /> SUBDIVISION E � � �N� �ak � PARCEL ID# 03 � � �P —� �— 025� — DU��� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEwCONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CON3TRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /VFhI �ONST/� T/D/� '— V�GL/�IS <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT SbG ST4�C <br /> QBUILDING $� n� oo VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ 2C,2O � OO AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ ^ �c ' oO <br /> �.� � .� � Z y� 7 <br /> �MECHANICAL $ 2 Q �� O VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� ��� FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY LENiVA� /`/ �M�S <br /> SIGNATURE REG�S7ERED Y/ N F� cx�ra�EN Y/ N <br /> e►aa�ess /SSSD L��r1ta��✓E �t. �?ie �l,e�l��v Fc 3�� �;�, # C6G IS/ 8/6 6 <br /> ELECTRICIAN COMPANY G D�O�I.SoN ELECT SNC • <br /> SICiNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Addresa /03y .sl�I//�E/C ieo, �19M A j� 33L/ License # �CO00 �s'�f9 <br /> PLUMBER COMPANY �J � W PL v/�1C��N� <br /> SIGNATURE REGISTERED Y/ N FEE CURREk Y J N <br /> Address `327 N V E L 335�8 License # C�G 0�/�� � <br /> MECHANICAL COMPANY I3AyoniFT � ✓M6�N 6 � /�E�l�lNL � � /�C <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � �• 80x 5.30 avEr�o�Nr Fc ��� �icense # �CO.S$ D6 'Z. <br /> OTHER COMPANY C STfRl�N� �(//Q / �OO�F/�JG .riNC• <br /> SIGNATURE REC,ISTERED Y/ N FEE Cl1RREA Y/ N <br /> Adare:: yl// .9 Orl U�vE L.vo S�i�v� !,/it1 `a7 u��e #� C- C O S 7 / <br /> �t���i����i������tt�����i�i�t�i�i��tit�i��i�ti�i�tt�������������i�i <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construdion. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Ptans w/ SiR Fence inshaped, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans ptus a Life Safety Page; (1) set of Energy Forms. R-O-W Pertnit for new consin�ction. <br /> Minimum ten (10) workfng days after submittai date. Required onsite, Construction Plans, Stormwat�r Plans w/ Silt Fence irtstalled, <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliarice <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . . ... .. .. ... . ... <br /> Directtons: • <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement ia required. (AJC 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 Fences (PIoVSurvey/Footage) <br /> Drlveways-Not over Counter ff on public roadways..needs ROW <br />