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813-7$0-00�o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � �^ �7�3 Phone Contact for Permittin __ <br /> Owner's Name ���f1C, ���c,�.� CL� Owner Phone Number �i��• ,77`'� <br /> � '� <br /> Owner's Address Zl� �1c� 1..�Q1►y�(.,cQ. LCC.. �=L 3y, S p�er Phone Number � -1 <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS c,�a��S� �1���..a jtL�lj�:�-��.�� 2� � z�`�Q�►"l�i�,�1� FL 3����� LOT# t''1� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM PROPERTYTO rice)DEMOLISH <br /> WORK PROPOSED � NEW CONS7R ADD/ALT � SIGN <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM [-� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL O <br /> DESCRIPTION OF WORK 1,v,1�-Gc�c �rr t�•� c.ti �-;T �ic►K./'S �t �',c ��,,� �Cl,...} c4�- (J':�t S, <br /> BUILDING SIZE i r� 11 S'f�r SQ FOOTAGE ��� HEIGHT L���' � � T� E-{�F � �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> l�� sac� <br /> QELECTRICAL $ AMP SERVICE 0 R� NERGY Q W.R.E.C. <br /> PIUMBING � � <br /> o $ q • � �fs p�� <br /> 0 � � � ��� � 3_� � ��` <br /> MECHANICAL $ VALUATION OF MECHANICAL S�LLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER � �` � �j <br /> FINISHED FLOOR ELEVATIONS ��,<<, FLOOD ZONE AREA �YES N ` �� �� <br /> � <br /> BUILDER COMPANY ��-ilc`G ���Oi�<<•'�� t-�-C <br /> SIGNATURE � REGISTERED Y/ N FEE CURREh Y/N <br /> Address >`t 5 �'�h � ic.:�� 5 r ,. 9..� � .`��t �c.t. rZ, �>�� C�G O� �� � <br /> License# �, 3 5 <br /> ELECTRICIAN COMPANY � � r� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� ��Z��� <br /> License# <br />� PLUMBER ����-� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> „ ..., . ,.., n,.. x,*, <br /> ;Mi�r►L ,,� ����-E�� o��. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> ! � L� � <br /> w. � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities S 1 dumpster.Site Work Permit for all new pro)ects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"'PROPERTY SURVEY required for all NEW constructlon. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement(s required. (AIC upgrades over s7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />