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. 813•760-0020 City of Zephyrhilis Permit Application fax-$13-760-002I <br /> 8uilding DepaAmeM <br /> ..,. � <br /> Oate Recetved � p�ne Contact tor Permittin _, •- <br /> - <br /> -i-f T-1-1-I"f 1" C�.'L]��� rr"r�-i-[' p y <br /> Ownefs Name M�- (4�i►�Q �-L e' Owner Phone Numbar o� � 1$Q� ��1� <br /> —r��—� �� 3 41�3°� <br /> Owner'a Addreas �SO 1 A E L�A +�—'� �°� FL Owner Phone Number � _� <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simpte Titleholder Address � <br /> JOBADDRESS ENO�T)� l(.ANJO L�D • S o �• � J�, LOTK �� <br /> SUBDIVISION � ��► rl � PARCELIOq � <br /> (OBTNNED FROM PPOPERTY TA%N0710E) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOIISH <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR �„ COMM � OTHER � <br /> TYPE OF CONSTRUCTION �, BIOCK Q FRAME Q STEEL Q � <br /> DESCWPTIONOFWORK 1N4LF ToQ _ (�EE ,�.►ANOiNl9 �ARSoNQ 1'�OS w FVVL S iTF <br /> BUILDING SIZE `N �aL� T� � S FOOTAGE ,Z 1 1Dp� HEIC�HT � M A x <br /> �BUILDING 1, �jA�,UATION OF TOTAL CONSTRUCTION <br /> � �QEIECTRICAI 5 AMP SERVIC� � PROGRESS ENERGY Q W.R.E.0 � <br /> %� <br /> 7 ' �. � :f��, � <br /> QPLUMBING S �' �/�� , ' <br /> �tr x '� <br /> � <br /> �MECNANICAL �� VALUATION OF MECNANICAL INSTALLATION z <br /> �GAS � RpOFING Q SPECIALTY � OTHER �� ��,��,,, <br /> FINISHED FLOOR ELEVATIONS /1 � ` O FLOOD ZONE AREA OYES NO �� X�� <br /> ..y <br /> BUI�DER // COMPANY �A�'�a�C ASS�C.�ATES LL�..� <br /> SIGNATURE �+�'l.�- � REGiSTEREO Y/ N iEE CURREA Y/N <br /> Address �� a• M•�'• �. .N. ST• £'(� � 33�03 Licensei GVL d 3L1 � <br /> ELECTRICIAN <br /> 1 COMPANY �� � /L/ I.i ! �� �`�� <br /> SIGNATURE RE6ISTERED Y 1 N fEE CURRE� Y 1 N <br /> Address License/ V�Z�� <br /> � PLUMBER �� ��J.��jJ��__ �CQK�+/J�/� COMPANY � <br /> SIGNATURE � � ` RE61StERED Y/ N FEE CURREA Y/N <br /> Address License�1 � <br /> MfeCFlAOIIliM►� �� � �` � <br /> SIGNATURE REGISTERED Y 1 N FEE CVRREA Y J N <br /> flISdT�ef '��@�� � <br /> OTHER COMPANY � <br /> SIGNATURE � � REOISTEREO Y J N FEE CURREA Y J N <br /> Addresa License M� � <br /> IIIIi1111i1111111111111111I1111111111111111t111111111111i1111111111 <br /> RESIDENTIAL Atlach(2)Pbt Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Pemdt for new consWCtan, <br /> Minimum fen(10)working days afler subrtrttai dete. Requi�ed onsite,Cautruction P1ans.Stamwater Plans wl SYt Fence installed. <br /> Sanitary Fadlities&1 dumpster.Site Work Permil tor subd"Msions/large projects <br /> COMMERCIAl. Attach(3)complete sels oI Buiklinp Plans plus a life Safety Page;(1)set ot Energy Forms.R•O•W Permit tor�ew conslruGion. <br /> Minimum lan(10)workinp days aRer submittal date. Required onsite.Constac0on Plans,Slortnwater Plans w/5iit Fence inslalled. <br /> Sanitary Fea�itias 8 1 dumpster Site Work PertnH for all new pr�ecls.All commerdal requiremeMS must meet compliance <br /> 51GN PERMIT Atlach(2)sets M Engineered Plans. <br /> ""PROPERTY SURVEY reqWred tor all NEW conswctan. <br /> DVecdona: <br /> Fill out application complele�y <br /> Owner&Contraaor sign back o(application,notanzetl <br /> If over f2500,a Notice of Commencement Ia requ{red, (AIC upgrodes over t7500) <br /> " Agenl(lor lhe contractor)or Power of Attorney(for the owner)vroutd be someone wiih nolarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front ol P,pplicaCron Ony) <br /> Reroofs i(shmgies Sewers SeMCe Upgrades A!C Fences(PIOVSurvey/Footage) <br /> Dr(veways-Not over Counter A on public roadways.needs ROW <br />