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e�sasaaozo City of Zephyrhilis Permif Applicatian F�-���-�$��� <br /> Buikling Department <br /> � Date itaeMvrd ^-�r Phone Contact for Permkdn 727 58$ -- 6176 <br /> �-rrrr'rT � <br /> owner's�ame CfiOWN CABTLE GT COMPANY E�G 8wner Phane Number 877 486 9377 <br /> ��,�ps,��� 4017 WASHINGTON RD McMurray,PA 1 531 7-2 5 20 pw�Q�phone Number 8�� 486 9377 � <br /> Fee$imple Titlaholder Name � � Owner Phone Number �� � <br /> Fee Slmpie Tltlehotder Address <br /> �qg�qp�gg ,,38i2i A AYE ZEPHYRHItLS FL 33542 �qT� C� <br /> suswv�s�oro �� � PARCELIDA� ��-z�z�-ooio-oy�oo-ooea <br /> (OBTAINED FRIXi�OPERTY TAX NpTfCE} <br /> WORK PROPOBED � NEW cONSTR� ADD/ALT �i����GN [� Q DEMOLISN <br /> INSTALL REPAIR � <br /> PROPpSEQ USE Q SFR Q COMM � OTHER <br /> TYRE OF COMSTRUCTIQN Q BLOCK Q FRAME � STEEI. Q <br /> oescrt�Frrarr oF wowc �enerator Faundation,fl�ildin�,t:aua�e�ion,Eiect�icai cannectian y �►j� <br /> BUitbif+l�,S12E � � 34�04TAt#E� tiE1GHT <br /> �BUILpING �20,000.00 T VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �' 5,000.00� '�P SERVICE 20Q Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMB{NG $ �C?�_-,4�.rD lCLO`t�1��L'���� tI <br /> � �� ,,,..� y•__j, 7�„ m�.�q,��I(jI� <br /> Q►�GHANMCAi� $ VALUATtO1V OF MECHANICAL INSTAL�ATtON � � �¢�' ���W� Y� <br /> QGAS �] ROOFING Q SPECIALTY [� OTHER ��UCi jJ„_ ��V � <br /> � <br /> FINISHED FlOt3R ELEVATtONS FIOOp Z�E AREA �YES X NO �"t� <br /> BUNAER GpMpqNy 8uality Tawer Erec#ors and Service inc <br /> 81(iNATURE REC>ISTEREp � Y/ N PEE CIIRaEn Y/N <br /> Address 22$01Qfh S#.S.E_Largo,FlO�ide 3771 �� ticense# CGC 00$527 � <br /> � _ <br /> e�ct't�cuv� �COMPANY Wtngate Electrio <br /> SiONATURE RE6tSTERED Y/ N �ee cut�n Y!N <br /> ,,�d,.,� 4715 Monterey Dr,Winter Naven,FL 33880 ucense# EC0000518 �� <br /> PLUMBER � � COMPANY �^ � <br /> SIGkA7URE r�r�sreReo Y i N F�cuw�n Y/N <br /> Addreca License# � I <br /> MECNJWFCAI � � COMPRNY � <br /> SIONATURE REGISTERED Y I N FEE CUPoiE� Y/N <br /> A+ddress �icense# � � <br /> OTHER � � COMPANY � <br /> SIGNATllRE ( t�{itsTEtxEp Y 1 N �EE CUm3EP Y 1!+1 <br /> Address License# I � <br /> l / iitiliiitlt / 11 ( 1 ! il / 111 / ! / 1 / 111111111l11111111111111 / 111 / t1fl1111 <br /> RESIDEfiITtA1. Attach(2}Pbt plans;{2}sets oi Building Ptans;{;}set of Energy Fotms;R-O-W Rerrnik€w new consiruction, <br /> Minimum ten(10}Harking days after submittal date. Required onsNe,Cunstructlon Plans.Stormwater Plans wl Sik Fence Installed, <br /> Sanitary Facilities&�dumpster,8iie W ork Permit for subdivisionsAarge projects <br /> GBMIItERCW. Attach{3}comptete sets o#Buiiding F'I�ns ptus a Life Safety Page;{1}set of Er�rgy Forms.R-0-W Permit for new constrt�ction. <br /> Minimum ten(10)working days after suDmittal date. Required onsite,Canstruction Pians,Stormwater Pla�s wt Siit Fence instaited, <br /> Sanitary Facilities 8 1 dumpster Site Work Partnft for all new prajeds.All commerciel requirements must meet compliance <br /> SK3N PERMiT Attach{2}sela of Engineered Ptans. <br /> ""PRiJPER'tY SURVEY requised for aN NEW caistruction. <br /> Directlons: <br /> Fitl art appiicatbn campietely. <br /> Oymer&Gontractpr eign beck of appiication,rwtarized <br /> H over�2500,a NoBee of GanmaneemeM is required. (AIC upgrades over 57500) <br /> " Agent{for khe ca�tracWr)a Power of Attorney{(dr the rnmer)would be someone with notarizsd letter from rnmer authorizing same <br /> OVER THE CQUNTER PERMITTINti (Front of Appiicatipn Only) <br /> Rerarfs if shinglss Sewers Sernce Upgrades A/C Fences(PlouSurvey/Foatage) <br /> Omrtways-Not auer Coun#er if on pubiic rosdways..needs ROW <br />