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� Fax 813-780-0021 l <br /> 813-780-0020 City of Zeph�yrhills Permit Application � <br /> r,n, _ . . . .. <^•. , • . ,. . � . " • - uilding Department <br /> f {. , .�. - �. .,.. - _ , /� `� <br /> ry Y4 ���j� . -r '�' ii�Y�t�' r ` -l� V� <br /> Date Receivad Kk ;i. ,',," ' :.Phone�Cont ct for Permittin �. <br /> r ,�.;�.:,,.�+� �.��..�.��. - �� `�%�� r:��, ��� `��'�7�''���' <br /> OwnePs Name �f'��r r'iG� - � Owner Phone Number <br /> � <br /> Ownar's Address �(� l �G'L�E'"����t-! +����'i' Owner Phane Nuri�ber ' _ <br /> Fee Simple Titleholder Name ��+�',�!'� Q197 C��� Owner Phone Number � � <br /> � <br /> , <br /> Fee Simple Titleholder Address <br /> 1 L_�JOB ACIDRESS LOT# <br /> suaoiv�s�aN ��� ����� � p c���n# !,� 2 Cv 'Z� � f Q� C��'�� <br /> {QBTAIHEO FRQM PROPERTY TAX NOTiCE} <br /> WOR#t Pi20POSE0 ' NEW CONSTR .,�AD�IA�T�` [� SIGN [� f Q DEMOLlBFt <br /> �� WSTALL � �•REIPAIR i <br /> PROPQSED USE Q `SFR Q GQMM � HER Y'C V 4""� <br /> TYRE OF GQNSTRUCTION � Q BLQGK Q , FRAME C� STEEL Q . <br /> DESCRIPTION OF WORK �Il ` ' ��� �� <br /> �;} J�� Q • � A1�r8 REPLAtE <br /> BUILdING SiZE , S4 FQOTAGE, !I!�! � v HEFGHT CJ�,,l ���(lJ : CD���T� <br /> �BUILDIfVG r� �r VAL:OA710N OF TOTAL CONSTRUCTION <br /> �. <br /> QELECTRlCAI � $ AMP S RVICE Q PROGRESS ENERGY �Q W.R.E.C. <br /> �� �' ' <br /> QPLUMBING $ � � <br /> � � ��,��� <br /> QMECHANICAL $ VAI.U�'TION OF MECHANICAL-INSTALLATION <br /> QGAS Q •'ROOFING Q SPECIALTY [� OTHER <br /> FINISHEQ FLOQR ELEVATlONS ��---� FLOOD ZONE AREA QYES NO <br /> i ___.� �,. - <br /> � <br /> NGITICE OF DEED RESTRICTIONS: The underslgr�ed undet�tands�that this.p�r;mit.may be subject to"deed"restrictians° <br /> whlch may be.:rnore restrict#ve-than County�egula#ia s. 'The undersigned assurries responsibiiity far campllance with any <br /> applicable deed restrictlons. _,� <br /> UNLICENSED CONTRACTORS AND ,CONTRAGTOR R�SPONSIBILlTIES: If the owner has hfred a cor�tractor or <br /> contractors #o undertake work, they may be require to be;Itcensed In accordance.with state.and•lacat regulatlons. If the <br /> contractar is no# licensed-as requiced by iaw, both ha awner and con#ractor may be clted for a misdemeanor violatfon <br /> under state law. It'the owner or fntended car+tracto are uncertain as fo what iicensing.requirements may apply fior the <br /> intended work, they ar�s advisad to contact the Pasc Countyr 8uflcffng Inspectlon Dlvlslon—Licensing Section at�2?-847- <br /> 8009. Furthermore, ff the owner has hired a can�ractor or contractors, he is advtsed #o have the cantrac#or{s) sign <br /> portions of the °contractor Block° af this applicatian�for whlch they will be responstble. !f you, as.the owne'r sign as the <br /> con#racfor, that trtay be an indication tha#F�e is not.properly Hcensed and ts not entitled to permitting privlleges in Pasco <br /> Gounty. <br /> TRANSPC?RTATlON IMRACT/UT!l.tT1ES lMPACT AND RESCIURCE RECOYERY FEE5: The undersigned understands <br /> that Transpo�ta#ion Impact Fees and Recourse Recoveiy-Fees may.app9y�to.the c�nstrucBon af new bul#dtngs; change-of� --- <br /> use in existing buiidings, or,expansion,of-exis#fn,g'.buildings, as speclfled in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned atso underst�nds,.that�suah fees,.as.may�be due«-will be tdentified at the t€me of <br /> permitttng. It !s€urthet understaod that Transpartatian Impact Fees and Resource Recovery Fees mus.Y be paid prior to <br /> receiving a "certificate of ocsupattcy" or final:pawer�elease. :if the,project;.does not involve a certificate of occupancy or <br /> final power celease, the fees must be paid prtor to permlt lssuance. Fucthermore;iF PBS�o Coun�v 1t11�ter/S�wer Imnart <br /> ( � J lL - <br />