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�-- - - - - <br /> _ <br /> 813-780-0020 City af Zephy�hills Permit Application Fax-813-780-0021 <br /> , Bufld�ng Department <br /> Date Received _ --- p ne Canta �for Pemtlttie - <br /> ho c� <br /> i p 17 s �O q ,�- <br /> Owner's Name C.t !Q � �� ��� Owner Phone Number 0 1 J � <br /> Owner's Address �� � � �. " Owner Phone Number <br /> � �/ ^g � <br /> Fee Simple Titleholder Name �i� Q V (J!(sdwner Phone Number � � <br /> i ' <br /> Fee Simple Titleholder Address ~ �'" ��J 1 � <br />' JOB ADDRESS "(�j . �e � Vll� 1"` � � LOT# � � <br /> � <br /> suBaivis�oN � ��_---_� PARC�L ID# ��Z �2� � �i 6 —�f i oo ° c;ft� � <br /> WORK PROPt}SED , N�nr coNStR ADD/A�.T � SIGN NED FR,�dM PROPERTY TO ricEl DEMOI,iSH . <br /> � INSTALL � REPAIR , _ <br /> PROPOSED�USE Q SPR Q GOIUI(t+� Q OTHEFi <br /> TYPE OF CQNSTRUGTION [� BLOCK Q FRAM� [� STEHL �- <br /> DESCRIPTION OF WORK 4..�� �Y - <br /> i <br /> BUtLDING SIZE SQ F001"AGE 2, � Z HEIGHT � � <br />' �—'1°L�«�i��'" � VALUATtON OF TOTAI CONSTRUCTION <br /> 1 �31�� :� <br /> QEL�CTRICAI. - � � AMP SSRV CE � PRQGRESS ENEFtGY Q W.R.E.C. <br /> QPI.UMBING r$ �/��'�1� _^p}i <br /> L�.� � � ��,,,r(,I.CJ� <br /> QMEGHANICAL $ VALUATI4 OF MECHANICAL INSTA�lAT10N ( t J�`" t _,A (�-P� <br /> L'� ��r�..,, <br /> QGAS Q E2QQFING. Q SPEC► TY [� QTHER � 'Y`�- C��� <br /> � � <br /> FINISHED FLOOR ELEVATIONS FL.00 20NE AREA QYES NO <br /> � � <br /> � <br /> _ _---' �- � f ' -- <br /> -- �F9EL-DER : - - , � - -- - - COMPANY • �I __ - - = - - __ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N - <br /> i <br /> Address I Ltcsnse# � , � <br /> ElECTRICIAN COMPANY <br /> SIGNATURE RE�ISTEREb Y/ N FEE CURRE� Y/N <br /> Address � L(cense# �� � <br /> PL1lMBER � . � C�MPANY <br /> SIGNATURE I REGISTERED - Y/ N FEE CURRE� Y/N <br /> Address � i.icense# � � <br /> MECHAt+11CAL • COMPAt�EY <br /> SIGNATURE REC�ISTERED Y/ N FEE CURRE� Y/N <br /> Address ` I License# �� �� <br /> OTHER COMPAi�lY - . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i - <br /> Addres� � license# �� � <br /> i <br /> RESlDENTIA� Attach{2}PI6#P1ans;(2}se#s.bf�Build]ng Ptans;{i}set of Enerc,}y�Fonns;R-O-W Perinit for new c�onsttuction, <br /> Minimum ten(10)working`days after submittal date. Required onsite,CansWction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary FacillUes.&.1 dumpster Site Work�Pertnit for su6divislons/large projects <br /> C4MMERCIAL Attach(3}comple#e sets of.Building�Plans plus a"L[fe S�fety Page;{1}set af Energy Farms.R-O-VY Perm9t for new canstruction. <br /> Minimum ten(10)wo�lcing days after submittal date. Required onsite,Canstrucdon Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary FaciliUes&1 dumpster.Site Wark Permft for a�l new prajects.-All commercial requirements must meet compliance <br /> SiGN PERMET Attach{2)ss#s of Engtneered=Plans. - <br /> «««.PROPERIY SURVEY required for all NEW construction. <br /> Dlrectlans: <br /> FIII out applicaUan completely. <br /> Ownec&ContracMr sign back of app{icatlon,notarized <br /> If over:625d0,a Natice of Commencement t�required. {AtC upg {des over ST500) <br /> " Agent(far ttie contractor)or Pawer of Attomey.(for th,e`o"wrie�j would;ble someane with nota�ixed letter from owner autho�izing same-- •- ��-' <br /> dVER THE COt3NTER PERMt'iTiNG (Frunt of ApplicatiomOniy}• -` . .. ` ,- t . - , <br /> Reroofs if shingles Sewers Service'Upgrades AI.C� � Fences�(PIoUSurvey/Foatage) _ � ' ' - :. . <br /> ' - ' - , ' °i' ., y ,' - ' . ' ' . <br /> Driveways-Nat over Caunter if on`putilic roadways::needs ROW j � _ � „ .. _ - .. " - <br /> i <br />