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stsasaooaa City ofi ZephyPhills Permlt Appiication Fax 813-78Q-0021 <br /> �- . � Bultding Department <br /> . , <br /> Date Ftecalved Phone Contact(ar�ermitt�n �S I 3 ?� y - �p`� �' <br /> Owner's Name D�a�3�t'`� ��+` .�dV1��� ���`� Owner Phane Number ,,._�,_ � <br /> Owner's Address �/--�` ���' ���`'��� '�'�� Owner(Phone Number �- <br /> Fee Slmple Titlehoider Name �^ � Ov�ner Phane Wumber <br /> I <br />�� Fee Simple Tiftaholdar Address <br />�� /�,5' �����Y� LQT# ��? <br /> JOB ADDRE3S �p.�r �r�C���s Tr,�.� .�� ��.��% <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q [�,] DEMOL�SH <br /> � e INSTAI.t. � REPi�IR <br /> PROPOSED USE � SFR COMM C� QTHER <br /> TYPE OF CONSTRklCTIUN Q BLOGK � FRAME � -STEEL Q <br /> DESCRtPTION OF WORK s�� �'�1 STq�.� '� C oNSTl�UC.T <br /> BUILDING SIZE ��, S � SQ FOOTAGE �g HEIGHT ��j� <br /> QBUILDING $ ���� ��� VALUATION QF TOTAL CONSTRUCTION <br /> QELECTRICAL �6� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PttlMBlNG �>�-^� � t Q�a- <br /> k�t� <br /> QMEGNANIC,4t. �$i w-4� VALUATION OF MECHANlCAL INSTAltAT10N <br /> L <br /> OGAS Q RflOFlNG � SPECIRl.TY �J QTHER <br /> FINtSFiED FLOQR E�EVATIOPlS ��� FLOOD ZONE AREA QYES tY0 <br /> ,,� ,_ �� -� .�' <br /> BUILDER —. r �� �� � COMPANY "JZ'��F,,,�I X�/t-��Ita.S il�L�I jo�t1,,.,��� <br /> SIGNATURE � REGISTEREd Y! N FEE GRtRREt� Y!N <br /> Address / /��y' ��/?f ...�'/ •�� TT �67Y/.��l 3�.�f -- License# � � <br /> ELEC7RlC1AN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE GURREt� Y!N <br /> i Address llcense# � I_ <br /> PGtltelSER � COMPANY � ` <br /> SIGNATURE REGf5TERED Y/ iV FEE GURREP Y 1 N <br /> � <br /> Address License# �� I <br /> MECHANIGA! C0t111PAFtY <br /> SIGNATURE REGISTERED Y 1 N FEE GURRE� Y i Al , <br /> Addres$ License# � � <br /> OTHER COMPANY <br /> SIGNATURE RE6lS7ERED Y/ N . FEE CURREA Y/!V <br /> _„,_„.__.,,,._„,_,_._,. <br /> Address License# � � <br /> RESfqENTIRL Attach(2)Ptot Plans;(2)sats af.Buflding'Plans;(1)set of Energy=Forms;R-O-W Permit far tsew constructlon, <br /> Minimum.ten(:10)woiicing days after,suhmiftal date. Requlred onsite,ConstrucNon Plans,Stormwater'Plans w/Silt Fence installed, <br /> Sanitery Facilitles&,1;dumpster Site Work•permit for subdivi"slonslla►ge projects' <br /> � COMMEiZGiAL Attach(3)�campiete sets of Buiidtng Pians ptus a�ife Safety Page;(i)set af Energy Farms.R-O-W Permit for new construction. <br /> MiNmum ten(10)wo�Icing days�after submlttal date. Required onslke,Constivc8on Plans,Stormwater Plans w/S{{t Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wa�ic Permit�for ail new pro)ects.Ali cammercial requlrements must meet'compllance <br /> SfGN FERMIlT Attacti{2)sets af Engtneer.ec!Pians... � ' - <br /> ""PROPERTY SURVEY reguUed far all NEW consUuctlon. � <br /> Directtons: i <br /> FIII ouk applicatlon c7ompletely. � <br /> Owner&Contractor sign back af applfcatlon,nota�ized <br /> tf over�25d0,a Nottce af Gammencement is requlred. (A/C upgrades over�T500j <br /> '* Agenf(for the contractor)or Power af Attomey(far the owner}would bs someone with notarized letter from owner authorizing same <br /> QVER'THE GOUNTER PERMiTTiNG (Front of Apptication Oniy} <br /> Reroofs If shingles Sewees SerYrce Upgrades A!G Fences(Plott3urveylFoatage) <br /> Driveways-Not over Counter if on public roadways..�eeds ROW <br /> { <br />