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813-780-0020 City af Zephyrhills Permit Application Fax 813-780-OQ21 <br /> � � Buitding Department <br /> Date Recelved ���- p}�one Canta�t for Permtttin — <br /> Owner's Name ��� ���C� � \; '� Owrner Phane Kumber <br /> Owner's Address � �"� � OwnerPhone Number � � <br /> � � i t_ o� au--� �� � � <br /> Fee Simple TI#leholder Name Owner Phane Number <br /> . � <br /> Fee Simple Tltleholder Address � <br /> JOB ADDRESS ��� � �p S�`'S '"2 C�V� l�� LOT# C� <br />, su�oivisiata i � PARCEI.ID# � <br /> __ • _ _ - _ _,�_ —_ -� - �- (OBTAINHD FROM PROPERTY TAX NOTICE) <br /> WORK FROPQ38D � NEW CONSTR ADDIALT � 31GN Q Q DEMOLISH - <br /> e INSTALL � REPAIR <br /> PROPQSED USE Q SFR Q COMM �� OTHEi2 <br /> TYPE OF CONSTRUC710N Q BLOCK " Q FRAME G� STEEI. Q <br /> DESGRIPTIQN OF WQRK `.lst O�{`� �t �� �L..f,i� �,�Q,p O F=t � <br /> BUILDING SIZE �� � SQ FOOTAG£ �5 HEIGHT t,..2 t � <br /> QSUI�DING � �.�� VALUATtOI�i`OF l'OTAL CONSTRt1C`TION <br /> ( <br /> QEL�CTF21CA1. �� AMP S�RVICE � PROGRESS Eh1E32GY Q W.R.E.C. <br /> OPLUMBING � � <br /> QMECNANICAL $ VALUATION OF MECNAEtiE1CAl.iiVSTALLATION � " � � <br /> � c <br /> [�C�AS � ROOFEf�tG Q SPECIALTY �� QTHEFt <br /> FINISHED FLOOR ELEVATIONS �1� FLOOD ZONE AREA QYES. NO <br /> BUt�DEEt - .!""�-.-�---� - - � `���Y�� �� �(5���--�Z. <br /> SIGNA7 "'�^~� REGIS7ERED Y/ N FEE CURRE� Y/N <br /> � Address cr�l '�.�` Ll se# <br /> s � <br /> ��/ a.� � � � � 1 <br /> ELECTRtfF C��f��" � COMP Y '�' , <br /> SIGNATURE �" REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUNIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��y License# �— � � <br /> �3 COl91PAbIlt �,,j <br /> ECNANtG � <br /> IGNATURE �`�'� �`���'��P.�I� REGISTERED Y:/ N FEE CURRE� Y/-N' ��UC <br /> Addr�ss License# �t�~ <br /> B�zl <br /> OTHEit �pMpp�y . <br /> S1GNA7URE REGISTERED Y/ N . FEE CURRE� , Y L N <br /> Address � - license# � � <br /> REStDENT1AL Attach(2)Piot Rlans;.{2}sets of:BuElding Pfans;(1}set of Energy�Forms;R-O-W Perls�lt fo,r'new construa�on, <br /> Minimum,ten;(40)worlcing days,after:submiftal date. Requlred onsite,Constructlbn�Plans;�°Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fac'ilitles&.1.dumpster_Site Work�Permit for subdivisionsflarge proJects�•• " <br /> COMMERCIAI. Attach{3}cbinpiete sets`af Buiidlri`g'Plaris plas a�ife Safety Page;{1)set af Energy Forms.R-O-W Perm4t for new constructlon. <br /> Minimum ten(10)working days'after submittal date. Required onsite,CansUucUan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site WoMc Permit tor all new proJects.All commercial requtrements must meet comptlance <br /> StGM PERMIT Attacli"{2}sets af Englneered_F.lans. : �� <br /> •"`«PROPERTY SURVEY required for_all NEW canstrucUan. <br /> dlrecttans: <br /> Fill out applicatlon completely. <br /> Owner&Cantsactar sign back-of appl(callon,notarized <br /> 1f over�2500,a NaUce of Caenmenc�merst 1s required. {A!C upgrades ovsr$7540) <br /> '" Agent(for the�contractor)ar Powerof Attomey(for tFie owner)wou,ld,be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER�FERMITTING {Front af Applicarion Oniy) ��, <br /> Reroofs if shingles Sewers ` Service Upgredes A/C Fences(Plot/Survey/Footage) <br /> Drfveways-Not over Gounter if an public rbaduvays..needs ROW <br />