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r <br /> , ' " 813-780-0020 City of Zephy�hills Permit Application Fax-813-780-0021 <br /> � Bu4Sditig Depadment <br /> .. .. .. .. .,. ..,. <br /> , <br /> Date Recelved _., phone Coritast tor Pemiittin <br /> � Ti'1'TST - - - - <br /> Owner's Name Q-. �ry� Owner phone Number - <br /> , . � - <br /> .. <br /> 4wnersAdd�e"ss • G,���'__L-+T�r� o�- Owae`rPhoneNutriber (� ,.��� <br /> . ... <br /> � Fee Slmple Tllleholder Nama I-- � Owner Pfione Num6�r r--.... � <br /> � Fee Simple Tllleholder Addresa <br /> .... ..... . . <br /> � . . .... . . <br /> JQB ADDRESS tt t i.�. � _ LOT A � .��� <br /> I , , . .. ._ <br /> I SUBOIVISION �` .. �� PARGEL IDlt 1 `� "' - ��_^Q <br /> � � {OBTAINED FROM PROAERTY 7AX NO7tCE} <br /> IWQRK PROPOSED NEW coNSTR ADD/ALT [� SIGN C] Q DEMOLISH <br /> e INSTALL e REPAIR <br /> I PROPOSED USE Q SFR Q COMM � OTHER ' <br /> TYpE OF CONSTRUCTION -Q BLOCK Q FRAME � STEEL Q <br /> � .. <br /> . . . . ... <br /> . .. . <br /> OESCRIPTiON OF WORK �. . . <br /> . .. . . .. . . ... <br /> BUIl�ING S12E � � SG!E00'TAGE 11EtGHT <br /> . __ ." . <br /> ,. _ . .. _ .. _ .. . .,�"rTr"�� • . ,. _ - = <br /> . ,. . . . .. <br /> QBUILDING �� VALUATION OF TOTAI.CONSTRUGTION <br /> QEIECTRICAL ($ —� AMP SERVICE Q pROGRES3 ENERGY Q W.R.E.C. <br /> �� <br /> �QPI.UMeING $. _ - - '`� � <br /> I �MECHANICAL $ ' 0 " VALUATIpN t1F MECHANICA4.INSTALlATION � �� � <br /> i QGAS =- <br /> Q ROOFING Q SPECIALTY � OTHER .��l;, r� <br /> vl `,.J <br /> FINISFfED FI.00R ElEVA'3'IOFtS FlOOD Z4,NE AREA QYES NO ( <br /> . .. ........ ... <br /> .�-F=�-4-1-4.F�i-i=1�.'.-C ',�,C�.'-' '.-.-:�C:�-1-i�i.�1-1-�4=k-b-1�F.i-4-f�..{.�L-1-�F:�4i�i:.1-L-f-i�4�N-1,:1-1=1-1�1-{-I�C�-y..i�;� <br /> BUitdER C4MPANY . � <br /> . . _,. ... . <br /> SIGNATURE � REf315TERED Y/ N. FEE CURREI. Y/N. � <br /> . .. . .. . ., . .._., .... _...� <br /> � <br /> . . .. . ..... . <br /> Addrese ." Ltcense# � <br /> � - -- -... . . � <br /> . . .._. . � .. . .. . <br /> i . _ . . . � <br /> � ELECTRICIAN �CpMPANY <br /> ��C�.'kA;��� R�GiSTERED � Y I N _ FEE CURHEA' Y 1 N <br /> - � Address .. . . . _ ' _ <br /> „ . . <br /> . Ucense# � � <br /> .... <br /> PLUMSER COMPANY - <br /> SI(3NA'fURE pEGISTEREO Y/ N " FEE CURRE� Y/N. <br /> Address . , L3cense# � � <br /> . ... ' . '. . .. . . . <br /> .. ...... <br /> . .. <br /> MECHANICAL COMPANY }/ /E'�� '�JP�(I�[+,[�.S O�F�OY"`� GL <br /> S1CsNATURE . • _ REGtSTERED .Y J N... F£ECURREA .Y I N. <br /> .... ........ .... <br /> Address � License# (��,,,/����q�� <br /> OTNEA COMRANY <br /> � . � � <br /> ` SIGNATURE ' REOISTEREO Y�/ N� FEE CIIRRE� Y/N <br /> � . . (�` <br /> Addraes License# { � <br /> Illllllllllllllllllllllllllllllllllllllllltllllllllllllltlllltlllll <br /> REStDENTiAL Attach(2)Plof Plans;(2)sets of 8uildtng Ptans;{1}sat of Energy Forms;R-O-W Permit for new coitstructton, <br /> Mintmom ten(10)working days after submittaf data. Requi�ed onsite,Construction Plans,"Siarmwater Plans w!Siit Fence instailed, <br /> Sanilary FacillUes 8 1 dumpster;Sile.Work Permit for subdivisions4arga projecls <br /> CQMMERCIAL Allech(2)complete sels ot Bullding Plens plus a Life Safely Page;{1)set of Energy Forms.R-Q-W Permil for new canstnscllon. - . <br /> MEMmum fen(10)worSctng days after su6mitlai dete. Required onsite,Construcflori Plans,Stormwater Pla�s w1 Silt Fence}nstalled, <br /> SaNtery.Facll{ties$f dumpster.Sife Work permit for aii new profects.All commercial requirements must meel compliance <br /> SIGN PERMI7 Altach(2)sels ot Engineered Plans: <br /> ""PROPERTY SURVEY required[or al!NEW constn�ctlon. <br /> .�M'+�-'.-"�'.-...w.:�:�i-'.-'.-:-:�`.-,�+'.`��-' ".-^'.-:-�` �.i-.1-I-{o.S.-r'.-:-f• ti• � <br /> . Dlrectlons: <br /> FIII aul applicalion complelely <br /> Owner&Contractor sign baak of appl4catton,notarfzed <br /> t(ever SzSflQ:e NoNae ofi Commencament ia requlred. {AtC upgrades ove'r�7500) <br /> "" Agent(tor Ihe contrector)or Power pt Attomey(for the owner)would be someone with nolarized leller from owner euthorizing same <br /> OVER THE 40UNTER PERMIiTlMG (copy of cor�iiect tequfred} <br /> . Reroots!f sh(ng�es ,Sewers Seivice Upgrades AiC Fences{PIoVSurveylFoatage} - <br /> Dr(veways-Nol over Counler if on public roadweys..needs ROW <br /> r � <br /> � � � <br /> � � <br /> i � <br />