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a�a-7aaooao � City of Zephyrhills Permit Rpplication Fax-813-780-0029 <br /> Buifding department <br /> Date Received phone Contact for Permitting — <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> 4wner's Name Hallmark Vili� e Walk LLC Owner Phane Number <br /> Owner's Address 391 Paces Mill Rd. Suite A-254,AUanta, GA 3Q339 pwner Phone Num6er �� � <br /> Fee Simple Titlehplder Name �y � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6001-6p11 Villa e Walk LOT# �� <br /> SUBDIVISIQN Village Walk � PARCEL ID# <br /> (QBTAINED FROM PROPERTY TAX 810TIGE} <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLIBH <br /> INSTALL REPAIR <br /> PROPdSED USE Q SFR Q CtJN1M � OTHER <br /> TYpE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Re-roaf <br /> BUILDING SIZE � � SQ FOOTAGE ���� HEIGHT �� � <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> � ,,, AMP SERVlCE � PROGRESS ENERGY Q W.R.E.0 <br /> ELECTRICAL $ —. <br /> QPLUNtBING ri � ��(/� <br /> ��� /� <br /> L ,,,.....„ / � <br /> OMEGHANICA� $ VALUAT10N OF MEGHARIIGR��[�STALlAT�QN � <br /> OGAS � RC}OFING Q SPECIA�1'Y �� OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUIt,DER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> E�ECTRIGIAN � C4NIPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# �— � <br /> PLUMBER � GOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Acldress License# �— �� <br /> MEGHANlCAL COMPANY <br /> SICCNAT{1RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTHER COMPANY <br /> SIt'.,NATURE RE�ISTERED Y 1 �V FEE CURRER Y 1 N <br /> Address License# �— � <br /> I1IiIltilllllllllli11111 � 1III1tItItI11I111IlIIII111II111I11II111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(90}working days after subrnittal date. Required onsife,Gonstruction Plans,Stormwafer Plans wl Sitt Fence instatled, <br /> Sanitary Facilities&1 dumpster�Site Wark Permit for subdivisions/larqe projects <br />