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i <br /> 813-7804)020 City Of Zeptiyrhills Penr►it Application Faz-813-780-0021 <br /> e` Date Reoaived PFa w caKaetioi Ping 'J tQ�. ` �l <br /> owner's Name: �' (, , .:1' r�J Owner r <br /> Owner's Address 07/3& A, l�y�7yS�] Owns Phone Mixulbw <br /> ' <br /> Fee Sbapre T[1.1011 er Name Owner Prone Nwig" <br /> Fee Simple'rdWwldcr Addnss <br /> .FOB ADDRESS eiL+ I:oT.B: <br /> SUBDIVISION , rFN�tf�'�Zo1 aARI asp aJ D SD 1,1DD00 .�olJ <br /> (OHTANW F WU PROPERTY W HOTfCE) <br /> WORK PROPOSED e NEW CDNSM ADDIALT �� SIGN [_ Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [_ - SFR M COMM ' .0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - [] FRAME . Q. STEEL Q .�-�+ <br /> DESCRIPWON OF WORK Cr�a "+ ��. nb. T G� Al <br /> BUILDING SRE SQ FOOTAGEIiEiGITT C <br /> Q BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ —�' AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QFLUMBtNG (S <br /> "ME ICAL VALUATION OF MECHANICAL INSTALLATION <br /> ACAS r77 ROOFING Q SPECIALTY r7 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA AYES _ NO <br /> BUILDER COMPANY <br /> SIGNATURE I IEW"I'RID I Y I N FEE CURRET Y I N <br /> Adams, License#L <br /> ELECTRICIAN COMPANY <br /> SIGNATURE im-CI MED I YIN FEECURREN Y 1 N <br /> Address License# 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CUMM LILN <br /> Address License#.1 , <br /> MECHANICAL' COMPANY <br /> SI AA1UFi>: REG,s +En Yt N. FEEcut a I N <br /> Address ]bat5rv . use# �a ,39 - i <br /> OTHER COMPANY .. <br /> SIGNATURE T777 REGISTERED I Y 1 N Fee CU(ar M LyjN <br /> —' —� <br /> Address. License#1 1 <br /> I I I ICI 11'1,1-1 kii•I I'llI.1..LI I I I I I J1I.111'111111,111'1111,1111 I'1111 11111'I-1'11111111 <br /> RESIDENTIAL Attach(2)Ploi Plars;,(2j sets of Buildng Piars;,(1)set cf.Energy Fcims:R-i7-W W Permit fei now ooristrudiOn. :- <br /> Minimttnt tart(10)wodmtg days after sribmitlei date:Rei god Cnsit%Comtruction PlatTs,-Stomrwzitea Plans vd S1t,Fence installed. <br /> Sanitary Faa7tHes&i dumpsfer:Site Work Permit for subTwWorsflarpe prrrieets - -- - <br /> COMMERWAL AMoh(2)complete sets of Bump Piers plus a We Soft Page;(1)sat of Energy Forms.R-D-W Permit for new construction. <br /> Nfatirntart tan(10}wuidny'tleys alter sob 1.dale.F2ggldred.aslo.CJorsttlretion PLans,SWnwater Plats wt Sitt Fence installed, <br /> Sw taty Facilities 81 dumpster.Site Wark Parnit for all new pmoctL All commercial tequiremerrts must meet camptianca. <br /> SIGN PERMIT Attach(2)sets of Enprieened Rms.:.. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Dbsogorrs:. <br /> Fill out application complefeiy. <br /> Owner&Contradar sign baok.of appkalion,notarized <br /> If over tr?WW,a Notice of is regtftd. (AlC upg over$75W) <br /> Agent(tor the carnet)cr Power ofAttomey(for the owner}would be someone with notarized tatee rfrom owner aulftorizing same <br /> OVER YW COUNTER PERMIT ING ..(oDpy of aattrad i WhW)- <br /> Reraoi's if stdngtr3s Severs , Service LWadas'AfC Faeces(PloVStavey/Footape) <br /> Ddvewsys-W over Gaunter if on public roadways,.r>eeds.ROW <br />