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813-780.0020 City of Zephyr-hills Permit Application Fax-813-780.0021 <br /> : . . . • -Building>Departrrienth• . . • ,. .. .. <br /> Date Received cPhone�Cantactsfarl?ermitting;xa? •a *} <br /> '`Owner's Name t'- ✓ Owner,�Phcri .Nuriiiber <br /> Ownec's:Address �' 'OwrieriPhorie=Humber; ` <br /> . . <br /> ! -;Ow,rie�•Ption®tNGmtier': • <br /> a LOT <br /> JOB ADDRESS ' <br /> :SUBDIVISION' PARCEL Ip# <br /> - .. - »iOS7AINED�FRCM%PROPERTY-TAX`NOTtCE)'.._: `' '. <br /> WORROPOSED= ` NEuv COw5TR' _ AUD/ALT'' SIGN: ` f pEMOISH <br /> K�P INSTALL'• ,k RE LT <br /> . <br /> e' <br /> ' PROPOSED`USE- SFi2 tOMM"' QTHER;,`•. ` <br /> TYPE'OF CONSTRUC t10iY �� .BLOCK. r , FRAME' <br /> gyp - <br /> DES'C,RIP`rION,OF'VIiORK13 <br /> BUILDING.SIZE. .$Q'FO.OTAGE � HEICiHTs' <br /> BUILDING:.• $- , <br /> VALUATION'"OF=TOTAL CONSTRUCTION ? <br /> [ ELE TRiEAL. AIVIP'SERVICEr `D.UKtZNt FtGY. [ 1N R:E C.•. ' <br /> =MECHHANICAI IS <br /> :_. VALUATION::OF=MECHANICAL=1t+ISTALi:ATION.' <br /> =GAS Q ROOFING : ,�SPECFALTY-,=•.. 0,THEW. <br /> FINISH '&FLOOR`ELEVATIONst� FLOOD ZONE AREA YES NO <br /> BUILDER CoMP;i <br /> SIGNATURE ':'REGiStERED:` <br /> ,Address �„ ;License':# I 1 <br /> ELEOTRICIAN. ' . COMPANY-` <br /> SIGNATURE RE606REo�.' °'s.Y/'N":':' PSEWRi`AE'F`�''_Y'.fN <br /> r` <br /> Address• Ltcefi`se#.''I <br /> PLUMBER COMPANY _ <br /> SIGNATURE. „.. :F2EGISTERED. f i <br /> Address <br /> MECHA idA +: COMIsANY <br /> + <br /> SIGNATURE REdISTEREo Y/r:, I+cuRRE�: . :;Y/.,N••,'' <br /> _ :. <br /> 'S <br /> Address'' Liven e•#';. <br /> OTMt:1t' CtStlil?At+IY' <br /> SIGNATURE' REciSeREv Y%-fa mil"cu�RR"E'r '• <br /> Address J .. :;' 1; L93;eri"se.#.1 ;: c.:•.,..:::.`1•: <br /> . i tij. 'i:i.. .. ?dam• .'�- - <br /> REStDENTtAL Attach:2};Plot�Ptaq .K:(?)wets Hof,t3eittding lar:'sR{1)seticti4- rW y;Fcirrne:.F� }=W F!enrili=lor few oh§irt�c8on,: <br /> :... <br /> Minimum ten(fOrYroilcirig'days`affeP stitimittai d8te:"Requtred'onsife,Coestnic8on Plans,Stormwater Plans, $Ilt'Fence',Installed,; "- <br /> Sanitary Facilities&1 dumpster.Site Work Permit for.subdlvisionsAarge projects <br /> COMMERCIAL Attach.(2)cornpfete.sets.of Building;Plans-plus-a-Lffotsbfety=Page;.(1)set of-Energy Forms:,R4),.W,Aermit,for.:new*lponl3trucUdn.- .' <br /> Minimum-ten Construction PCaris;StorinwaterPla'ris-w/;Silt'Fence installedr <br /> SanitaryFacilitles,&-1•dumpster:Site:Work•Pemilt:for:all.newprojects.AU commtrdal,requirdnidtits ihust�meetcoriipilanoe*:: <br /> SIGN PERMIT Attalla{2}Seis;of`liigtneereit leans <br /> "•'PROPERTY`SURVEY,required-for.aILNEW construction, <br /> Dlrectlo»s: <br /> Fill out applicagon,pompletely. <br /> Owner B Contractor-sign•back-of appli atidn--notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrodes;aver$7500) <br /> •` Agent(for the dontractor)-or Power of Attamey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE;COUNTER PERMITTING- ` (copy_;,of conb'act•requtredp ., <br /> Reroofs if shingles Sewers Service'i—$66dgii: C`' Feri'ces(Plot/SuNey/Footage) <br /> Driveways-Not over.Counter.if,on.publie.roadways..needs.ROW <br />