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813a80-0020 City of Zephyr-hills Permit Application FaK-!813-780-0021 <br /> Date Received ,�a <br /> Phone ContPOLfor Permitting : ,.� •� _ <br /> "Owner's.Name'' 16 Q (i -.OWner,Phons;Nurhber." <br /> :Owner's Address' <br /> f- :OwnerPhone�Numb®r:' <br /> - ,. �� 1 I"l`S• � - •:Owneir,Pfion®iNiimtier:' � . <br /> LC <br /> JOB,?ADDRESS +; f J D L'OT'#/• 7771 <br /> ,SUBDIVISION PARCEL los'l <br /> :. <br /> (OBTAINEb"FROM%PROPERTY TAX NOTICE);.'_:' <br /> WORK�PROPOSED "NEVIFCONSTR` ADD/ALT'' '_ '' `'SIGN: ' :;DEMOLISH ' <br /> :'. INSTALL;= 8'1. REAAIR. ,. <br /> PROPOSED USE' SFR 'COMM`` OTH <br /> TYPE`OF CONSTRUCTION BLOCK FRAME' ;STEEL <br /> D64P: TiQN,OF`INORK Ql. . 6 �,l7 <br /> BUILDIN..G.SIZE. �t.$Q'FOOTAGE� :HEIGHT;' <br /> - . <br /> : BUILD.ING., $ ALUATION'OP=TOTAL-C.'ONSTRUCTION ' <br /> . . , . � : <br /> EL•ECTRICAL:' $ ' AMP'SERVICE O.UKE'ENERGY. yVdR.E G:• <br /> =MECHANICAL $ VALUATION:,OFMECNANICA4�INSTgLLATION. <br /> =GAS = ROOFING '0 '1SPECIACTY• Q_." OTHER':' <br /> FINISWED`FLOOR'ELEVATIONS'''`:` FLOOD''ZONEi4REA =YES NO <br /> BUILDER 9 COMPANY <br /> SIGNATURE '�RRBGISTCREb>° Y f'N ' "'FEE'cuRREn Y•%N <br /> .Address i. <br /> ELEC'pTRICIAN. COMPANY.- <br /> SIGNATURE " REGiSTERED '" ;'~Y/'_N ' P0fdURRER--' '",Y:LN <br /> .Address: ,.• •, . .�ktcert`se;#.' - ' <br /> PLUMBER COMPANY! <br /> SIGNATURE., REGISTEREQ. Y -N'.-,: ffEErCURREA' Y;PN:F•7. <br /> Address License:# <br /> MECHANICALi COMPANY <br /> SIGNATURE= REGISTEMED '.:YF;NE+Culp:; :.Y%N•..'". - <br /> 'Address' <br /> OTHER; COMPANY .: ' <br /> SIGNATURE,-, : .REGISTERED Y/':'iV FEE`CURREn <br /> Address <br /> RESIDENTIAL Attach:(2);PIoHf?ratt:i:(2)sefsdf;B.uIIdtll'rL?lans°(1:,setlof?Ene Fttirl�ls'R10=1A1ri?ertrilfor?iiew Lrori§Uucfion;:` <br /> 9 r, ) �5y <br /> Mlnlr u 4en(10}1NoPking'days`aftet's�ibinlftal date:'Requlred'onslfe,Coristrucdon Plans,Stormuvster Plan�swir/SIIt;Fence lnstalled;r <br /> Sanitary Facilities&1 dumpster;Site Work Permit:for.subdlvisionsAarge projects <br /> COMMERCIAL Attach..(2)_complete.sets•of-Building Plans:plus:a,Lffe1Safety=Page;-(1)set of•Energy:Fonns.,R=0-U1!-P.ertnit-for ne_w construction: <br /> Mlnimum'ten('1:0).v dtking*,days aifeR`su6mittal,date.?.Adoulied.o"nsite,Construction Ptaris;^-StormwaterPlans',w/•Sllt'Ferice;tnstalletl' <br /> Sanitary-Facilitles;4:A•dumpster:Site-Work•Pemilt for all:new-projects.All come eccial.requirerrierits`must;meet.compliance.•> -. <br /> SIGN PERMIT Attach(4S-it6f'E6gineere&Plans: <br /> ""PROPERTY$URVEY.requlred'forall NEW.construction. <br /> --------------------------------- <br /> Directions: <br /> Fill out application;completely. <br /> Owner-&�Contractor+slgrrback of appllodtlon;.notarized <br /> If over$2500,a Notice of Commencement ls'required. (NC upgrades:over$7500) <br /> Agent(for the contractor}or Power of Attorney(for-the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE-COUNTER'PERMITTING• •(oopy:ofcontract•required) , <br /> Reroofs If shingles Sewers Servlce'U�ig[ades":i4/C� Fen'ces'(Plot/Survey/Footage) <br /> Driveways-Not over.Counter if on publio;rcadways..needs'ROW <br />