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813-780-0020 City of Zephyr-hills Pet it Application Fax813-780.0021 <br /> - <br /> Building':Depa eff. . r <br /> Date Received :.},`7 <br /> :PhonotCAntA.0fa#rP:errr ng: . <br /> Owner'sOwhir:.Phor ,Nuriitier.'T <br /> .Owiier'S Andress` OwnerlPho»e Numbop ±_.10 J•� r l <br /> �• - •:Owner PhoneiiVumtier <br /> JOB?ADDRESS <br /> ',,Sty ASION' `PARCEL IN <br /> •' �(Oa7AINEpFR01lt�}+ROFEItiY-TIU(NOTtGE},.,, -' <br /> WORK PROPOSED `' "NE1N CON5TR` :' ACID/ALT' SIGN OL•,IS ` <br /> ,e ;DEM H <br /> INSTALL° ° REP/1lR <br /> 8~ <br /> PROPOSEt)°USE Q' . `SFR' [ r COMM`:':' OTHER;'`',. - <br /> : . . ;< <br /> TYPE`OF CONSTRUCTION ;' 6LOCK Ej,. FRAME` :;STEEL p[�J <br /> RESC,Rits'f1Qt�,O'WORK. �:I � a� S <br /> BUILDING SIZE: SQ FOOTAGE; HEIt3HT' = ,,i. ` <br /> O 'O(ALUATI � N <br /> QEL`ECTRICAL4 .- '' `'AMP'SERVICE' 'Dlil(E`ENEFtGY. [ VU R.E C:• <br /> QMECFtANiCAt, $ VALUATION•,0"ECHANICRf.�1NS7ALt:ATION" <br /> - Y <br /> [ GAS Q ROOFING •'' ' St?EGIALTY <br /> FINISMCf6FLOOR-ELEVATIONS••" 'r'' ��. FLd'OD''ZONEi4R YES` NO <br /> F.. 1 V b <br /> BUILDER COMPANY � 2✓ <br /> SIGNATURE / '`REGISTERED'.' YT N; r 'aEE:cuRREn Y%N <br /> ELECTRICIAN. COMPANY;' 42 Am <br /> SIGNATURE REGISTEREO tY/-:tV`:" FEErG�URREK ;Y'[ ,* <br /> .Addr.®,ss. License-#.`' <br /> PLUMBER OMPANY <br /> SIGNATURE., lL— -�,... ;;REGISTERED_ `YI�.N''.s �;FEE}.CUIIM ^Y+/--_�7 <br /> :.. <br /> Aiiilr �� ?:..l '� ST, G(cerisia I.,G'_lrG► <br /> - <br /> r - <br /> ess <br /> 17 <br /> MECHANlGAl., ;COMPANY- _. <br /> SIG'AI fJRE ' ` REGI§TERED Y/ N ftcE+CURRER t ;.X% !l••,` <br /> `Aitdfress°..'. : - •. -.....: .._ ,. - L'icet� �aM#' `. .. <br /> OTHER' COtiriPAMt..: <br /> SIGNATURE " REGISTERED` <br /> Address :L1ierise,#. <br /> ' .�' ..«i-` _ :4 tiffs. tt-. rt•� - -.-. - _ -. <br /> RESIDENTIAL Attachi(2);PtotPCOn :r.(°3e7sof-$uildt glslan$,(ljssbt#of3r� rgyPo s.:RAC--WF?ertnitforflewoAsfitt�cBl�n;. <br /> Minimum ten(f0pteiorkin§,daywbfter'su6ffiIttai date:•Requireif.onsite tins tivcUon Plans,Stormwater Plan's.w/'SllkFence�instatied;� <br /> Sanitary Facilities&I dumpster,Site Work Permit for.subdivisions/large pnpjacts „- <br /> COMMERCIAL Attach:(2�complete.sets•of-Buliding,Plans,phis.- --ife'�f*y Page;•(1�set of-EnergyF...grrns.,R-0=Vtii.P.enrlit:fbr rreanr eoristructlori: <br /> Minimum-ten(10):wdtk.lhl days�afGer° bmite Ia date.":sRdgUli�ed•onsitel Construction Praris;Storinwater Plans w/Silt"Fence installetl <br /> Sanitary•FadUGes 8.1 dumpster Site ilVork Pemiif<foralt.new.projects.A l comrWardial.requirerrierits"must meetoompllanoe'.•.• - <br /> SIGN PERMIT Attach(2),setsofEtiglneereit Plans. >" <br /> '••"PROPERTY`SllitVEY required-for all-NEWconstruction. <br /> Directions: <br /> Fill out applicatlon.completely. <br /> Owner°8'Contrabtor=sign"back ofappilcation;.notarized <br /> .. If over$2500,a Notice of Commencement is required. (AfC upgradesvver-.$7 00) : <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone wit notarized letter from owner authorizing some <br /> OVER THE:COUNTER-PERMtTTING-- ' -(copy of eontract•regutredy=; ' <br /> Remofs If shingles Sewers-- • Service U i4/C' Fences(PIoGSurvey/F otage) <br /> Driveways-Not over Counter if on pudtic roadways-needs ROW _ _, <br />