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7Fax-98 <br /> 8i -7 �° City of Zephyr-hills Permit Application <br /> ' �,( ��"=�5 - Butldliig=,Departiilent�' ... z - _ • <br /> Date Receives <br /> ;Phone,Co0t0.C*40rP..ermttting:n;� r, O•S ,., '43 -,,n r .:;° •+• <br /> •.Own®r�Phgr��;Nurpber`_ �. •:�_- <br /> Owner's.Addrelss "-��1 . =ch ber;'.•OwneraPhoneNum , `�� <br /> t' :O�nine.'f.PtioneNiimtiery <br /> JOs1tDDRESS r' lOT'# <br /> 4,BPIVIStON }�.`'7 : PARCE�:ID#: ..�..}^2,� 2.f �O 1•`�.` t_2' O.��`� `"�Vt3 <br /> - - ��.... - :�tOBTAINEp�FROkhPRCPERf1�-TAX�NOTICEjs.:: `: ,. .. <br /> WORKIPROPOSED "NEiN co_ ' AtQ/ALT' ``: StGi�i: ' z6?EMQtiSH ` <br /> INSTALL: REPi0.FR'. <br /> _° D N <br /> PROPOSED iJSE1��`SFW : <br /> TYPE qF CONSTkdCTION Bi.OGK' / t?RAttAE STt EL r::' : <br /> DES"C,t21P'f1t7�N;OF'iWORK l a C-P <br /> BUILDING SIZE ,� SQ-'FQOTAGE- <br /> "& y <br /> •.."....BUILDING:. '$ � .i �..�. - <br /> 1lA WATION-O0'�TOTAt GONST46 <br /> RCICTION <br /> ,.QEL•EGTRiCALi, . = '' 'AMP`selwCE <br /> OMECHANICAL $ VALUATION,OFrMECHANICALZ'i TgkLATION: �(��1�`l <br /> QGAS Q ROOFING [ - 'sSPEGIALTY:= .. OTHER',' <br /> FINISHEC3`FLOQ#�ELEVAT-1ONS' " ' 'FLGYQD`ZtaNk AREA- YES NO <br /> BUILDER COMPANY' <br /> SIGNATURE � G :,:: `:REGISTEitEt)::_. Y!: :._ a: E CURRE�, xY7 N <br /> .Address+, 3 sLiceissb.#` �. . <br /> ELE,C��TRICIAN. .... -, COMPANY <br /> SIGNATURE = :RFGIss#REo:.:.., Y!. ;re dut'F".i'�'° Y:'L•N':';'.;..- <br /> ,Address. .,; .. Lieer►Se=# <br /> PLUMBER COMPANY <br /> SIGNATURE. r.. _ .-,,REGISTEREM- _ »Y;t;.•N' ff-EE!CQM. <br /> Address F77 - :.:Gt¢$�fs�i;#1 ' <br /> MECHANiCAI. ' •.COMPANY <br /> SIGI�AZ1l1tE:f' Eclsi ti :Y!r:fit :fE6,c_•uRRa <br /> Address; License•#';l .. F...'. :':1`• <br /> i' <br /> OTHERi i:OMP Y,.. <br /> i <br /> SIGNATURE"-• REGISTERED' 'Y T (it: : .:::";FEE'CURi2EP Y'!'N j <br /> Address <br /> ' <br /> RESIDENTIAL Attach:2•;Plo#+Pia �+ 2`s 1'f:Bul .Plans° 1:setiofdE ;E' it�ris �1 =11V?f erYai�=1Or�eiiv ccrisUuctlAn <br /> Minimum'ten(10}wi rking'days'afters�itimitt8l deter•"Required'orisife,Gonstructton Plans,Siormwater Ptanl�wl$itt°Fence irtstaifed; : <br /> Sanitary Facilities&1 dumpster;Site Work Permit for.subdivisions/iarge projects <br /> COMMERCIAL Attach:.(2)-complete.sets•of Building,Plans:plus,a�Ile'tSsfety�Page;.(1)set of-Energy F...orms:.RHO.:W*Por-mJt for-:.new'.aonstrucUdh'i <br /> Minimum'terr(:1.0)'Wotklfigsdayssafter'suDiirialdate.;~Rdquired onsite,Construction Plans;Storirriiva Fifdns'wl Silt'Ferice,tnstalied <br /> Sanitary-Facitities44 dumpster;SiteW..ork Perrrlif far:aii.neuv projects.Ali comrtlscciat:ntgwirerrients:must m.set..comptiance'.' <br /> SIGN PERMIT Attach(2):set$of'Eoglneeiedf Plans:• : <br /> .'••PROPERTY''StUItVEY mqulmd:for.ail.NEW construction. <br /> Directions: <br /> Fill out appiicagon_completely. <br /> Owner�B Contracto0isign„back•ol apollWildhi.notarized - <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrade&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 TH&COUNTER'PERMITTING- •(copy;af eontract,regpIrsdy , <br /> Remofs if shingles Sewers Servic a AJbgraae�,'AiC" Fences(PiotlSurveylFootage) <br /> 'Driveways-Not over Counter,'if dri publto roadways.:needs ROW <br />