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� 8�3aea-oo2o ` �ity of Zephyrhills i'err�nit Applicagi�n Fax-813-780-0029 <br /> 0uilding Department <br /> . i <br /> �a�4e��ceiv,et9 <br /> � ��aoaae+��ng�ct far��s�ee6tting -- <br /> �waa�r°�S���ree �c� V1 �I1��U�.""C �we��r�t�oro��luevober ��3 ~�J�D��c3j�]� <br /> �oa��°��A�E�res� 3�� �'1 I .�1,�dDl,.t.�oca(� �° OWPIL'P F'PB06A�ENIBPBtl�l�P � �� <br />�� fF���3�0�9�'6otAeh�al��r 6��uw� �^ � �evn�r B��mra�hY,u�vo�er � ` � <br />� ���s�feng�B�Tet9e�nol��r�c9c�ress . <br /> Jl��l�a��6$��� � 1 �� t ��?:.�a G.J[�JO(� �..DO LOY i� �—__�� <br /> ��.P(��1l6F�I�M � � �/►IRC��..1�1# ' <br /> (OBTRIPfEd FROM PROPHRTY T'RX MOTICE) <br /> . 4fl��68Gg�@�f���9S�� e F�EW CQ�tSTft 8 ADDtAZT � S(GN Q Q DEMOGISii <br /> INSTALL REPAIR <br /> �Q����S��l9�� �, SFR Q GOIVIM � t7'fHER <br /> 'D1fI�fE�F�0�9Sg1��9CgS4aM 0 BLOCK Q FRAME � S'T'EEL Q <br /> �����o���o������� /�- � C1� �. C��~�- � -� � �,-� �.►� s I�'�- .��,�s �'/skw,� <br /> (8�1J04..�R�1�S&�� ��'�� ����,3�TAe4"s��ti� M�Ifis9��' C�^___�� � <br /> O�U�C�»� �^� VAi.UAT10�!OF TOTAL.Ct)RiS7RUCTION <br /> ��1 <br /> QELECTRlGAL ��� AMP SE�2VlCE � PRQGRESS ERlEF2GY Q IN.R.E.G. <br /> �PLUMEtttttG $ l_ � � - � <br /> �MEGHE4NIC;RL $ �,f �� VA�.UATlON QF{1�ECHANtCA1�INSTA��ATlON <br /> ..� �?'�c� <br /> `i r <br /> [�Gas Q ROOFlNG [� sP�eiALrY � OTFiER <br /> FINISHED FLOOR ELEVATIONS � �� FLOOD ZONE AREA QYES NO <br /> , Ft�4-�t�-6t�91-9 <br /> �flP��.��g2 ���!liPAi�Y <br /> �B�"v6U64�Q,&B�� REGIST6RED Y/ N FEE CURRE� Y/f� � <br /> ����'��� License# �� � <br /> ��(�G'�'�B�6AEd �0�11P,A�9Y <br /> ���"s6�9��UB,11I1$IE REGISTERED Y/ N FEE CURRE� Y/N <br /> ����'��� ' License# � � <br /> ��.RB�fd��� � �C��fI�'a�a�l( <br /> �B�'vB1�l�YU@SE REGISTERED Y/ N FEE CURRE� Y/�I � <br /> ��dr��� � License# �� � <br /> ����a��sca�� �o�a�,��v �1—Tec� �it" ' r'�'t`�� �-1-C- <br /> s�°64"`arBd/�a�lBOB� REGISTERED I N FEE CURRE� Y/R� <br /> �- <br /> �i��e�s� ��l� C,���� t�c =� �icense# ���8��1 q� � <br /> ����� ������� <br /> �0��11��Q,8�� FtEGISTERED Y/ N FEE CURRET Y/N <br /> �t4�r�s� LEcense# �- � <br /> hFff-4li-tii-I <br /> ���+�lID��'6IRL Attach{2}Piot Pkans;{2)sats of�uiiding Pians;(1)set of Energy Forms;R-Q-W Permit for netro consfruction, � <br /> Minimum ten(10)worhing days a�#er submitta(dafe. Required onsite,Consfruction Pians,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Vilork Permit for subdivisions/large prajects <br /> ��A�fi6N�l�gB�@�L ,4t!ach(3}compie#e sets o#BuiidEng Pfans plus a Life SafaEy Page;(1}set of EnErgy Fo;ms.R-O-W Ferrnif for new constnaction. <br /> Minimum ten(10}working days after submifika(date. Required onsite,Construction Pians,Stormwater Plans w!Siit Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projeats.All commercial requirements must meet compliance <br /> ��ta����it�P� Atfach{2}sets o�Engineered Fiaeis. <br /> pAk�PF80PERTY SURVEY req0ired for ali NEVV construction. � <br /> ��6�C$�O�t�: <br /> Fiit out applicafion compietety. <br /> Owner 8�Contractor sign tiack of appiication,notarized <br /> . , SP ov��$�5��,��lot�c�of R�o�men+��eea�caQ 1�P�a�uere¢�. {�1�t��gra�es ov�t$T�Q�} <br /> • "" , Agent(for the contractor)or Power of Attomey(for the owmer)would be someone wlth nolarized letter fram owner autharizing same <br /> ���9�T�6��CQ4D�d'���F��RiUtO'�'�'9�6� {Front af Application Only} <br /> R�roofs if shingies Sewers Service Upgrades A/C Fences(PIaUSuniey/Footagej <br /> a ,. . ,._ : _, _. , <br /> ���xew�y�=�lot over Copnter if on;public roadways..needs ROV�t <br /> . � , , ,. � <br /> . .. . ; ' - <br />