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' ' e�3�e°'°°2° City o Zephyrhills Permlt Application F�.e��.�eo.00z� <br /> ��9��ent <br /> oaca Ree.rwd f� 36 /S— . �(lixl i�i e L�u r� <br /> PhoDe Contacttor P�rmklln ��S � �sz� y��5 <br /> O�erner's kamo I�p.a?>.�r., S �-t_ I <br /> 7•�"! Owrrr Phon.Mumber ,r5 -7 5.��`i�! <br /> Ow�Ilddnse � �!�D �'D(J si LnuJ P I�j�._ Owner Phon�Numbar <br /> Fo�SImp1�Tkbadd�r Nartro I Ow�pr Rhom Numbar <br /> I <br /> FN 81mpt�Tkl�hold�r Addnrn I <br /> J08 ADDRESS s+�M�s- tq S f-�np,� I LOT/ � <br /> SU8DM910N PARCEL ID� <br /> toer�w��tor vaovemrvuc►qrrc� <br /> WORKPROpOSED e NEWCONSTpe pDb/ALT � SIGN Q O DEMOLISH <br /> 1NSTALL REPAIR <br /> PROPOSED IiSE Q SFR Q COMM Q OTHER ,a,Z �r ���,L <br /> TYPE OF CONg7RUCi10N O g�OCK Q FRAME � STEEL Q <br /> DESCRlPT10NOFWORK � EA. T�Mo . I01—�i c�. -I R�p,y�n$ <br /> ' BUILaING 812E J.�--,t!o o .��N,�tq,1� �BG FOOT�iE I�lr � y�G� �� ! <br /> �BUILDING S r r p G, iq�UpTION OF TOTAL CONSTRUCTION <br /> QELECTRICAL 5 AMP SERVICE [� PROGRESS ENEROY Q W.RE.C. <br /> �PLUMBING S <br /> QMECHANICAL $ VAUTATIQN OF MECHAfVIGA�INSTALLA7►ON <br /> 0� Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FlOOR ELEVATIONS FLOOD ZONE AREp Qy�S NO <br /> i <br /> BUILDER �/ "'� / CONPANY <br /> SIGNATURE �G�._ �/ �7"!{/� �i,.u�rc,_•��cuJ �i�-c <br /> ��� - Y 1 N FEE CtRiRE� Y!N <br /> �dmyss �S� ivzYf, L°.err.l� ���� iLyu•;�, 3356t- <br /> ucense� <br /> �ecrwa,w �f���% /� co�,P�v,r I�owlanc� �I�@�iL l'C�n n <br /> SIGHATURE �"" "`�� pECas�pEp Y/N FEe Wpap, Y/N <br /> naa�. ✓��f7 S . a �ud�i�Pl1� 1�lunf('��/,FL 3� uo�s a�3� <br /> P��� COMPiWY <br /> SIGNATURE pEGSiErem Y/N �E cuaqeh Y/N <br /> Addne� I Llcense�f <br /> IHECHANlCAL COMPAHY <br /> 910NAT11RE ttEC�tSr�Ep Y!H FEEpURF� Y!N <br /> Aednas I LVeense p <br /> OTHER C�P�Y <br /> SIONATURE kEGi37H2Ep Y 1 N FEE CUNREn Y/N <br /> Addf�as I <br /> LJcensa q <br /> RESIDENTIAL At�ch,(2)Plot Plerm;(2)sels of Building Pigro•(1)sei ot Fr�ergy Forms;R-0-W Perrnk for new oorutrudyon, <br /> N9nimum mn(10)working days efler eubmCtat date. Requtred rnn�ta,Conawctbn plane.Stamwatv p�m,�w/8nt Pmce Insmited, <br /> Sanflwy FacAlBes 81 dumPS�a;Sfle WorSc Permfl forsub�vlslo�l�9e Prolects <br /> C06ANERCIAL Attad�(3)compyte g�p�g��p����a Life Safety Page;I1J set of Enerpy pom�s.R-O�W Pc:rmit�r new cauVuWOn, <br /> Mnlmum ten(10)woriclrp deys afler eubmf�tal date. Requ6ed orroiie.Conatrudbn Pla�u,3tnmrwater Plarte w/SOt Fence InalaAOd� <br /> SanMary FerBBks 8 7 dumpsler.91m Wor4e IPermlt lor ap new pro)epn.AII commerdai roqulrernents must maet canpUance <br /> SIGN PEIWIT Atfach(2)aeFs o(Engineered pians. <br /> ""PROPERTY SURVEY reqWrad fer yli NEW eortstructlon. <br /> QIf�CUOtIS: I <br /> Fiq out epplinHon completdy. - <br /> Owner 8 Cantractw slgn back of appUpUon.noferized <br /> H owr f2S00,a Natl�¢o/ComrtunwrrNrt b r�qulnd. (AfC uppr�owr�7500) <br /> " Agent(for Bie contraclm)ar Power oi Attomey(for the owner)wauM be saneone wlth natarized letlar from amer atAhortring same <br /> DVER THE COUNTER PERMITTiNG (Front olApplka�n Only) <br /> Rerooh If ahlnplea Seaers Service Upgrodes AFC Fencm(PbUSurvey/Footage) <br /> ��waY�-Nat wer Counter tt on public rnadways..needs ROW <br />