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� I :� - � 1�v - oo2j <br /> . e��-�eo�oo2o City of Zephyrhills Permit Application Fex-e��-�eo�o2� <br /> � a ��� Bullding Depar4nent <br /> Date Recalvod � Z�Q �S Phone CorH�ct for Permfltln �3 T o 7 — 7 7 7 Z <br /> p��ri Nam� L rt TD� �t � . J Owner Phone NumWr �3��l� �3�7 <br /> Owmra Addnss J 2 O 1''���al.b U'L�` `�' Owner Phoiro Numb�r <br /> FN Simple 7ltleholda Nune OMmer Phone Number <br /> F��Simpb Tkleholde Address <br /> JOBADDRE33 3�Sa� ��ADbt�Oc�� �0 �ora � <br /> sueonnsioN M�avnw c+o�. Es r°� PARCEL IDA �3�Z-� o���O��[O—f�OoGO ^ !23� <br /> �oerN�o�w�vFxn r�x Nonc� <br /> WORKPROPOSED B NEWCON57Re ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIRTION OF W RK n C. .+(�� �•�T��' �3 Se z� � <br /> BUILDINO SIZE SQ FOOTAOE� HEIOHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> QPLUM8ING S �\� <br /> �MECHANIC a �� VALUATION OF MECHANICAL INSTALLATION C� � <br /> QGAS Q ROOFING � SPECIALTY Q OTHER �C{t� <br /> FINISHED FLOOR ATIONS FLOOD 20NE AREA QYES NO � <br /> BUILDER COMPANY <br /> SIGNATURE REGI3TERFD Y I N �Cuw� Y/N <br /> Addnss LJoense# <br /> ELECTRICIAN COIMPANY � <br /> SIONATURE REGI57ERED Y I N FEE CURRB� Y/N <br /> Addross LJcense# <br /> PLUMBER COMPANY <br /> SIONATURE REGISTEt�o Y I N �cur�n Y/N <br /> Addns� Ucense# <br /> MECHANICAL COMPANIf C7I D � <br /> SIONATURE r�cisrer�o Y/ N �cuRt�n Y/N <br /> Addreas �l l7 I�t CD � License# � <br /> OTHER. COMPANY <br /> SIGNAiURE REGI37EAED Y/N FEE CuRRB� Y/N <br /> Address Llcense# <br /> rl f 17'T7 f f" 1-Tl`I-TI l f1-11'7-fT7-l'I T7 i I t'I-7 f77 I 17 I"1'1"fl7 i7 ITl ITI I il iTiTl 1 TI"1"I <br /> RESiDEN71AL ch(2)Plot Pians;(2)sets of Bullding Plens;(1)set oi Energy Fortns;R-O-W Pertnft tor new construcdon, <br /> inimum ten(10)worMng days etter submitlel date. Requlrod onsRe,Conatructloti Plans,Stormwatx Plarre w/Slk Fenee Inatelled, <br /> Itery Fac�itlea 61 dumpster,Sfte Work PermR for subdivialonsllarge prcJec� <br /> COMMERCIAL (3)complete sets af Building Plans plua e Lite Satety Pege;(1)set of Energy Forms.R-O-W Permft for new canstructlon. <br /> Inimum ten(10)vwridng days after submlttal date. Required onsite,Cons4uctlon Plans,Stortnwater Plans w/Sitt Fence Instailed, <br /> itary FacUldea 3 7 dumpster.Ske Wak Pertnit tor all new proJeds.All commardal requfremeMs must meet eanpliance <br /> SIGN PEIiMR ch(2)sets af Enginee+ed Plans. <br /> PROPERTY SURVEY requlred for eli NEW conaWdion. <br /> Dinetla�s: <br /> ffll out appiicatl completery. <br /> Owner 8 etw sign�ck of applimtlon,noterb.ed <br /> If over:2S00, Notlee oi Commeneement Is requlrod. (I11C upgrades ovor i7500) <br /> " Agent(for fhe etw)or Power of Attomey(fw fhe owner)xrould be someone with notarized letter from owner authwizing same <br /> OVER THE COU R PERMITTINO (Fmnt of Applleetlon Onty) <br /> Reroofs if shfngtes Sewers Service Upgrades AIC Fencea(PIoUSurveylFootage) <br /> Driveways-No over CouMer ff on publie roadways..needs ROW <br />