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MAY-28-2015 01:34 From: 8139687921 To:780�21 Pa9e:1�1 <br /> s�3�ao-oozo C'�ty af Zephyrhills Permit ApplicaEion Fax•813-780-0021 <br /> � Bu0din9 Depdrtm�t <br /> ����� Phone Conlaet for Rermlttin <br /> ChnmePs Name ��� � � �l�� �,L Owrter Phone Hum6er `��J/� Z 7 • / <br /> OwnerS Address `7���/ �� Own�r Photu Num6er <br /> Fae SimpTe TiUeholdei Nmne Chxner Phone Humbar <br /> Fee Simpta titleholderAddRSs <br /> JOBADDFtESS 0 � LOtA � <br /> SUBDM810N /�lL.�-K.�.a � PARCEL IDB / 7 a� `ta��'�� �-a -Q�o•l <br /> (OBTAtNED FRON pROpEl�y T11X NOTICEy <br /> WoRK pROP0.5EO B NEW CONStfl e ADD/ALT � SIGN Q [] OEMOLISH <br /> fNSTALL REPAIR <br />� pR4POSEG US� o S� o ��M c� o,f,� <br /> rn�e oF coNSntucrioN p e�ac�c p �nm►E [� sre�r. � <br /> eESCwPtioraoFwowc LtIATE'eZ l�G47�L r�c�P,�/ <br />�� sunnMa s� sa wosace� e�rct� C� <br /> [,�]�ILOING S VALUATION OF TOTq�GONSTRUCTION <br /> QELECTRlCAL $ qMP SERNCE Q PROGRESS ENERGY Q W.R.S,G <br /> I �]PLUMe1MG S /Oa '��,�(J��� <br /> QMECHAN{CAl E VALUATION OF MECH/WICAL INSTALIATION ����"�"' � <br /> ���� V <br /> QGAS [� ROOFING �] SPECIALTY C] OTHER ���� <br /> FlNI5HE�FLOOR ELEVATIONS FLOOD ZONE AREA QYES Np � <br /> -8UILUER • • • • --- � •- tiQMPANY �- - ...^ . <br /> SIGI�ATURE REGl5TF1tED Y/N FEE CURRET Y!Sf <br /> Addtess Liecrose# <br /> �LECTRICI�N � COMPANY <br /> SIGNATURE rrEeis�r�stm Y/ �E ctlaxEn /N � <br /> Address 1Jeense# � � <br /> �r <br /> �.ue�e�tt �j�. " � COMpANY �c5� U 5 Ll{I??8i/N � <br /> S16NA7URE �-'—Oi REGISTEAED N �cuarten Y/N N� <br /> �aa►� � d7o`�7 7 �VYI PJ� 8 u�+se� �' / �� <br /> � <br /> Mscw�Nica� aoMPnNr �Z <br /> stc9HA7uRE �E�ura�eo Y N �s cuw�r Y!N N <br /> Address License# �' <br /> d � <br /> m�+�a coMPa�rr �a <br /> SKiNATURE I�C.�5IFAED • Y/N FEE WRRHn Y f N <br /> Address <br /> Licen9e# � � <br /> ftESIDENTIAI. Attac9�(2)Plal Ptans:(2)sets of Building P�ans:(4)set af�nergy forms;R-O-W Permi!for new oonstruttion. <br /> M�ntmum ten(10)workir�g days aRm suUm1N91 d8te. RBquired or�sfte,Constrltcfi0n Plans,StortnHrater Pians w!Silt Fence�eed, <br /> $atd(aty FaaGtles&1 dumpst�;Site Wofk Permit for stsbdivistonaflarge p�ojec�s <br /> COMM�RCUL Attach(3)comptete sets of Butldfig PIen6 D��a Life Safety Pege;(1)set ot Ene�gy Fartns.R-GW Permit ior new mnstrucdon. <br /> MiNmum ten(10)wodwg days aRer submlital date. Required on5ite,Co1�SWc�Eon Ptans,Stormwater Plans xd Sul Fence p�sFalled, <br /> Sanitary Fadliees 8�1 dumpster.S�te Worlc Pertnit to�all Rew projecEs.A1i commera�requiremenis must meet complia�+ce <br /> SIGN PERESR Alfad�(2)SCis ot Engineered Plahs. <br /> ""PROPERTY SURVEY►�uirt�9 tor e�l NEW consWouon. <br /> i DirectWt�s: <br /> Fli out epClicaGon completety. <br /> Owner S Contaemr slgn badc of appreahon,noFarized <br /> It aver Sa.+OO,a Notice of Commencemett!is requlrad. (A!C upgrades over Si500) <br /> " Agent(br!he cnntractor)or Power of Attomey(for the uwner}wauld be snmeone wilh notarized letler iram ovuner autltorizing same <br /> OVER THE COUNiER PERMITTING (Front OF AqpliCatlon Only) <br /> Reroofs H shin8�� �s SCrv�Ce Upgrades R/C Fences(PIotJSurvey/Fovlage) <br /> D�fvevV'eysNot wer Counter�T an pubiic roadwaYs..needs ROW <br /> I <br />