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� i :s - i�v - �o�z! <br /> e�3�eaoo2o I City of Zephyrhills Permit ApplicaUon F�-���-��� <br /> Buildln8 Depertment <br /> + DaM Rxelwd 's Phon�CoMeet tor P�rmlttln IJ �/ / - ✓`�� <br />� /��,� � _{ ,� c <br /> ow�.r,�. <br /> t'W� OwnerPhoneNumWr O � J�12� ��3 <br /> Ownors/lddnss �2� �C� S� Owner Phone Numb�r ' <br /> FN Slmpl�TiUehotde Name Owner Phone Number � <br /> FN SImpN Tttlahold� Address <br /> JOB ADDRESS �--� � S� LOT� � <br /> SUBDMSION 1 ' l�O��S PARCELIDA I -I�Z�r` I 'D� � [JV��'�� lJ <br /> (OBTNNm FROY PROPER�Y TAX NOTICE) <br /> WORK PROPOSED B NEW CONSfR B ADDlALT � SIGN Q Q DEMOUSH I <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 /> I DESCRIP710N OF W RK `�v- � � 1 e s � � <br /> BUILDING SI� SO FOOTAOE� HEIOHT � <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C. <br /> QPLUM8ING S . <br /> QMECHANIC $ �Q�1 VALUATION OF MECHANICAL INSTALLATION <br /> l O <br /> QOAS Q ROOFING � SPECIALTY Q OTHER � 1 �� <br /> FINISHED FLOOR EL ATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 91GNATURE �cisr� Y/N �cuar�n Y/N <br /> ,qddr�ss Lieense# <br /> ELECTWCIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRB� Y/N <br /> IAddnss LJcanse# <br /> ♦ <br /> PLUMBER COMPANY <br /> gIpNATURE RE613TERED Y I N FEE cuRtto� Y!N <br /> Addnas Llcense# <br /> I MECHANICAL COMPANIf � S�R�I C�S <br /> SIONA7URE REGISTERED Y I N FEe cuwt�a Y!N <br /> ,�aa�,. �� C o�.i C'� Ve u�,�� 1 1 <br /> on�eR. con�P�wr <br /> SIGNATIIRE REOisT�En Y I N FEE CuRrtB� Y/N <br /> pddr�ss Llcenae# <br /> r1-I i7 7"Tf f 1-1-17-f�l'1`I 1-f7-f�l-T�'Ti�f f f 7 f 1 T 1 f�l'1�l�f"fl"l T7 fT'I 1'T'1 IT 1 iTfTl'1 T1"1�'i <br /> RESIDEN7IAL eh(2)Plot Plans;(2)sets of Bullding Piana;(1)aet of Energy Fortns;R-O-W PertnH for new eonstuetlon, <br /> Inimum ten(10)x�idng daye aRer su6mflfsl date. RequUed areite,Conetruetion Plens,Stormwater Pierre w/Sllt Fence Inatelled, <br /> Hery Fadlitlea 81 dumpster,Site Work PertnR for subdhrisiondlarge proJae�a <br /> COMMERCIAL ch(3)complete seffi af Buflding Plena plua a LNe Safety Page;(1)aet of Energy Forms.R-O-W Permft fw new conaWctlon. <br /> lnimum ten(10)wnrldng days after submitlal date. Required ansite,ConsW cUon Plens,Stormwaler Pians wl Slit Fenca Inatalled, <br /> ifary Fadlitlea 31 dumpster.Ske Wak Permk for all new proJects.All eommerdal requirements must meat compliance <br /> SIGN PERMR ch(2)sets of Engineeled Plans. <br /> PROPERTY SURVEY requlred for ell NEW cansWeUan. <br /> Dlnetlons: <br /> FlII out eppllcaU comptetery. <br /> Owner a eign bedc a applieatlon,notarirsd <br /> Ff owr SZ�O, NoHa of Commenament b requhed. (AIC uppredes ov�r i7500) <br /> " Agent(Tor the Mrec2or)a Power oi AComey(fw the oxmer)�wuld be someone with noterized letter from awner authorizing ssme <br /> OVER THE COU R PERMRTIN3 (Front of/lppllcatlon Only) <br /> Reroofs N ahingles Sewers SeMce Upgrsdea A/C Fencea(PIoUSurvey/Footage) <br /> Driveways-Na over Counter H on publle roadways..needs ROW <br />