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� i .� - ��o - boz� <br /> ' ���-»aoo2o City oi Zephyrhills Permit Applicatlon F������ <br /> • � ' Bullding DeparlmeM <br /> Dab R�aMd Plron�CorM�d tor Pnmlltln p� 7 O7 _ 7�Z. <br /> owm�t�m� C�!i J �-A+�� Own�r Phom Numb�r l c�—�•S—�2•ci D <br /> Owmra�ddnss � �� SU LLTh Y� Owntr Phon�NumMr <br /> � FN 8imp1�TNbhold� Non� Own�r Phom Numb�r <br /> FN SImpU Tttl�hold� Addnw <br /> JOB ADDRES� �b w�-�, v�— LOTA /�� �7' <br /> auBnnnaioN Pnac�ios j�- -ol�-ODIO t�I��(3—017 / <br /> �oer�rRar�ore�rr T�x wones� <br /> WORKPIiOPOaED B NEWCONSTRe ADD/ALT [�] SION Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOaED USE Q SFR Q C01�4d Q OTHER <br /> 7YPE OF CONSTRU N Q BLOCK Q FRAME Q STEEL Q <br /> oEacwwnoN oF w wc � c C�In A-+� e �v� 3 To•.� 13 S�ee� S 1 i f. 6 L <br /> eu��aNO aa� 80 FOOTAOE� �oHr � <br /> QBUILDINO i VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRI S ' AMP SERVICE Q PROORESS ENEROY Q W.REC. <br /> OPLUMBING i <br /> �MECHANI = �O's VALUATION OF MECHANIC4L INSTALLATION <br /> I QOAS Q ROOFINO � SPECIAL7Y Q OTHER <br /> FlNISNED FLOOR EL AT10N5 FLOOD 20NE AREA QYES NO <br /> BULLDER COMPANY <br /> SIONATURE r�oist�tm Y N �cur�ra Y/N <br /> �aa�. u�� <br /> ELEC7RICIAN COMPANY <br /> sIGNATURE rtECisr�� Y/N FEE euwta Y/N <br /> Addrps Lieenae� <br /> PLUMBER COII�PANY <br /> ' a1GNATURE r�oisr�n Y/N �clxiaB� Y/N <br /> Addr� Lkense i <br /> AAECNANICAL COMPANY � ` �� I Y�l.�J , <br /> SIONATURE aEOistotm Y/N FEe cupaH� Y n <br /> nad�.. V�o �Cp u���'�-t�C-)� l `r� <br /> on�eR. coMr�wr � <br /> a1Gll�ixlRE �aisr� Y/N FEECURRH� Y!N <br /> , /iddnss Ueenee�F <br /> rrrn rr r i��-rrr r-rrn-rri-rrrrr r rr T ri T rr�rr-rrr�rrrr�rrr��rr rrrrn �rrrr <br /> � RESIDfiNT1AL (2)Plot Plem;(2)eeT�0/Buiidinp Plen�(7)aet ot Enerpy Fortna;R-O-W Parmit for new eonaWdlon, <br /> ' ten(1G)wwkin9 de�efEer submlBnl�te. Required arolte.Conetrudlan Piene�Startmeter Piane wi Sllt Fenoe inatnlled, <br /> � F�eBitles 8 7 dumpeter,3ke Wak PermR fo►tubdlvitionallerge proJeeb <br /> ' COMM�RCIAL (3)complet�seb a�Buildinp Plens phq e LHe Safebr Peg4(1)�et ot Enerpy Fam�.R-O�W Pertnk fa new mnaWctlon. <br /> tnimum ten(10)woAdnp deys elter submlttei dafe. Requtred arqlte,Conatructlan Ptene,Stnrtnuaater Pimro v�l S6t Fence Inatetled, <br /> Fectitlea 81 dumpster.Slte Wak Permk for ell new proJede.M ebmmetdal roqulremerds muet meet oompilanee <br /> aION PERIIIR (2j teSe ot Fspineered Plana. . <br /> OPERTY 8URVEY�equirod for dl NEW oorutrudlon. <br /> Dlr�aflau: <br /> flil out app� eompletery. <br /> OrMer 6 tlgn badc d eppilc�tlon.�oteriaed <br /> M owr i7�0, NoHa ef CanmwtanNM b rpuind. (AfC uppnda owr t7600) <br /> " Agad(for the )a Powx of Attomey(for the owner)woutd be eameane wHh nolsrized btler from awner authoei:Jn9 eame <br /> OVER THE CO R PFJW 1TTIN0 (Front of App�leetlon Only) <br /> Reroofl HehUiplet Sewe� SerNee Upgredes AIC Feneea(PIot/Survey/Foofe9e) <br /> DrlvaMr4ns-N over Counter H on pubile roadways..needa ROW <br />