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� I :� - � 1�v - �o2j <br /> 81378Q0020 City of Zephyrhills Permit Application Fex-813780-0021 <br /> ' Bullding Deparhnent <br /> r5 , <br /> ` � � w�e�tr.a l ci ��' Phone Contect for PermHtln 8�-3 �/�7 _ g Y 9 Z <br /> o�.r.�„e ��A►-�o iZ �S G f�� R-�,J Owner Phone Numb�r ��.3' 7�2 —/0/S <br /> own�i's Addnss �}a-r �! v e� O�+f�s �R pYy�er Phoee Numb�r <br /> FN Slmple Tftleholde Nune Owner Phone Number <br /> F��Simpb TWehold� Addreu <br /> JOB ADDRE33 lLJ a� I S I � V'e�Z O i� K S I.�1Z!�� LOT� � <br /> susomsioN S1 �VP� � a K S PARCELID� �� �2(o-Z/��/�2/� —6aoo0 -/I7A- <br /> (09TAINm FROY PROPE7t�Y TAX NOTIC�7 <br /> WORK PROPOSED B NEW CONSTR B 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 /> DESCRIPTION OF W RK � �c Ch cq� e,1�.f 3�S To`3 � 4.5 S�e�2 <br /> BUILDINO SIZE SQ POOTAOE� HEIOHT � <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROGRESS ENEROY Q W.RE.C. <br /> QPLUMBING S <br /> �MECHANIC 5 ��;1 VALUATION OF MECHANICAL INSTALLATION <br /> lJ <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR E AT10NS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> g�G�'N� REGISTERED Y!N FEECUr�n Y/N <br /> Addnss License# <br /> ELECTRICIAN COINPANY <br /> g�p►��� r��isr�n Y/N FEE Curtae� Y/N <br /> Address LJcense# <br /> PLUMBER COMPANY <br /> g�p��pE r�cisrert�o Y/N F�CUrtr�n Y/N <br /> �d� Lieense# <br /> MECNANICAL OMPAN1f /'7"^�`� �/CL'S <br /> g�p��� r�cisrer�o Y/N FEE curtr�t� Y/N <br /> Addnss O 1 O ?-1 �2�C�. � • ueense# <br /> OTHER. COMPANY <br /> SIGNATiIRE �cisr�o Y/N �cuwia Y/N <br /> pddms LJcenae# <br /> r1"1 Il l"T�t" ll"l I-TI'I 1"1"1'7'-1-f77-1-ITTi 1'1'f"1 r771 f7 f�7 fl'7 Ti ITl fT11T7-TTTTI'I7'1"1l <br /> RESIDENTIAL ch(2)PIOt Plans;(2)sets W Building Plans;(1)set af Energy Fortns;R-O-W PertnK for new constructlon, <br /> Inimum ten(10)vwrMng deys efter submflfel dete. Requlred onafte,Conshvetlon Plans,Stormwater Plarre w/Silt Fence Inatelled, <br /> Nary FemWea 31 dumpaber,Site Work Permk for subdhrisbnsAerge proJede <br /> COMMERCW. ch(3)eompbte sets ot Butlding Plena plua a Li(e Satety Pege;(1)aet of Energy Forms.R-aW Permft for new�ucllon. <br /> Inimum ten(10)woridng days efter submittel date. Requlred ansite,ConsW etlon Plana,Stortnwater Plans w/Sitt Fence Instslled, <br /> itery Fadiitles 51 dumpater.Ske Work Pertnit tor ell new projeets.Ail commerciai requiremeMs must meet o�npilance <br /> SIGN PERNR ch(2)sets of Engineerod Plens. <br /> ROPERIY SURVEY required far e4 NEW consWdion. <br /> Dinetlons: � <br /> FlII out applieatl n comptetety. <br /> Ovmer 8 ctor eign ImGc of applicaUon,notedmd <br /> H owr i2500, Notke of Commeneement la requfred. (AIC upgrodes owr i7500) <br /> " Agent(for tfie ctor)or Power oi Attomey(for the owner)xould be someone with notari�sd letter from owner authmiang same <br /> OVER THE COU R PERMI1TINfi (Front of Applleatlon Onty) <br /> Reroois if sh(ngles Sewers SeMce Upgradea A/C Feneea(PlotlSurveyJFootege) <br /> Driv�wrays-No over Counter ff on publle roadxrays..needs ROW <br />