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e������ City of Zephyrhills Permit Application Fax-893-78Q-0621 <br /> BuAcGng�epartcneM �' <br /> DateReco[vod �Z — PhorteCoMaetforPermlain � 1 � <br /> Owners Namo 1� Owner Ahone Number <br /> , + <br /> Owne�s Addr�s � Owner Phone Number <br />, Feo Slrnpla Tideholder Namo "� � Owncr Phono Numbor � <br /> • Fec Simpfo TlNeholderAddrcss I � <br /> JOB AOORESS � �pr# �a?�� <br /> SUBDMSION ► PARCEL(�m ��^ �� ��2� — — p <br /> � (OSTAIfkA FROM PRODF1LfYTA1C Rp7IC� <br /> WORKPROpOSEO � NEWCONS7RB ADD/AL7 L� SIGtJ Q [� �EMOIJSH <br /> INSTALL REPAIR I <br /> PROPOSED USE Q SFR Q CpMM � OTHER <br /> 7YPE�F CONSiRUCTfON � BLOCK �] FRpME � STEEL � r <br /> DESCRIA710NOFWORK 1 � C� �,^a �� �S� <br /> BUILDWG S¢E C__� SCt FQOTAGE� HEIGHT �� <br /> Q6UILDING $ a �� VALUATION OF TOTAIL CONSTRtfCTION �l� �� <br /> Q�-E��- S �� AMP SERVtCE I O PROGRESS ENERGY [� W.RE.C. <br /> � � <br /> 0���,�NG 5 i i��/�p� � <br /> QtuIECHAtdiCAL $ VALUATION OF MECHANICA�INSTALLATIOfJ � i <br /> I . �Zs�-��' �°�- �� �/ <br /> pc�+s �] ROO�ING p saECV��v j� orH� �' �,D ^„o�l�'''✓ <br /> F1NISHED FT.00R EL&VA710NS R.00p ZONE A�EA QYES NO Q�}_\ ,�.� cr <br /> I _G_�. , <br /> sutr.a� $ ,'�t�oMwwr I p 5 t7a <br /> SIGNATURE� pEGISTEFEO Y/ FEE cxJRiL�n Y/ <br /> � c <br /> Address � G- /����. Lfeense# � � <br /> r�� <br /> ELECTitlCIAN •�• COMPANY , � <br /> IGNATURE REG�ST�x Y/I�t CEEaraaEn Y!N �L�QnI <br /> � � 0 <br /> Addross � ,5 !��•Lkense# (� <br /> PLUMBER OMPANY .S(� (�(� <br /> S[GNATURE Isr�o I Y/N cu�, Y/ <br /> Addros9 UcCnSS� <br /> MCCtWdIC1l� COMPANY � 6� �v. �„ <br /> ��`�� � , Y/N FEE cU^ntiE11 Y/N <br /> ��G(., Aaarass i u�r,se� �� <br /> s►��rin�u� co�wPaNr ; <br /> �cisrE�D ' Y/N <br /> FFECURFII. Y!N <br /> Address Lkense#� � <br /> i [l �Itll(flitl /i1111 {il ( IIIIIIIII /1111'jlltlill111t1I1I1 [ lIIIIIII [ 111 <br /> RESIDEN77AL Atlach(2)P1M?lans;(2)sats of Bulldtng Pls�u:(S)set of Energy Forms:R-O-W Permit for naw constructlon. <br /> M�nimum ten(70)watdng days aftor submfttal date.Requtrod on;ite,Conshuction Ptans,Stormwatw Plans w(SIIt Fence instatied, <br /> $anitary FacPtlies 8�1 dumpster;Slte Work Pertnft far subdivtsionsttarga proJecb <br /> COMMERCIAL Attach(3)comp�oto sets of Suiidfng Plans plus a Lite 5a�ety Page:(tj sot o!Energyr Fwms.R-0-W Permk for new construdion, <br /> hgnlmum ten('[0)werktng days after submittal date.Required onsde,Cpnslrucdon Plans.S(armwatar Plans w!S�7t Fertt�instalted, <br /> Sanitary Fac�lities&1 dumpstor.SNe Work Pertntt for all naw projects.All commorcial raquirvmonts must meet compfiante <br /> SIGN?ERMiC Attach(2)ssts ot Erx�lr+eered P1ans. I <br /> °"PROPERTY 5Uti�/EY reqnired fot aA HEW corrsUuetior� <br /> Direcliol� <br /> F71 out appliCation eompletely. <br /> Ovmvr&Cornra�or sign back ot aPpltcaGOn.notarized <br /> If ovor$Z50p,a NoBce ot Commenoement is requtced. (A!C upgrades ovor 57500) <br /> ° qqeM(torthe eontractor)ar Pawrer of Attomey(lortbe owner)wauld be sameona w;tt,notartzed letiarfram owneraathonzirtg same <br /> OVER TkIE COUNTER PERMITTfNG (FraM of AppAcaGOn Onty} ' <br /> Reroors ir sn�r�gres sswers serviee uv9�des Alc Fenr,es(ProvsunieylFOOt�go) <br /> Dr3veways-Not aver CouMer H on pubGc raadways..needs ROW <br />� <br />