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e�a-�aaoozo City of Zephyrhills Per�nit�pplication Fax-813780-0021 <br /> y � 8uilding Department <br /> Dats Rncefved Phona Cantact tor Poemittln <br /> ownors Plamo <br /> Y 1 ��� �J2�_� O�amerPhone fVumbor ,��'���'�'�"t <br /> Ormers Address lLJ�`"►J �O S+r-e..�''� Oamer Phono aomber _ <br /> Foo Simple TiBaholder Namo � Ov�mee F'hone Numbsr <br /> Fee Slmple Titloholder Address � <br /> JOBADDRESS S�i"� � 1 L. LOT� � <br /> �- <br /> SUBDIVRSlON L PARCEL ID� <br /> SOBTAINID FROtO PROPERTI TAII N0710E) <br /> IfdORK PROPOSED e New coNsrR 8 ADD/ALT Q SIGN Q Q �EMOIISH <br /> INSTALL REPAIR <br /> PROP0.SED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTiOPf Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP'f10N OF WORK � C � 1 � ��-` � -J��� r ��+ �"�rn �"1�` } <br /> BUILDIWG SlZE SQ FOOTAGE HEIGHT � <br /> QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> I QPLUMBING $ <br /> � ZI <br /> � <br /> 4MECHANfCAL a cJ3� VALUATIOhI OF MECHANICAL INSTAlLATION �/ ' � <br /> �,/� � <br /> ` � � <br />' �� Q ROOFING Q SPECIALTY � OTHER /' <br /> FIMSHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO !� <br /> � '� '..'w.'a,�i..°�" • e_'i�• e.,_s_e._e_,a..�4,-+� R-- <br /> B1tILDER COib9PANY <br /> SIGNATURE rz�is�xm Y/Id r�ctut�n Y/N <br /> Addrass Llcense S � <br /> ELECTRICIAN C0�7PRNY <br /> SIGNATURE �wsra�m Y/N �cutuen Y!N <br /> Addroas Li�nse i� I� <br /> PLUARBER COA7PAPIY <br /> A <br /> , SIGNATURE REGISTFRED Y/Pl F�ctat�aEn Y/RI <br /> qddross Li�nsa#3 <br /> � �c c P I\1l-T2ch t��r �} �i��cd-i� <br /> c,,� P1A7U cisre�n ! N �Cuwx� Y!N <br /> aad�� G s-�+e tZd 5 ���a C�le 1s��-1-� lp � , <br /> onieR co�waaw�r <br /> SIGNATURE REGISTERED Y/ Pf FEE cuRREn Y/N <br /> aeai8ss ucense#�� <br /> ACi61111tlllltllit & AAAo1A6191AiAH171109898@i � o � saoeeBC8AAY1SA81lA9 ! <br /> RESIDEPITIAL Attach(2)Plot Plans;(2)sets of Bulding Plans;(1)set of Energy Fomis;R-O-W Pertnit for new�udaw+. <br /> Rflitl(rt1Urt1 te�(10)wott�ng deys atter submiUe!date. Requited onsite,Construction Fl�ns�SfortnuEter Ptans ud S�t F�frs in�6�ed. <br /> SanNary FadfRies&1 dumpste�Ske Work Pertnit for subdivistonsllarge pmjeds <br /> COEAMERqAL Attach(2)complete sets of Bui{ding Pfans plus a Life Safety Page;(1)set of Energ7l Fwms.R-O-W Perma far new�eSon. <br /> Mfinimum ten(10)�ng days after subrt�dttal date. Reqiered onsite,Cotsstrudion Plans,Startnwater Pl�s w/Sdt Fence Ins�tSed, <br /> San'itary FadGUes&1 dumpster.Site Wah Pertnit for ell rrew pra;eds.Alt commerdal iequlremeMs must rrraet cwnpli�ce <br /> SIGN PERIHIT Attach(2)sets of Enefneer�d Plans. <br />, ""PROPERTY SURVEY required for all NEW conshudion. <br /> e �a�.a.�F_r�..x..a�.a�-. <br /> Directlons: <br /> FiB out appGcatiun completefy <br /> Owmer 8 Contrador slgn badc of appliptian,nMarized <br /> If ovor 525a0,a Nodco of Commoneement is roquired. (A(C upgradea oaer S7&aU) <br /> " /�errt(for the contractor)or Power of Atiomey(for the awne�would be somoane wfth notarized le[tur fmm owner euftwt�rtg ssms <br /> OVER THE COUNTER PERMITTiNG (copy of contract required) <br />' RerooFs ff shingles Sevrers Service Upgrades A!C Fences(PIoVSur�eyiFoatag�) <br /> Dtfveways-Not over Counter if on public ro�clways..needs ROW <br />