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� I :S � 1�1U - 6oZ( ', <br /> e�a�ea�on2o I City of Zephyrhills Permit Application F�-���-��� <br />� ~ � � Q , Building Departrnent <br /> Da1e R�elwd �� / l0 Phone WnfadtorPtrmlftln 6/3 b� _ ��� � <br /> o�.r:r�.,�m o �s �C�� Owner Phoru Numbu �l 3—3�0'�(t��v <br /> owo.r,waa� a b I�IM�ha��.1 °�,3�ec� ,�a Owner Phone N�nnb�r �/,��,��p '���(� <br /> FN Slmple iftlehotde Nane Ownar Phone Number <br /> FN Simpb TlNehold� Addroas . <br /> JOB ADDRESS U��I S /' '�A O�Gt/f�:'� �vY� LOT d �� <br /> SUBDMSION ����e1"3W C L� PARCEL IDA I���•��'O l Y O �O�JDU 'G�.�7 0 <br /> (OBTAINm FROY PROPER�Y TAX N071Ct7 <br /> WORK'P110POSED B NEw CONSrR 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 OP W RK � C�1`1 � �� /� �E'�' <br /> BUILDING 81� SO FOOTAOE� HEIOFfr � <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C. <br /> QPLUMBING S ���� <br /> OMECHANIC S ,(f VALUATION OF MECHANICAL INSTALLATION 1. �� �{ <br /> ��� 3 � � V� <br /> �Qqg Q ROOFlNG Q SPECIALTY Q OTHER l� <br /> FINISHED FLOOR EL ATIONS FLOOD 20NE AREA QYES NO � � � �� <br /> eu��n�a caaPiwr S 7�,j <br /> 81GNATURE rtEcisr�rten Y/N �cuw� Y/N <br /> /Wdms IJeense t� <br /> ELEC7RICUW �P� <br /> 81GNATURE t��is�r�n Y/N �Cuata Y/N <br /> ,�d� LJoenae# <br /> PLUMBER �P� <br /> SIONATURE RE6ISTERED Y/N �cuRRB� Y/N <br /> Addnas License# <br /> MECFIANICAL CONPANY '��'--^—`t�S <br /> g�a��� �cisreREn Y/N F�cura�n Y/N <br /> �aa�.. � 10 l.� �Z3 vZ�L�� }�f u�se� / ! <br /> on�eR. co�P�wr <br /> sicw►Tur� r����r�o YI N �cura� viN <br /> �� Lkenee# <br /> T-IT 1-1 Tl f 77-1'T'i 7 1'f-1 1 1-1 �7'7-Tf iT i'1'1-T7 f 1 7 1 1-1 1-17 1 1 7 TT-fT7 I T I 77T TTTT7 I i17�7 <br /> RESID�N'IIAL ch(2)Plot Plans;(2)sets of BWlding Plana;(1)aet ot Energy Fortns;R-O-W PamR for new construction, <br /> Inimum ten(10)working deye elter submHml date. Required ondte,ConstrucUon Plens,Stormwater Plerm w/Sift Fence Inetetled, <br /> itery FaeO'�tlea 31 dumpeter,Slte Wak PermB for eubdhrFelonaNerge proJeete <br /> COMMERCIAL eh(3)complete seffi 01 Buflding Plens plua a Life Sefety Pege;(1)aet af Energy Fams.R-4W PertnR for new eanstruetlon. <br /> Inimum ten(10)worMng deys atter submfttal date. ReQulred a�site,Cona6vetlon Plena,Stortnwater Plans w/Slit Fence InsteAed, <br /> ifery Fae0ltlea 81 dumpater.Ske Worfc Permk for all new projeetc.AII eommertdal requiremeMs must meet aompUance <br /> 310N PERNR ch(2)cets o1 Fr�gineerod Plena. <br /> PROPERTY SURVEY requhed for a�NEW conaWcllon. <br /> Dir�etl6ns: <br /> ' FlII out eppliea eompletey. <br /> Owner d�Con aar eign beck of applicedon.nofertred <br /> M ewr i2500, Notip oT Comm�neemNrt b nqui»d. (AIC upa►edq ov�r S760D) <br /> " Agent(for ihe ctor)a Pmver oT Attomey((w the ownar)vrould be someone with notarized letter from owner aufhorizing seme <br /> OVER THE CO R PERMRTING (Frmt of Applkatlon Only) <br /> Reroois if ehingles Sewe�s SeMce Upgradea A/C Feneea(PlotlSurvey/Footage) <br /> over Courrtw H on publlc road�rays..needs RaW <br /> f <br />