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,^ <br /> � � .� - i�so - 6o"z� <br /> :.It z ��_ 81378Q0020 City of Zephyrhills Permit Application Fax-813780-0021 <br /> - ' ' Buflding Departrnent <br /> � 'i� <br /> o,a R�.n�.a �� �,/ Phone CorHeet for Pmnittln �13 �6-� - 9 y� Z <br /> p��ri�� �D Q.P� ��}S (.(e'� Owner Phone Numb�r / ' 7�7 ���3 <br /> Own�rs/Pddr�ss 7 d� �d� ST Owner Phorro Numbv <br /> FN Simple Titleholde N�me Owner Phone Number <br /> FN SImpN Tltlehold� Addreu <br /> JOBADDRE33 4 a (I � v 1 �Pe-T LOTA � <br /> SUBDM810N � � ��P�£ PARCEL IDN � ���/ � �QUO�'�Y�� <br /> (OBTAINm FROY PROPERIYTAX N0710E) <br /> WORKPROPOSED B NEWCONSfRB 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 /> DESCRIPiION OF W RK A C�A-.J -O� o� TO� /i'( SC'N/�S L' �6�-J Z�v'I-/L� <br /> BUILDINO 8¢E SG FOOTAOE� HEIOHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING S J � � 7J l <br /> �MECHANIC E VALUATION OF MECHANICAL INSTALLATION <br /> � r <br /> S3�O �S.' <br /> `� S' <br /> QOAS Q ROOFlNG � SPECIALTY Q OTHER T <br /> FINISHED FLOOR EL AT10NS FLOOD ZONE AREA QYES NO <br /> BUILDER COAAP/WY <br /> 91GNATURE REGI9TERED Y/N �cu� Y/N <br /> Addnu LJcense# <br /> ELEC7RICIAN COMPANIf <br /> $IGNAIIIRE REGI9TERED Y I N FEE CUt1RB� Y/N <br /> /uldnss License# <br /> PLUMBER COMPANY <br /> 81pNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Addras Lleettse# <br /> MECFUWICAL CONpANY u� S-e(��ICe S <br /> SIONATURE REGISTERED Y/N �cuart�n Y/N <br /> Address 0 C �� �'-- License# ��Gf 1� � <br /> OTHER. COMPANY <br /> SIGNA7URE Recisr�o Y!N FEECURRB� Y/N <br /> Addnss Llcenae# <br /> n-�nrrr r n-�rrr� �_�_�._rrrrrrrr7� rrri r�T� n �_�_�.�.�..�.rrrr� rr� ���rrrn i r�-ri <br /> RESIDENTIAL ch(2)Plot Plena;(2)sete of Bullfing Ptena;(1)aet of Energy Fortns;R-O-W PertnR for new eonsWetlon, <br /> INmum cen(10)woddng days eRer submltfal dam. Requlied areRe,Conshvetlon Plens,Stortnwater Pla�w/SIR Fenee Inatailed, <br /> Mery FeeOitlea R 1 dumpater,SHe Work Pertnit for eubdlvialonsAe►ge proJeete <br /> COMMERCUL (3)complete seta af Buflding Plena plua a Life Setety Page;(1)set of Energy Fams.R-O-W Pertnft for ne1N canstructlon. <br /> Inimum ten(10)worldng daya after aubmktal dete. Requlred a�ske,ConaWetlon Plans,Stortnwater Plans w/Slit Fence Installed, <br /> kary Fae�itlea 81 dumpster.SRe Work Pertnkfor all new proJects.AII commetdal requirementa must meet eompllance <br /> SI�N PERMR ch(2)sets af Engineaed Plans. <br /> PROPERTY SURVEY requlred for all NEW consWdian. <br /> Dlr�etlan: <br /> I FlII out applieatl eompletaly. <br /> Owner 3 etor sign badc ot apqleatlon,noterized <br /> M over s2500, Netld of CommeneemaN b requirod. (AIC upgredes owr S7b00) <br /> " Agent(for ihe Qor)or Power of Attomey(Tor the awnar)woutd be someone wRh notarized letter from owner authwizing same <br /> OVER THE COU R PERMRTING (Fmnt of Appllcetlon Only) <br /> Rerootb H ahingles Sewers SeMee Upgradea A/C Fencea(PIoUSurvey/Footage) <br /> Drivew�ys-Na over Counter Hon publle►aadxays..needs ROW <br /> \ <br /> l <br />