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� I :� - � I�l� - �oZj <br /> 81378Q0020I City of Zephyrhills Permit Application Fex-813780-0021 <br /> �� <br /> Bullding Depar6nent <br /> .Date Raeelved 3 � Y Phone ConfeG for Permfltln O�3 �/O 7 _ �'1 t( 7 Z <br /> o�.r,�,o A-t�n�n �'} �r� s Ta�,.� Owner Phorro Number S I 3'4 t�5-535 3 <br /> Owmrs Addrw ��3 ��� S� (�P�� Owner Phorro Numb�r <br /> F�e Slmpie Titleholde N�me Owner Phone Number <br /> FN Simple T1Ueholde Address <br /> JOBADDRE93 S�e�3 � � 'F�' ST�e�T �ors � <br /> susnmsioN � 'Wti`^��`S PARCEL IDR �I�Z. •�f- oa i t�- !03�v- do 3 0 <br /> �oer�o FnoY PaoaExnr T�x Nonc�7 <br /> � WORKPROPOSED B NEWCANSTR Xe ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON3TRU ON Q BLOCK Q FRAME Q STEEL Q <br /> i DESCRIPTION OF W RK C � �C ._��✓l �•s �v"', ��-S2 e�� (-�� <br /> BUILDINO Slg SQ FOOTAOE� HEIOHT � <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING S �. � � � �' ( <br /> �MECHANI s � � 33 VALUATION OF MECHANICAL INSTALLATION <br /> �(',qg Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR EL AT10NS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY <br /> g�G�'N(� REGISTERFD Y/ N FEE CuaAe� Y/N <br /> Addross Licanse�! <br /> ELEC1RICIAN COMPANY <br /> g�Gp�/��� REGISTERED Y/N �curtt� Y/N <br /> Address Ucense# <br /> PLUMBER COMPANY <br /> g�p�NpE r�cisr� Y 1 N �cuar�n Y/N <br /> �dar.., • uc�# <br /> MECH/WICAL � � COMPANY �� SC'—��i C 2 S <br /> g�6��� �' r�cisTeA� Y/N �cuw�n Y/N <br /> Addrosa � D�O h� C 1�:'R�-['� P�"�!Q- Llcense# C �� � <br /> OTHER COMPANIf <br /> g��Np7�� �cisT�o Y I N �curu� Y/N <br /> qddr�s LJeenae# <br /> 1-1 1 17 1 1 1 f- 1-1-IT1 T1 1-f 17'l f-i 1�1Ti71 1 fil 117 f Il I-1-1 f11T7`I i'i IT 11-11 iTfTl 17'1-TI <br /> RESIDENTIAL ch(2)Plot Plans;(2)sets of BWlding Plans;(1)set of Energy Fams;R-O-W Permtt for new eonsWetlon, <br /> inimum fen(10)woridng daya efter aubmkmt date. Required onstte,Constructlon Plans,Stormwater Plana w/SIR Fenee inatelled, <br /> ftary Fedlities 81 dumpater,Site Work Permk for subdivislonallerge proJectn <br /> COMMERCIAL ch(3)complete seffi ot Buflding Plens plus e Life Sefely Page;(1)set a1 Energy Fortns.R-O-W Permtt for new construdlon. <br /> Inimum ten(10)woridng days after submittal date. Required onsite,Constructlon Piens,Stormwater Pians wl Sift Fence instslled, <br /> Hary Fadildes&1 dumpster.Ske Work PermR for all new proJects.All commerdal requirements muat meet eanpliance <br /> SIGN PERMR 4tech(2)sets of F_ngineued Plans. <br /> PROPERTY SURVEY required tor all NEW consWcdon. <br /> Dinctlons: <br /> ' FlII out appticatl completery. <br /> Owmer 3 Con etor aign baek of applfeatlon,notarized <br /> H over iZg00, Notlee of Commeneement Is rsquirod. (AIC upgredes over i7500) <br /> " Agent(for the Vector)or Power ot Attomey(tor the owner)would he someone with notarized tetter irom owner authorizing same <br /> OVER THE COU R PERMITTIN(i (Front ai Applk;etlon Onty) <br /> Reroofs ff shingies Sewers SeMce Upgrades A/C Fancea(PIoVSurvey/Footege) <br /> Drlvew�ys-N over Courrter if on publlc roedways..needs ROW <br /> I <br />