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� I <br /> ; <br /> � 813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildinp Dapartmonl <br /> Deto Recolvad <br /> T�T 5 �2 ?�� Phone Contact far Pertnit�� � � �� ��8� _ _ <br /> � OwnorsName {N�E1/ t r. O�mer Phone Number , <br /> Owners Address 'C6wner Phone Numbor Z 12 � <br /> Fee Slmpfe Titleholder Name Oemer Phane Numher <br /> Fea Simple Tillehotdar Address <br /> JOB ADDRESS �S V� COC NE'C� D� `C �.+ ��\ NeI a LOT# � <br /> SUBDIVISIQN PARCELIDq �3 2� 2'1 �� �� 036�� 'D�oO <br /> (OBTA�IJED FHO51 PROPERTY TA7C t:OiICE) <br /> WORKPROPOSED tvEVlCONSTN ADD/ALT 0 SIGN Q Q DEf.40LISH <br /> � INSTALL B REPAIR <br /> PROPOSED:USE Q- SFR Q- COt.4.7' �. OTHER <br /> TYPE OF CONSTRUCTION �, BLOCK Q FRA1.1E Q STEEL Q <br /> �ESCRIPTION OF WORK yJ �{p ♦ t�r! 'C -r �V�6,\�1r�11, <br /> BUILOING SIZE d1L SQ FOOTAGE I HEIGHT � � <br /> T'Y`�im!/aP`�Pf—i�t—i-1—�f—i�f-1—I�I�i'1-1—i-1 i� � � �f i i�i��f�1=TPf.�f��f i"—i�T��(�f i"�i��i'� <br /> QBUILDING. S b DOO VltLUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL S L lU.1P SERVICE Q PROGRESS ENERGY Q W.R.E.C. ���� <br /> b2 cbm � (� Z �//� <br /> QPLUHBING S ��v � tf � I _ � <br /> Qt.1ECH11NICAL S �Q+� �a� VALUATION OF L7ECHqN�CAL INSTALLATION �' � �" �iT�� <br /> v T /q/� ���!(F� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER 2 � � �/""�� ��q�¢,•f�;� <br /> FINISHED FLOOR[LEVATIONS � FLOOD ZONEl1REn QYES NO ��� W 1• � <br /> 11� <br /> a�:a�.:�s�s-:-w-a-N- �+-��s�..u��e.a.ua..�a-a-�e�� � � i <br /> � i <br /> BUILDER. COMPANY- . !1 �•(�fa'�� <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N � � <br />� ' Y ��13f+'f�/ <br /> Addross Z�J.� /v. fi����s 17�+ ��TO L����� Licensei! , I <br /> 1 � <br /> ��zs �" n �' <br /> ELECTRICIAN ���p COtdPANY `T <br /> SIGNATURE L REGISTERED Y/N FEECURRE� Y!N V U <br />� ���Z�� <br /> QO,�' Addre _ License# I <br /> P� PWM�ER �(J(� I �nl CO!APANY , <br /> �i5�� SIGNATURE �"�� REGIS7ERED Y I N FEE CURREI. Y 1 N <br /> �� � � <br /> Address Llcense� <br /> ��� �2 ,�. <br /> ���� � ' MECHANICAL '�p j��Z,�'u��.i/l� COMPANY � I <br /> SIGNATUR� ��� �� REGISiEREO Y-/N FEECUftREn Y/N <br /> P Iz s�u J � Address License N I <br /> P^�' �i7 9 , <br /> J_ 0��' i 8 OTHER COIAPANY � <br /> g�3�� y SIGNATURE REGISTERED Y/ N FEE CURREP Y/N � <br /> �� I <br /> �SS,yM' Address License� � <br /> cJ 4411-444► 1-6411�441-LI-I 1�41111-I�1�1-1-11-I�I FF11-1�1-11-11-1-41-611 41-1-11 FI�1�1 F11-1 I-I-1-11� I <br />, RESIDENiIAL Allach(2)Plot Plans;(2)sels of Building Plans;(1)set ot Energy Forms;R-O-W Permit for new consWcUon, I <br /> GTinimum ten(10)e,rorking deys a0er submillal date. Required onsile,Conslruclion Plans,Slortnrroter Plane��d Sill Fence installed, <br /> Sanitary Fadiities 8 1 dumpster,Site Work Permit for subdNsionsllarge projecls <br />, CO�dIdERCIAL- Ailach(3)'compfele Sels:ot Buildiog:Plaris:plus a:Life Safety.Fage;(1}-sel dLEnergy.Forms:R=0-W PermR tor nevcwnstnidion. � <br /> Minimum ten(10►nrorking days aner submiltal date. Required onstte.Conswcllan Pians.Stormvsler Plans vr!STl Fence Installed, ' <br /> Sanitery FaciliGas&1 dumpster.Site Work Permil for all nea�pro;ects.AI commercial requlrements musl meal compliance <br /> SIGN PER611T Attach(2)sets ot Engineered Plans. i <br /> \ ""PROPERTY SURVEY ruquiretl(or all NEW consWction. <br /> �B-�F-1-1-F-h4.f�-6-at�5#�Fab�1-f-lh�L•FI-1-rb�4d�M-l-�l-l-l-1-l�I�b-��M�k�' I�M�d�b-�1-I�I�k�� � <br /> Dlrectlons: i � <br /> Fill out epplicafion completely. ; <br /> O�mer 8 Contrac(ar sfgn back aI applicaUon,notarized ' ; <br /> It-over-52600;a Notice oFCommenoemenl-Is required: (A!C upgroUes over37600) '� i <br /> •' Agenl(for the wnVaclor)ar Pmser o(Allarney((or tha ovmer)e.nuld be somuono vrith notarized letter from m:mer authorizing same � <br /> � OVER THE COUNTER PERfdITTING (Front of Applicalion Onty) f <br /> , Re�oofs itshingles Seefcrs. SeMce Upgrades A/C_ Fences(PIoIlSurvey/Footege) � <br /> I <br /> Driveways•�ot over Counler H on pubtic roadvrays..needs ROW . i <br /> .. � • . I <br />