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' ` 1 \� <br /> � sisaeaoo2o { !�, ��� City of Zephyrhills Permit Appiication Fax-813•789-0D21 <br /> � � BulkJing Departrnent <br /> �^ j � �� <br /> ateRocoivod �-� � � phoneContaetforPnrmitUn �Z l 2Z l`-�,J�{� L/�" ' �/�'�! <br /> wnar'a Nama F�-��-(�A �S���L. µ=1-���.(7'� S Owner Phon fllan+be '�Sd3``7�2-1 ' <br /> wnefs Address �'lV �vE2e a E D Q. s�zso ��p�e Phone Number <br /> ea Simple Tttleholdsr Nama 5 A M C /kS Ofn1fJ� Ownsr Phona Number <br /> ee 8(mplo Titleholdor Address 'rJQ-M E 1� Ou�1NG�. <br /> oe ano�ss 7b sc� �-rA LG. S Wi� Z(i(4L5 L 335�{( LOT# � <br /> NBDIVISION PARCEL ID� <br /> �osrar+m Fao�a aimreanr�x Nonc� <br /> VORKPROPOSED _ � NEwCONSTR� ADDlALT Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE Q SFR � COMM � OTHER C L <br /> YPE OF COAI3TRUCTIDtd Q BLOCIC ' Q FRAME Q STEEL Q L�'� L <br /> )ESCRIPTION OF WORK C� dZEN pt/ATc ON � 0 2 i�1-� (ZEN o�/'A�'�o t�/ <br /> 3UILDIPIG SIZE �� "(1 A�(� 8Q FOOTAGE� HEIGHT � <br /> �BUILDING $ /f �j��f6UO ����AT�Q�FTOTALCONSTRUC710N �(Q�Od� O�D <br /> t I/ 1 <br /> �ELEGTRICAL § ��[}U O�vdV Z��Z R�CE��5� Q PROGRESS ENERGY Q W.R.E.C. � <br /> �PLUMBING $ l7to ,�r� <br /> l� �`� <br /> sod,Qoo �,��>. � x� `��� �a <br /> [�MECHANICAL $ �QQ'Oa� t V��AfTlON aF MECHAtdICAL INSTALLATION ��/ I 'U ^J��(�.t.� � <br /> l <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER � �{J/'� .� <br /> FINISHED FLOOR ELEVA7tONS FLOOD ZONE AREA QYES �NO �`" � <br /> C�{,�S <br /> BUILDER COMPAPdY 3 Rl+SFrEzD d--cr�.�r� �c�. 3 ��G <br /> SIGPIATURE REGISTERED /N FEECVRRE� N 1 <br /> ��� <br /> Address a�{l �! M�(LS� f3LVD W�f�'fE12 Q IC�Fl. 3Z'l�(ucense# �C lSoFlo6'7 co'�� <br /> r ��'" . <br /> ELECTRICIAN I COPAPANY ' �J�� <br /> SIGNATURE ' REGISTERED Y I N FEE CURRE� Y J N "f" <br /> Address License# �,� <br /> �PLUMBER � � COMPaxrK ti�^ r-L.�w,I�4Ch �.LC. <br /> SIGNATURE REGtsTEaED Y I N FeE araREA Y I N <br /> Address �cen5e# C�=t iy'd.Q$j� <br /> MECHANICAL COMPAPIY � e.^-�.i.rnbaeh LLC. <br /> SIGNATURE �'� R��sTepeo Y I N �cua�� Y/N <br />� Address Icense# �C,j�aag <br /> 'll,n <br /> OTHER S.�C__,� �RE�GnSTEFim Y/N G�uRti� Y!iV��i �Z <br /> SIGPIATUR�"�' <br /> ���3 �l u5�' �4t °c ��� {�. ucense#• CCC037013 <br /> RESIDENTIAl. Attach(2)Plot Plans;( sets of Bunding Pians;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> AAnlmum len,(10)warking daya after submittal dete:Requlred onsite,Eonstructlon Plans,Stormwater Plans w!Sflt Fence Instalted. <br /> Sanitary FeclllUes�1 dumpster,S)te Work•Permit tor subdivls]ansAarge proJecls <br />, COMMERCfAL Altach(3)complete sefs of Buildirig?lans plus a Life Safely Page;(1)set of Energy Forms.R-0-W Pertnit for new eonsWcUon. <br /> Minimum ten(70)working days'aker suhmltlal date. Required onsite,CoasWetlon Plans,Stormvrater Pians w/SDt Fence Installed, <br /> Senitary FadliOes 81 dumpster.Slte Work Permit for all new proJects.All commerdel requir¢ments must meet comp►lance <br /> S1Gtd PERMIT Attach(2)sets of Engl�eered Plana <br /> ••••PROPERTY SURVEY requlrad foratl NEW eonsWction. <br /> Dlrections: <br />' Ffil autapplicadon completely. <br />' Owner&Contractor sign back of appllcatlon,notarized <br /> If ovar$2500,n Notiea of Commencement la requlrad. (AIC upgrades over 57500) <br /> " Agent(for tlta contractor)or Powar of Attamey(fot ihe owner)would be someono w(th notarized letter frnm oumer authorizing same <br /> 'OVER THE COUNTER PERMI7�'ING (Frant of Appllpdon Only) <br /> Reroofs If shingles Sewers Servlce Upgredes A/C Fenees(Plo!lSurveylFootage) <br /> Driveways-Not over Counter if on publlc roadways..needs ROW <br /> �___ __..______-__-_--_�� _. .'h <br />