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d <br /> � � � - � l�v -- 8��j <br /> � �� j 813-780A020 City of Zephyrhills Permit Application Fe�t-B1378Q�0021 <br /> � � Buttdlnp C7epsrtr»ent <br /> � t <br /> ' � n.m r�n�a 2.$ l l� Phone Contect tm Permitdn �� _ �j'i ���. <br /> IOwn�rs Neme � �--� �4�� Owner Phone Numbar 3 �:_,7"' � 3� �gt7 <br /> Ownsfs J4ldnss �' f S i'+I t�'�t� �lC..i Y'�' Ownar Phm�e Numtter � � <br /> , Ps�Slmpie Tklehotde Nam� `��� � Owner Phone Number �� <br /> i <br /> I �„1 f � <br /> F�w Simple 7Mleholde Address <br /> i � �JQ8 ADDRB88 r,J�I /► I J� ^3 2? � � I.OT# <br /> 9 / �^ <br /> � SU8Di1t�S10N �l'�� ��!��- ('_ PARCE�IQ�R �S`'�J"'2,t "CTC7,SU—G�1°.�t�t,T(���:w� <br /> (OB'fNNID FltOY P7YOPQiTY TAX NOSfC� <br /> WQRK PROPOSED e NEW CAN5TR 8 ADD/AL7 [� SIt3N Q Q DEMQLISH <br /> lNSTAIL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRU bH Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPiION OF W RK I� e MJ^2 � cr� Td+� �-- S�e 5�� � I�� Sy��'�^�^- <br /> BUllt?IN4 SIZE SQ FOOTA{#E[� NEI{iHT �� <br /> QBUIl.UING �� VALUATION�F TOTAL CONSTRUCTION <br /> QELECTRIC � AMP SERVICE Q PROGRESS ENERGY Q W.R,E.C. <br /> QPLUMBfNG (;S� <br /> L <br /> �MECHANI � f_a�� VALtlATION OF MECtlANICAL IN5TALLATIOht <br /> Ul <br /> QGAS Q ftO0FIN0 � SPECIALTY Q OTHER <br /> FiNlStiEQ fLOOR EL AT14NS �� FCOQQ 24FtE AREA QYES N4 <br /> BUILCER COMPANY � � <br /> SIGN/1TURE REQI9TFRED Y/N �cuwts� Y/N <br /> Addrsas license#� I <br /> ELECTWCtAN COMPANY � <br /> 3ltiNATURE REC3ISTERED Y!N t�cURRs+ Y t FI <br /> Address Ucense# I � <br /> PLUMBER COMPANY � � <br /> SIONATURE �olsTer�o Y 1 N �cuRREr Y/N <br /> /4ldress LtGenss# ( � <br /> MECMAt{tGAL ���,__�J � COPAPAtiY � <br /> 816NATURE �u`Y rtE��sza�sa Y i N �au� Y!N <br /> �a►� - �c� � c� _T�z- �-� ��,�# C�� ,&�68��i � <br /> OTHER. COMPANY <br /> SICiNATURE REGISTERED Y,l N �cUR�n , Y I N <br /> naaress ucenae#�_ � <br /> f'1'1 Tl 1"1 t f'" 1"1-1 TI'I'1 1-1 M7'-1'f-Y t'1"I TT 1 1"1-1"1 I77 1 Il I-1"1 I 1 1 T► 177 I T 11-1 1 iTf'TI 1 7'i"1't <br /> �s�aer��at. {z�Q�ot aians,{2)sets oi 8utiding Plans�{i}set ot energyr�orms:�e-aw ae�mrc ror naw co�as,a�on, <br /> inimum ten(10}tiw�dng dsys eRet suhmtttei date. RequUed ortstte,Constrvctlon Ptans,Stormwater Ptana w!S3tt Fence Inetelted, <br /> ftary FedlNfas&'I dumpater,SRe Work Permk tor eubdivislons/large proJecte <br /> COIAMERCW. ch(3)eomplete seffi af Butlding plena plua a LHe Satety Pege;(1)set a}Energy Fams.R-Q-W Pertnft tor new a�nstrucUan. <br /> !n(mum ten{!0)warldng days aftet subm3ttai dste. Rsqu3red cnsite,ConstntGian Plans,Stomswater Ftsns wi Slii Fance 1m�811ed, <br /> (tery FaditNes 8 t dumpster.Ske Waic Perrnk for aii new proJects.Aii commercia!requiremetrts must mset cor»pilanca <br /> SIQN PERMIT ch(2)sets of Englneered Plans. <br /> PROPERTY SURVEY required far au NEW constructlon. <br /> Dlnctlons: <br /> Fllloutepplica comp{etely. <br /> Qwner 8 Con eta^slgn beck ot spplica8on.notat�ed <br /> M awr 52500, Notke of Commeneeme�rt is reqnirod. (NG upgrades avar 57500) <br /> " Agent(fo�`the treCtor)or Ppwer of Attomey(for tfie owner)would be someo�e with notarized letter from owner authwWng seme <br /> OVER iME tAtl R PERNiTitN{i (Front ot Appfkallon Only} <br /> Reroois N ahingtes Sexrers Servtce Upgradea AlC Fencas(PfoUSurveylfoafsge} <br /> Drlvew�ys-N over Courrter H on publlc roadurayrs..needs ROW <br /> 1 <br />