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i <br /> Sep 06� 16 06: 30p C B Hauling & Demolition 521-5915 p. l <br /> , :��i1 <br /> ; i saoa2o City of Zephyrhills Permit Application F�-a��-�ao-ao21 <br /> � � i Building Department <br /> I i . <br /> Qate Rece 3� 1 - �. I <br /> m Phone Co�ctfor Permktin <br /> Owners III IL�S- ` Qwner Phone Number <br /> awner's I� �.�- Wd 1� Owner Phane Number � <br /> I ' <br /> Fee Simpie: � ehotder Name � � Z Oxroer Phone Number <br /> i ..,._ <br /> � <br /> i " <br /> Fee 5im}t I : eholder Address <br /> JOBADD� ' [ �� �3� S� LOT� C� <br /> SUBDIV[I 1, , {/� 1.� PARCEL ID� �,p-`� � L""'�S W -a���a(�O <br /> � (OBTNNED FRWN PROPEFZIY TAX� <br /> WORK P 5En NEw CONs� ADD/ALT Q SIGN Q DEMOLISH <br /> I ' e IN S T A L L B RE P A I R <br /> PROPOSE ' E Q SFR Q COMM � OTHER <br /> TYPE OF C , TRUC710N; Q BLOCK � FRAME Q STEEL Q <br /> � <br /> DESCRI Tl , OF WORK ; � � I <br /> I � ' <br /> BUILAIN � I C�. � SQ POOTAGE �� FipGHT f� <br /> i � <br /> i�i , , <br /> i B �I 1NG $ f 1�r f9.1 �/p,�UATION OF TOTAL CONSTRtJC71QN <br /> � V <br /> I <br /> E 7RtCAl. $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> I <br /> i U 81NG $ <br /> Ii <br /> I M HANICAL $ VALUATION OF MECHANICAt 1NSTALLATION <br /> I � . <br /> OI I I Q ROOFING Q SPECIALTY 0 dTHER <br /> FINISHE�F OR ELE1/A710NS FIOOD 20NE AREA �YES NO <br /> � � <br /> I I . <br />� BUILDE ; COMPANY <br /> SIGNAT � REG�SrERED Y/ N FEE CURREn Y 1 N <br /> Addl I ' <br /> II i License# <br /> ELECTRIC � COMPANY <br /> S1GNA I RIE ' r��Is�re�n Y! N �cuwzEn Y 1 N <br /> Add I � UoenSe# <br /> i <br /> PLt1MBE � � COMPANY <br /> S�GNA I RE REGISiERED Y/ N FEE CUf�tET Y!N <br /> i <br /> Add i i License# <br /> i : <br /> MEC ; CQMPANY <br /> SIGNA�dI Ri ; r�psrr�teo Y/ N FEE CURRQ. Y/N <br /> i <br /> Lioense# <br /> OTHER '��,' COMPANY <br /> SlGNA I 12E REGtsTERED Y/ l�i FEE Ct1RR£n Y J[3 <br /> aaa :U,. ��� u��e u <br /> � � � �lii � � i � � � � � � � � � � � � � � � � � � i � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br /> RESIDE Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit tor new construdion, <br /> Minimum ien(10)�nrodcing days afler subm;ttat date_ Required onsite,Construdion Plans,Stormurater Plans wl Silt Fence installed, <br /> I I � <br />