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! � ! 3 - " 1�v - �o�l <br /> 813-780-0020 City of Zephyrhills Permit Application Fez-813780-0021 <br /> ` ' Bullding Departrnant <br /> Date Reeehnd � �— ( , Phone Contect for PormNtln � ��7 — /1.�Z <br /> Own�ra Mam� C+ , C Y e�-� Owner Phom Numb�r ��3�7 8 g ��O��(a <br /> Ownd�Addnss � �-3,' , ��-' Owner Phone N�nnb�r <br /> F„Slmple TlUehold� Name Owner Phone Number <br /> FN SImpN Titlehold� Addreu <br /> JOB ADDRESS 35 i 3 Z �1� Y'1�l� LOT� � <br /> SUBDMSION Y�il � �'� PARCEL IDS I 2.-Z�+�Z I�O�2 A '(5D S CS� �60�� <br /> (OETAINID FROY PROPEIt}Y TA7(N071C� <br /> WORKPROPOSED B NEWCAN57R8 ADD/ALT � SION 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> DE8CRIPTION OF W RK ��C `�-�'A'� � � S �� ����-�� ��P <br /> BUILDINO SIZE SG FOOTAOE� HEIOHT � <br /> QBUILDING a VALUATION OF TOTAL CONSTRUCTION <br /> j QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C. <br /> I �\` <br /> I � <br /> QPLUMBING S � <br /> �MECHANIC E �y VALUATION OF MECHANICAL INSTALIATION � <br /> 1J <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR EL AT10NS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE rt�cis�am Y/N �Cuw� Y/N <br /> Addnss License# <br /> � ELECTRICIAN COMPANY <br /> i SIGNA7URE REGIS7ERm Y/N �cuatte� Y/N <br /> Address License# <br /> PLUMBER CONPANY <br /> SIONATURE r�cisrEaEo Y/N FEe cuRREn Y/N <br /> �dar... u�8a n <br /> IHECNANICAL �P/�y `� �2�tC1 C�S <br /> i SIGNATURE REGISTERED Y/N �curwen Y/N <br /> �aaro.. o Lc�rt�� �e_ u�# Ci�G►�1(0�I "i� <br /> I <br /> OTHER. COMPANIf <br /> SIGNATURE r�cistv�o Y/N �cuwie. Y/N <br /> Addnss Lieenae i� <br /> I�IT 1'7'TT I r 1-17 7"I T 1 1'-1-1 f-I fi'17'f TT i I 1 I l r7 7 1 17 1-1'I I'T7 T7 1 1-7 fT 1 1-i l ilTT7 1 7 1'1'1' <br /> RESIDENTIAL ch(2)Plot Plans;(2)sets of Buliding Plans;(1j set of Energy Fortns;R-O-W Pertnft for new eonsVudlon, <br /> ' Inimum ten(10)w�rnidng daya efter submftlal date. Requlrod orreite,ConstrucUon Plans,Stotmweter Plans w/Slit Fence Instelled, <br /> ! nftery FeeflWes 81 dumpster,Stte Work Pertnit for eubdMiaionsAerge proJeds <br /> ; COMIMERCIAL ch(3)eomplete seffi of Building Plens pius a Lifa Safety Page;(1)set o1 Energy Forms.R-aW Permft for new conatrucdon. , <br /> Inimum ten(10)vwrWng deys after submitfal date. Required or�sfte.ConatrueUnn Plana.Stortmvater PI&ns wi SItt Fenca Installed, <br /> j Ifery FaeOklea 31 dumpster.Ske Work Permkfo�all new proJeda.All commerdal requfremerds must meet eomplience <br /> SIGN PERNR eh(2j sets oi Enpineered Plans. , <br /> � PROPER7Y SURVEY required for atl NEW conaWdlon. <br /> i <br /> DlncUons: <br /> Fln art epptlea eompletery. � <br /> Owner 6 eign 6adc of applleaUon,noterized <br /> M owr f2500, Notld of Comm�neement is requlrod. (MC upgrades over t7500) <br /> " Agent(Tor the VeGw)or Power of Attomey(for the owner)would be someone xrith notarized letter from awner authwtring same <br /> OVFR THE COU R PERNAtTT1NG (Frvnt of Appllcatlon Onty) <br /> ReroofA li ahingles Sewers Serviee Upgrades AIC Feneae(PIoUSurvey/Footage) <br /> , j Drlveways-No over Counter fl on pubtie roadways..needs ROW <br /> i <br />