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; <br /> �' <br /> ; 873-78�� City of Zephyrhills Permit Applicatlon Fax$13-780-0027 <br /> � i.. � <br /> BuD�ing Depar4nerd <br /> � Data Racaived <br /> �� Phone Cor�aettor Pmmtttinp — <br /> �� fT�f f!"f f �+ �+_ f 1'f l"1 <br /> Ownera Netrte lr 1'�' r ��"'f� ��r1 Owner Phon�Num!»r <br /> �� own�S�wwdr� �3j� t`3� � Owner Phmn Numher <br /> , � Fee Simple Tit�hnlder Namo Owner Phon�Numb�r <br /> i� <br /> �, Fae Simple Tif�hoMarAddreas <br /> JOBADDRESS �F�5�'�'r� • •�k� ~ •SK [J:YL G�h LOT� � <br /> � 8UBDMSION PARCEL IQM <br /> i roeraxeo�rRorean r�x rmne� <br /> WORK PRQPOSED NEW CONSTR ADDIALT Q 31GN Q Q DEMOLISH <br /> ? Ii e UJSTALL B f�PPJR <br /> � PROP09ED U8E Q SFR [] COMM .� OTHER <br /> � TYPE OF CONS7RUCilON Q BLOCK Q FRAME Q STEEL Q <br /> � <br /> DE8CRtP770NOFWORK 1` c ,�C�+. ��n ` I�niF� ,S4i3 i� � rh�E ��h�o <br /> i BUILDINCi Sfg SO FOOTAGE� FIEIGF[i � <br /> �S <br /> �� �BUIlDINO <br /> I VN.UATION OF TOTAL CONSTRUCTION <br /> , �ELECrRICA� S AMP 3ERVICE ' Q PROGRESS ENERGY Q W.REC. <br /> � OPWMBING S ����� �} r��J�7� <br /> -r� YJ� • r <br /> QMECHANICAL VALVATION OF MECHANICAL INSTALLATION � <br /> � 0(�115 Q ROOFING Q SPECIALTY Q OTHER ii <br /> i; <br /> . FINISHED FLOOR ELEVATIOMS ROOD ZONE AREA QYES NO I <br /> l; <br /> BUILGER CpyppNy � <br /> i SIGNATURE r�ats�a�n Y/N �cuRREn Y!N � <br /> Address Llcr.nse� ,� <br /> r <br /> ELEC7RlCIAN GOeeParn � <br /> SIGNATURE rs�olsrateo Y/N FEe CU� Y/N ' <br /> � <br /> �� Addtesa Llcense# p <br /> I � <br /> � PWMBER , CQ►APANY <br /> ,� SIGNATURE Rfcj�BTEt� Y! N F�cuaRp� Y A N <br /> , 4 <br /> Addross �¢�� � <br /> MECHANICAL COMpANY <br /> �; <br /> 61(iNATURE �atv�u Y!N F�Ea� Y/N <br /> Addreas ucenea� <br /> OTHER �r CObIPANY (,� � "� ` �i1� �' Y <br /> SIGNAT�IRE r�oisr�m Y/ Fg cuwtEn !N ' <br /> Addnss LJcense# <br /> IIIII � II�IIIIII �IIIIIIIIIIIIIIIIIIIIIII��� I � IIIIIli111111t11 {11111111 <br /> RESIDENTIAL ACach(2)Plat Plans;(2)sets of Bullding Plans:(1)sei a!Energy Fwms;R-O-W Pertnft fo��eW CppgtrUcUpn, <br /> Mlnimum ten(1a)wormrg days atler submittal dete.Requirod oneile,ConetrucUon Ple�,Starmweter Plens w/Sitt Fence inateiled, <br /> 6anitery FecAlUes&1 dumpstar,Siba Work pertnitlw eubdfvlsioneltarpa pmJacte <br /> g CGAAMERCUIL Attach(2)�mplete seta of Bupding Plans ptus a LHe Safety Page;(1)set of Ene�gy Forma,R-0-W Permit fpr new oonsbucUon. ` <br /> NGnimum ten(10)wmke�g deys after su6mlual date, Requind auite,Constn�ctlon Plens,S[om�weter P�en.s arl Sqt F�ir�sm��ed, , <br /> Sanitary FadAies&1 dtunpster,Site WoAc PertnR tor ap new pojede.AA Commerqel requlrementa mwt meet cmnpllarne <br /> SIt9N PE�IAR Afiach(2)seta o}Ertpineered Pfen6. <br /> N <br /> •••'PROPERTY SURVEY requlred forell NEW eonsVuctlon. <br /> .���- - ��� � � � � � � ri� � ��ua.sa��r�� -aa- <br /> Di�ectlone:• <br />, Fi�aul appGcadon campldety. . <br /> O�hnar�Contractw aign beck of epplicetion,noieiized <br /> I; IT mr��f2590,�Notico ot Comm�numa�t le roqutrsd. (AIC upyradea over�75n0) <br /> �� " Age�t(for the caitractor)or Poxw of Attomey(for the owner)vrould be aomaohe with notarmed IeHer from owner authormny sema � <br /> OVER 7HE COUNiER PERMITTlNG (tapy ot contract�equued) <br /> Reroofs R ehmgles Sewere Servlee Upgrades A!C Fer�ces(P�oVSuneylFoot�e) " � <br /> � Ddveweys-Nat over Count�r M on pubac roedways.,neads ROW � <br /> il <br /> I . <br /> I � <br />