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. . = , <br /> � d :� — " l�v — Oo'�j <br /> 813-7844020 City of Zephyrhills Permit Appiication Fez'8�3'�80-0OZ� <br /> Building Depertrnent <br /> Data Reeehred � � � � Phone Contect for Permittln r� l��7� - � -6 1 h <br /> Ownds Name 1 1 �, 1�L Oamer Phono Numbv ������� �/� <br /> Ownd�Addras �"� � �i � Owner Phono Numb�r <br /> FN Simple Titleholdo Name Owner Phone Numbar <br /> FN Simp�e Tftleholda Address <br /> JOB ADDRE33 ��� ( S J ��. LOT i1 �/� <br /> SUBDMSION e-� ` '-" �""'�I���{ PARCELIDA I' �P 3� ��lO' (NC ���� <br /> loeT�ut�o Faar rrtoaFxrr T�x Monee� <br /> WORK'PROP08ED e NEw CON57R e ADD/ALT [�] SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON3TRU ON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF W RK �1 `�—CJ��A.7�� CS1� oZ l.��9 i�S LP 7~b� -�' /•S �Q}� I S S�JZ ��I <br /> BUILDINO SIZE SQ FOOTAOE� HEIOHT � <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> QPLUMBING S <br /> �MECHANIC E�)L{�� VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR AT10N5 FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> g�GNATURE �cisT�eo Y/ N �cura� Y/N <br /> Addross lJeense# <br /> ELECTR�CIAN COAAPdWY <br /> g��,N/►7URE REGISTERED Y/N �cu� Y/N <br /> /�d� Llcense# <br /> PLUMBER COMPANY <br /> $�(;��� REGISTERED Y/N FEECURRET Y/N <br /> Addnss Llcense# <br /> MECHAMICAL CONIFANY �-�"�`�"1e� <br /> SIGNATURE REGISTERED Y/N �cunrt�n Y/N <br /> �d� ��o +� Ca�� � u�� � I�1(v�'I � <br /> OTHER. COMPANY <br /> SIC�NAiURE REGISTERED Y/N �CURtta� Y/N <br /> Addfqs License# <br /> t-�"f�'7'1 Tf f- 17-1"1"1'i 1 f7"17-1-f"TT(TTT�I l'il 1 77 f Il I-t-f'fl"7 Tf ITl f T l 1-TTT77T7'i i"7"1'i' <br /> RESIDENTIAL ch(2)Plot Plans;(2)sets oT Bullding Plans;(1)sat M Energy Forms;R-O-W Pertnil tor new construcUon, <br /> Inimum ten(10)working days elter submitlel date. Requirod onsfte,Constructlon Plens,Stwmuveter Plane w/SIR Fenee Instetled, <br /> itery FeeflNles&1 dumpster,Site Work Pertnit for subdhrisionsAarge projeeta <br /> COAAMERCIAL eh(3)complete seffi of Buftdinp Plens plus a Life Safety Pege;(1)aet of Enerpy Forms.R-4W Permft fcr new consWctlon. <br /> inimum ten(10)vvaidng days after submittal date. Requlred u�slte,ConatrueUon Pians,Stormwater Plans w/Sift Fence instelled, <br /> itary Fac➢Poes 81 dumaster.Ske Work PermR for all new proJecfs.AII commerdal requiremerds must meet eompltance <br /> 31GN PERNR eh(2)sets of Engineered Plens. <br /> I OPERTY SURVEY required tor all NEW ca�atrut�on. <br /> DUretlons: <br /> Flq out appliea eompletety. i <br /> Owner 6 sign badc of epplimtlon,notsttred <br /> M over i2500, Notleo of CommeneemeM is rsqulred. (AfC upgredes over s7500) . . <br /> " qgent(tor the tractor)or Power of Attomey(for the ownar)would be someone with nofarized letter from owner autl�wiang same <br /> OVERTHE COU R PERMITTIN6 (Front of Appllcetlon Onty) <br /> Reroot6 H ahingles Sewers SeMce Upgrades AlC Fences(PIoUSurvey/Footage) <br /> Drlvmways-Na over Counter H on publie roadways..needs ROW <br />