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, <br /> � ! � - " I�v - oo�l <br /> s��-�aaoozo I City of Zephyrhills Permit Application F�-���-��� <br /> +,� Y Buflding Dapartrnent <br /> ` . Date RaeeMd l '�—� �p Phone Co�Heet tor Permlftln [`l�J `'Cv � — / ` �Z <br /> ow�.r,�. - a f�'1 A S S� Owner Phone NumMr ���'�3 0��3�� <br /> Own�ta/lddrqs � � —1 ���� Owner Phone N�onb�r <br /> FN Simple THleholde Name Owner Phone Numbar <br /> FN Simple Tifleholde Address <br /> JOB ADDRES3 �� + S /� ST���� LOT� � <br /> suenmsiow PARCEL IDi � '� �o�'�'����`" O�S �—D 1 <br /> coer�n rraor vRorernir�x�wnc� <br /> WORK'PFtOP08ED e NEwcANSfRB ADDIALT Q SION Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> 7YPE OF:CONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> I DE8CItIPTION OF W RK f` t�'�p�� D�G�`LJ viZIC <br /> BUILDINO 81ZE SG FOOTAOE� HEIOFiT � <br /> iQBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C. <br /> � QPLUMBING S �� <br /> � QMECHANIC 5 VALUATYON OF MECHANICAL INSTALLATION �'x `�� <br /> �O�c� � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> � <br /> FINISHED FLOOR ATiONS FLOOD ZONE AREA QYES NO <br /> i <br /> BUILDER COMPMIY <br /> SIGNATURE rtEcisT�o Y/N �cuAae� Y/N <br /> �ddr... u�� <br /> ' �ctwcuw con�Pa�n <br /> SIGNA7URE REGISTERFD Y/N FEECURHB� Y/N <br /> Addross Llcense# <br /> PLUMBER COINPANY <br /> SIONATURE REGISTERED Y/N �Cuwt� Y/N <br /> I <br /> Addr�ss Lkense# <br /> IIAECNANICAL CWIIPANY � �+"��/ '�S' <br /> SIGNATURE REGISTERED Y/N �cuw� Y/N <br /> Addrosa J� �CQ� � License# �d � <br /> O7HER COMPANY <br /> SIGNE�TURE r�cisT�o Y 1 N �cuRrte, Y!N <br /> Address LJcense# <br /> 1 1'1 17 TiT I- 1-1'77"I-i i 11-1-I-1 fi'i-i(TTI �1'il 1'77 f 17 ff-I f'T7 TT 1"T7 fT 11-71'iTTTI'1 7 1_i i <br /> RESIDEN7fAL ch(2)Plot Pians;(2)sets of Building Plans;(1)set o1 Enengy Fortns;R-aW Permit for new eonstruetion, <br /> ; Inlminn ten(10)woddng deye�Rer submNfel date. RequNed ormlte,ConatrueUon Plans,Stormweter Plarre w/Slit Fenee Instelled, <br /> nitary FedlWes 81 dumpster,Site Work PermitforsubdivialonaAarge proJaeta <br /> � COMINERCIAL ch(3)complete seffi ot Buildinp Plens plua a LKe Safely Page:(1)set of Enerpy Fortns.R-aW Pertnk tor new eonstructlan. <br /> � inimum ten 10 after submittal date. uired a�site.Construetlon Plans,Stortnwater Plans w/SIft Fenee insfelled, <br /> i ( )xwrkin8 deYs Re4 <br /> i ifery FaeOkles 81 dumpater.Ske Work Permk for all new prajeds.All commerdal requfremeMs must meet compllance <br /> I $IGN PERMR eh(2)sete of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW canstrudian. <br /> I <br /> Dl�etlorti: <br /> Flq out applica completety. <br /> Owner 8 eign beck oi epplieatlon,notadzed <br /> If Over�'L50D, NoHe�of CommerrcemeM ia roquirod. (AIC upgredes over i7500) <br /> " Agent(Tor the traGor)w Power ot Atcomey(iw the o�mer)would be someone with notadzed letter from owner authwizing same <br /> OYER THE COU R PERMIT�iNfi (Front otHppllcatlon Onty) <br /> Reroois If shinglea Sewers Servfce Upgrades A/C Fences(PlotlSurvey/Footege) � <br />' Driveways-No over CouMer If on publlc roedways..needs ROW � <br /> L <br />