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<br /> s��-�eaoozo City of Zephyrhills Permit Appllcation F�a-e�a-�eo�2�
<br /> � r , Bnitding Depertrnent
<br /> „ Y I "wa►R�twa — �. /�7 Phon�CoMect far Permitttn �3 4 b'7 _ RY�Z
<br /> o,�.r,�,,. � t� ►n►-►--� �� ►a � Owner Phone Numbv �0.3'�i J 7'o i''3
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<br /> �p���������,,,�� �����������,,, ,���������„
<br /> GwnEts liddnss � �J��b �`� �'/"�`- Owmer Photro Numbsr
<br /> FEt 151mple Trikholde Nam� � � Owner Phono Numbar r! �
<br /> � FN SImpN Tttleholdr Addross
<br /> �o��or+�ss ,�"?S�3 � �-.t.l 1�2 9 �"e Los� ��
<br /> susoms�oK R-,'�v n �r2�� P,v�c�4�o� .��3 S�� /"7�— b U 6U-0`�'1 S�p
<br /> (OSTNNEDF7tOM PROPEItTYTJUCNOTiC�
<br /> W4RKPROP08ED e NEWCONSTRB ADD/AI.T �] SIt3N Q Q DEMOLISH
<br /> iN3TALL REPRIR
<br /> PROPOSED tISE Q SFR Q COMM Q OTfiER
<br /> 7YPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL [�
<br /> DESCRIPTIQN OF W RK ���� �� � ,.o�__�'" 3� � TZ�� / ',$�a�..- f-�P 1� f..>>7
<br /> � 9ttl4DIH{i 8tZE 54 F04TAOE� HEIt3Fii �_�
<br /> QBUILDING � ypyUATION OF TOTAL CONSTRUCTION
<br /> QELECTRI �� AMP SERVIGE Q PROORESS ENERGY Q W.R.E.C.
<br /> Q�.ur�six� �"—"_.� ��� �
<br /> L._.. _J �� �
<br /> �MECHANtG '� � � VAlUATtON QF MECHANICAL lNSTALLATIOH
<br /> QGAS Q ROOFINf3 Q SPECIAL7Y Q O7HER
<br /> FINlSNEQ FI.QDR ATIONS �� FLOOA ZONE AREA QYES NQ
<br /> BUILDER COMPANY �
<br /> SI(iNATURE r�GisT�n Y/ N r�cuw3a Y/N
<br /> Addr�ss ticense�1 1 �
<br /> ELECTRICIAN CQl1PANY �
<br /> SIGNA7URE RECiIStERED Y 1 N �cu� Y t N
<br /> Addross Llaense#�� ��
<br /> PLUMBER � CUMPANY � I
<br /> SIONA7URE ,,.,,,,.._,,,,,,,,,,,.,, neoisTe�o Y/N �cuRpE7� Y!N
<br /> „ „ „ , . , „
<br /> �aarua ucense#� �
<br /> NECFUNICAS. ����"y� COri1PANY '� ��/�+�� C� �
<br /> StiiNATURE rx�atsT�n Y/N �cuwta+ Y 1 N
<br /> Addresa C!\O � C��.•'I� �. �/�.. Llcense# l._1�G� �CYd /`7�
<br /> OTHER. CQMPANY �
<br /> SIGNATURE r�41st�D Y I N �CURRa Y/N
<br /> Addr�sio . Licenae#i �
<br /> 1"1"I1T1'7 f r 1'1..1 1"1'I T f-1-1-1-1-f-Y'Tt'(T'1 i l l"i7 f17 I 17 1-f`I I17 Ti l t"7 It 11-11 i fl"T7't 7"i"i`i
<br /> RESIQENTIAl. Ch{2j Plof Pians;{2)sets ot 9u0ding Plans;(1 j set of Energy Fom�s;R-O-W Pemtft for new tnnstrudio»,
<br /> tnimum tan(tOj x�tdng days aRer submittai date. Required onstte,Conahudkn Ptans,Stormwater Ftans wt SEtt Fanoe lnatalled,
<br /> ICery FeeiliUes&1 dumpster,Site Work permit for eubdlviatonsAarge pra)eGa
<br /> COMMERCIAL (3)complete aeffi M Building Plena plus a Life Sefety PeBe;(1)set ot Energy Forms.R-O-W Permft fW new cansWctlon.
<br /> Inftnum ten{t0)woAcing days atter submifta}dete. Requhed onslke,Canshudion Plans.Stormwatar Pfans wl SIK fance Instatled,
<br /> �tsry Fadtttlea 31 dumpster.SRa Wak Permft for aN new projects.Atl commerdei requiremeMs must meet eompitance
<br /> SION PERF111' ch(2)seta of Engineerod Plans.
<br /> PROPERTY SURVEY requlred for ell NEW constntc6on.
<br /> Dinctlons:
<br /> FlII out epplieafl completey.
<br /> Owner d� s►gn track W appfcatlon.noterized
<br /> !t owr t223U0. Notita af Commenp�merrt ta roquircd, {NC upgrodes avar iT34D} ,
<br /> " Agent(Mr the irgCtor)or Power oF AComey(fw ffie owner)would bp,sameona with notarfzed letter from owner authorizing sama
<br /> OYER iHE COU R PERAS11TiNt3 (Fcont of Appitcatlon QNY)
<br /> Reroafs(f shingtes Sewers SeMce Upgrades NC Fenees(PbUSurvey/Footsga}
<br /> Drlww�ys-Na over CouMer N on public roadways..needs ROW ,
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