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,. ` 813-780-0020 City of,Zephyrhills Permit Application Fax-813-780-0021 <br /> l Bui ding Department <br /> c <br /> � ( o�w�.iv.a <br /> � Phom Cor�a!tar P�rmltlln 813 �8 _ 0131 <br /> � � � � � � � � � � �4 � <br /> O�m�r�Nun� Duatln Eeds Owmr Phon�Numb�r (813)377�981 <br /> ����d� 580518th 3treet Zephyrhllla,FL 33542 Owno�Phon�Numbor <br /> FN S6npb Titlehold�r Nun� WA Owrt�r Phom Number <br /> FN�Impk�71t1�hold�rAddivss wA <br /> JOBADDREsB 680518th Sheet2aphyrhllis,FL 33542 �* � <br /> SUBDMSION PARCELIDt �12�27-0010-04800-0010 <br /> rosr�o Fxor Prsoaomrr�x�onaq <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP03ED USE Q SFR Q COMM Q OTHER 8 Ce <br /> 7YPE OF CON87ftUCiION Q BLOCK Q FRAME Q 3TEEL Q <br /> DESCRIPTION oF WORK Replace Seme SIze:11 Wlndoare and4 Slldlne Glass Door,s <br /> BUILDINO 81g 8Q FOOTAOE� HEfOFfT � <br /> BUILDING a�4,137 V/LLUA710N OF TOTAL CONSTRUCTION <br /> QELECiRICAL $ AMP SERVICE Q PROORESS ENEROY Q W.RE.C. <br /> QPLUI�INO � � /�,,��`���C�� . <br /> �iE7/�'� / � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��� ���5 <br /> QOAS Q ROOFINO Q SPECULLTY Q OTHER � v�� �p� � <br /> I � FlNISHED FLOOR ELE1/ATIONS FLOOD ZONE AREA QYES NO r y�v� <br /> ' I v <br /> ' " '�'�l <br /> I BUILDER � W�ef n��d� 1�� [ <br /> 816NA7URE Y/N ��N Y/N �� <br /> �d� 2119 W Columbus Drive Tempa,FL 33607 ,��� u��# CCiC1515541 �� � <br /> I , � <br /> ELECiRICUW COIIPANY �,]��- <br /> i 81GNA7URE REotsiER� Y/N FEE CURREN Y/N 5 1'" <br /> i Addross Lleense ik <br /> ' PWYBER COYPANY <br /> SI�NA7URE REolsmteo Y/N FFE CURReN Y/N <br /> � Addms Liceme iF <br />' i MECHANICAL COIIPANY <br />, SIONA7URE rs�o�er� Y/N �cuw�N Y/N <br />' AddtMs LloBnae# <br /> 07HER COYPANY <br /> SIONA7URE r�olar�� Y/N r�curu�n Y/N <br /> Addnas Llcense# <br /> 1 1 1 1 I 1 1 1 1 t 1 I 1 1 I 1 1 � � � � 1 � 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 � � � 1 1 1 1 1 1 1 1 1 � 1 1 1 � 1 1 1 1 1 1 1 1 1 1 <br /> REaIDEN1IAL Atlach(2)Plot Plena;(2)sete oF BuDdinp Plans:(1)set of Eneryy Fortns:R-0-W PertnR tar new conehuctlon, <br /> Minimum ten(10)worldng deys albr aubmittel data. RequUed onaite,Constructlon Piane,S6ormweler Plena w/SQk Fence Inafelled, <br /> Senttery Fecllltles 8 7 dumpater,Slte Wotfc PertnR for eubdlvlMonellerye pioJeeb <br /> COYMERCIAL Attech(2)complete sels of Bulding Plana ptue a Ltfe 8ede�Page;(1)eeY of Energy Forme.R-O-W Pennit for r�v conahuetlon. <br /> Mlnimum ten(10)woridnp daye elter submfNal date. Requlred cnsfte,Cor�structlon Plana,Sbormweter Plene w/SBt Fence Inefe9ed, <br /> 3enitery FecflWea 61 dump�ter.Site Work Pertnit for all new pmJeale.All comme�clel requiremer�4e mua4 meet compllence <br /> SION PERNR Attach(2)aeb oT Enpinee�ed Piem. <br /> ""PROPERTY SURVEY requtred tor ell NEW conaWctlon. <br /> � ' 1 • • 11 • • IIu ' • 1..1 • Ii..l ' <br /> Dlnetlons: <br /> j FlO out applicatlon comptetety. <br /> Owner 6 Ccntrector eipn back af appOcatlon,notartrsd <br /> If ovar s2S00,�Notlao of Comm�na�mont Is nqulnd. (A(C uppradM ova s7600) <br /> " Agen!(for the cantractor)or Power oT Amomey((or tl�e owner)would be somaone wHh notarized IetOer fiom owner eutho�i:ing aerne <br /> OVER7HECOUNTERPERMfiTiNO (mpyoPconhaet�equtred) <br /> ReiooTe R ehinglee Sewuera SeMce Upgradee AIC Fences(PIoU3urvey/Footege) <br /> Drlv�wayr-Not over Counher it on pub�c roadweyo..needa ROW <br /> i <br /> i <br />