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- <br /> ; ,Y 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> l�-L' <br /> I ,.� ' ���d �'+��' Phort�CotAaa!for P�rmittln 81 S 908 _ 0131 <br /> i � � � ii � i � � �� � <br /> p��N�� Roger Lene Own�r Phom Numb�r (813)77 r2607 <br /> py��+y�d� 97403 Teaberty Laop Zephyrhllla,FL 33542 Own�r Phon�Numb�r <br /> FM SbnpN Titl�holdv Nan� wA Owmr Phom Numbv <br /> I I <br /> FNStrnpNTlWholdaAdde�ss wA I <br /> � JOB ADDRE88 37403 Teaberry Loop Zephyrhills,FL 33542 �r � <br /> I <br /> sUBDMatON PARCEL IDs ��6"21-0120-00000-0050 <br /> rom�o�or rnoramrr�x No,xx� I <br /> WORK PROP08ED e NEW CONSTtt e ADD/ALT Q SIGN Q Q DEMOLlSH �I <br /> INSTALL REPAIR <br /> � PROPOEED UEE Q 3FR Q COMM Q OTHER 8 Ce I <br /> TYPE OF CONBTRUCifON Q BLOqt Q FRAME Q 3TEEL Q <br /> DESCRiPT1oN oF WORK Replece Same 81ze:10 Wlndows end 1311d1np Glasa Door <br /> BUILDQlG Slg S4 FOOTAOE� HEIONT � <br /> BUILDING S 9��0 VALUA710N OF TOTAL CONSiRUCTION <br /> QELECiRICAL � AMP SER1/ICE Q PROORESS ENERC�Y Q W.RE.C. <br /> QPLUIu�INO y <br /> (� C(��D�� �1/`i�' <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION v �///I� <br /> poas Q ROOFINO p sPecuLLTM 0 oTM�x O Z�I f �� <br /> � FlNISHED FLOOR ELEVATI�NS FLOOD ZONE AREA QYES NO �Jti� �J <br /> r <br /> � �� / <br /> euIWFR � / •k� ' WeatherTlfe Wlndowa <br /> 81GNA7URE � REtilSiIItm Y!N ' �cut�H Y/N <br /> �d,� 2119 W Columbus Drtve Tempa,FL 33607 ���s* CCiC1575541 <br /> EL¢CTii1CIAN COMPANY <br /> $���N� REoist� Y/N �cupqeN Y/N <br /> Addrw Lloerme N <br /> PLUY9ER COYPANY <br /> ����� RE�IBTFR� Y/N Fffq1RREN Y/N <br /> �� Llcertse# <br /> YECHANICAL COYPANY <br /> S���N� aEci�er�o Y/N �Cut+�N Y/N <br /> Addnss License# <br /> O'iHER �pYp�y <br /> SIONA7URE t�GiBr�st� Y/N �CURr�N Y/N <br /> I Addews Lloense# <br /> 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 1 1 1 1 � 1 1 1 1 � 1 1 1 1 � 1 1 1 � I 1 1 1 1 1 1 1 1 � � 1 1 I � � 1 <br /> REaIDENiIAL Attech(2)Plat Plene;(2)eete oF BuOd�p Plene;(7)aet oi Enerpy Forme;R-0-W PertnR tor new construdion, <br /> to <br /> ( Minlm�an ten(10)worldnp deys�ter submltml date. Requlied onaite,Cor�s4ucdon piena,SEormwata p�eru wl S�t Fenea Urofniled, <br /> I Senifaty FerAltle�31 dump�ter,SIEe Work Pertnk for wh�vlalorull�rpe proJeeb <br /> COYMERCIAL Atlaoh(2)oompleha eete of Building Plane plue a Llfe SeTety Page;(1)eet of Energy Forme.R-0�W Pwmlt for rrew co�rohuetlon. <br /> i Mlnlm�an ten(10)vwridnp deye elter eubmittel dete. Requlred onafta.Conetructlon Piene.Sbo�Plans w/SQt Fence Inefelied, <br /> 3enifery Fac0ltlea 81 dumpater.Site Wak PertnB for e11 new pmJec�.All comma�del requir�nerrta muat mee!oomplience <br /> SION PERNR' Attech(2)aeb of Enp�eaed Piarn. <br /> � ""PROPERTY SURVEY rvqulred for ell NEW oonetructlon. <br /> � . . . . . � � • • a„� • � a.� <br /> Dle�atl0tp:• <br /> FlII out epp�c�tlon completely. <br /> Oxmer 6 Conlmchor sipn back of epplicatlon,noterised <br /> � R ov�r¢2600,a Notla�of ComfmnaMn�M b nquHwL (I11C uppradM owr Z/500) <br /> " Agent(for fhe oontraceor)or Powaz af AUomey(for the oxme�would be eomeone wlth noferlred�hom owner aufhorbl�aame <br /> OYERif�COUtfiERPERM1771N0 (eapyo}mntrect�equ6ed) <br /> Reioofe N ehl�lea 8en�e�e SeMce Upgrades A/C Fencee(PIoUBurveylFoot�age) <br /> Drlv�wrqrsaVot over Counler n on pub�c roadwAye..needa ROW <br /> ro <br /> I <br />