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t.�/�u �I�r� .�z...- u• :, l- - �..�.-.� <br /> � 8��-��o� City of Zephyrhills Permit Application ��-$��-1��� <br /> r 1` `� I 8uitding Depattmsnt <br /> Date Received .� � g /�, j <br /> t -!"!�i-TTCiT � Pho rrtaMforPerm`a�'�t'ti"6'�f�rYTR" �4..� <br /> , <br /> dwner's Name i Owner Phone Number <br /> C}wner`s Address Owner Phane Num6er ���� <br /> Fee Simpfe�Uabolder Name � � Owner Phone Number ���� <br /> Fee Simp(e"I'itJeholdet Address <br /> J4B A4DRESS � l�i' !6T� �� <br /> SU8DM514N ���� PARCELiCJ� <br /> (OBTASNED FR08d PROPER3Y TAX N4IICEj <br /> WORK PRpPOSED [� New cONsre 8 ADD/ALT � 31GN �] [� �EMOLlSH <br /> �( lNSTAl.L REPAIF� <br /> PROPOSED i3SE Q S�R [� COMk� Q pTHER <br /> TYPE Of CQNSTRUCTION [� BLOCK Q FRAME � STEEL Q r"" `, <br /> I�lt, �� .� �37 �� f � � I � �� p <br /> DESCRtPTiON OF WQR s '"'7""'"�� /-�""V <br /> � � � <br /> � � <br /> BUtEDING 5lZE 8Q FOOTAQE HE!{3HT �-}j���✓� <br /> QBUILDING 5 � yp,!_UATION OF SOTAi CONSTRUC310N � f W f�(�'� <br /> � t-'��. U <br /> �BIECTRICAt. $ AMP SERVICE � PROGREBS ENERGY [� W.R.E.C. <br /> op�.U�B��� S ��.-��--pl�s <br /> QMEGHANiGAt � � VALtJATtOE+t QF MECNANiGAL!id$TAt.tATiQI+t j�� �t"' S t��'I� <br /> i <br /> OC,AS Q ROOFING Q SPECIALTY�HER Sf(,�''S' �' �5/���'S <br /> FINiSHED FLOOR ELEVAT{QNS FLQOD ZONE AREA �YES NO !� , ,`��(e �� <br /> �O �/U R'^" � <br /> , � c�'�`� <br /> si nwfua� /� oar�aarrr �G� �c%yL�C��k �`C� <br /> FEOISrErsE4 Y!N FEECURREn Y/N�� <br /> Address Ucense� /'�.�'"(Jc�G7/ Z2� <br /> ELEGTRICiAN � COMPADFY ' ' �i sf,X Y 1 11iJ � <br /> SiGNATURE a�ctsr�a Y! h7 �curu� Y/N <br /> Address Q a , Q � � Ucensa� � �`j?�td�'�� L t� <br /> PLUMBER CQh9PANY � <br /> SIGNATURE REGls7eREo , Y 1 N EEE C!lRRen Y i N <br /> Address l.icense#{ � <br /> MECHA9dtCAt COMPANY � � <br /> s�GN.4T11RE _ ��isr�a Y/ N r�cV�en Y/N <br /> Address license#��� <br /> O'i'HER � � COMPANY � <br /> SIGNAT43RE � REGas��O Y/ N �CURxet. Y t N <br /> qddresa ucense#���� <br /> lIIIIIIItiMIlllltltttlllillAlllf111t10 / Itlq1lt11119At11lIF1111111tt <br /> REStQENT{AL Attach(2}P}ot Piarss:{2j se#s af Suitdirsg Ptans;{t)set a1 Energy Forms;R-t}-1N PermiE for new cons#cvetion, <br /> Minimum ten(10}working days after subm�ttal date. Required onsite,Construction Plans,Storcnwater Plans w/Sitt Fence inst�lled, <br /> Sartitary Facilities&1 dumpster,Site Work Permit for subdivisionsltarge proJeds <br /> COMMERCWL, Attaeh{2j oompkta sets of Building Pians pius a Lite Sr�{eiy Page;(t j set of F.�tecgy Fo�its.R-PW Pertnii tor new cansuucilo�i. <br /> �itS3Pl1Uf(t{ETI{'�d}WOtltiflQ d3y5 3{C8P StibtfiltS2)�3f@. �'2Gt3i12d OIt5i[0,{�.4ii^sfNC1/4ti}��271S,SfOfi1X3f$t'PISiSS WI Si1k FEtt�ttiSG3II2d, <br /> Sanitary Facilftfes$'I dumpster.Sfte Work Permit for all new projects.All commeraal requirements must meet cqmpliance <br /> SIGN PERMIT Attach(2)seb of Engineered Piana. <br /> "`*PROPER7Y SURVEl`required for ati NEW consGuotion. <br /> Dfrectlons: <br /> Fili out application cqmplefety, <br /> Oumer&Contraciar sign bacic of app4'�cafion.not�irized <br /> if aver$2500,a Notice of Commencement is required. (AIC upgrades over Si580) <br /> " Agent(far ths contrector)or Power of Attorney(for the rnmer}would ke someone with natarized letter frwn awner authorL�ing same <br /> dVER THE C4UA3TER P�RM[3TtNG {cagy of coatracE required} <br /> Renoofs if shtngles $ewars Servics Upgrades AIC Fences(PlotlSurvey/Footage) <br /> Oriveways-Not avar Counter if on pubEic roadways..needs RGTW <br />