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a�3-�BaflQap City af Zephyrhills Permit Application Fax 813-780-002� <br /> •� ' _ , Building Depactment . <br /> .�- � ::. - • : <br /> Dat Recelv�d • , ��.� ��� _ ��`� <br /> - j ::.Phone=Con4�ct;far=Peemlttin - <br /> Owner'sName L�dV��C'.�.'L1.L� I�U/T� Owrn�rPhoneNumber ����.3/r.���c��v2~" <br /> Owner's Address � /1�'� � �.' � L° G� b�Co Owner Ph'ar�e:Number• <br /> Fee Slmple T1t1e6older.Name � - Owner Phone Number � � <br /> �.8. . ,. . <br /> Fee Slmple Titleholdet Addresa - <br /> J08 ADORESS �c3 �p/ L„�� �Y �� �7 � ! , � ,, r'ft�Y`� LOT# �_,� <br /> SU�D1YlS10Pl � � �I� ¢��E�.r� ��f �lo a/ Dl.�� `��v-D �.fcx� <br />' . , , (OBTAINED FROM.PROPER,TY,TAX NOTICE) <br />� WORK PROPOSE� .;_.NEW C4NSTR' ADDIAI:F [�� SIGN' '� " [� REMOI:ISH <br /> , :e, INS't'ALL �, .f. REPAIR <br />' PROPOSED;US� : Q SFR [�. - CQMM . ' � OTHER <br /> TYPE OF CONSTRUC'170N'a Q" '�'BLOCK " [� FRAnAE � .� "STEEI. 'CJ <br />' - , •>•_ � � <br /> i <br /> DESCR1PTfON OF WORK �C.'.Cl, 1�` � L'`�1V �zs t..t- 3 7�'� �.. C�—r» tsltt�� i <br /> s. <br /> �tlt�DtPiG'8lZE' �'" �`$4`FOOTAGE ' ..NEIGFiT :�� <br /> QBUILDINtG � VAl.UATEON OFY'�OTAL GOhJSI`Rtt1Gi'ION � ' � � <br /> � � <br /> QEl.EGTRICAI �$ ' � AMP SERVtCE: Q ';RRO�RESS ENEt2GY Q W.R.E:C. <br /> � � �,. <br />'�. [�f?LUMBlNC3 � :$ - � V <br />; - . � ,, = ��1 <br /> �]MECHANlGAL` '$-��"��` ��y. VALGATION OF:IUIECN%1NICALlNS7'AL6RTit?N- �� <br /> OGAS Q ROOFII�lG ,[�,], „ S�?EGIAL'f�Y,:�,] _,..,OTNER, � � � <br /> FINISHED FLQOR ELEVATiQNS �� FLOOD 2�JNE AREA _,QY�S. ,NO <br /> - �r; _..t...,E�� n:r'. ;E' :i <br /> BUILDER COMPIWY�' .:`.,:''> � . � , - , , <br /> , �tGNATURE REGISTEREO Y/ N ��'EEE cutt��� ' ° Y�/-N�' <br /> ��1v9� �t;. ,1'v. ' , y-I,�'� �.'M _.'L7MG�iS�rR� '^�r','...,.�:i.i.. ` � <br /> " ... , ,. 5' ,.�. �'iY.; I ..... .. . ' � r ., . . '+ . ..� <br /> ELECTRICIAtti1;� . . _ . - _ �}GOMPANY'�.' _ `x,=';#�:r:�;�f�,,t, >. _ - : - ` , __ . <br /> � SiGNATURE � '� � �RECIS7eReo � Y/ N FEE�cu�t��.� °�'� ����Y/:N� � �� � '� <br /> :. . _ . ., .t;� _ , .. ,.. . :>�r -; , ' .._ �� ,... . '�] <br /> Addre�s .� - . , , �`�`.�-.� l.tcertse�#�:!"�.. � �r• r� I <br /> . , ,. ,. ... <br /> PLUMBE1t� . � . ... . �. ,..G.ONIPANY • � ;f r:.x..��:.,� .�r. � � ' ' <br /> 'SIGNATURE`` - ;Ss , , .`REGIS.TERED >...Y/Q.N:s ;.;,•F�-cu�en.� Y=/.N.- <br /> , :_ �. . <br /> Addre�s -- - � �. .. . } --Llcense.�#r 1:�,....-., . :. � - �,,, ' T��. _ <br /> MECl�lANICAL` . - ` �� , - ,,COMt?ANY. '�. /'= � �..e.,, `f'y�f� � . <br /> Tf <br /> fGN R . , -; , .... _�,-����.9:� t,�l�.?`,. �a: , _. <br /> S ATU E• ��isTEtteo > Y/.N . FEE CURREh,. _ Y/�N'.,. <br /> 4� _ 1; - ' .. , . � . tirs.� _ <br /> Addre�.�",,._ =.'7F'`�i�''/- �� "��� `2��ILL� 3�'�`� .,-_ ' .ucense#` .��'����q��- � ,' , <br /> , . . _ . ., _ � - .. � �;. <br /> �f_n• . _ �.:.,-- � .. . _ - <br /> 03NE[2 �:` � - - - ' . ,' � � - ,CQ�IIPANX � . <br /> IGNA1'URE< F"b� - <br /> $ .: ��' -. ":' ,. �� . - . � '` - . "`` `�REGISTERED�`'.,- , „Y/ N_..'. " sFEE�CURREA � YYN <br /> � �.... --. �u .,... . . �, <br /> I �,r,'��4f�.�5� � �.n: .]��.- :..._.. , i, . - + . _ _. . . . _. . 1: ".: [�., •� <br /> lY K.a'i ('"""�� '' <br /> Addeasa ����:�--�»� .�-.t°� ' � - ..,;:��` �°z. ... . - �Icerise#���.`:' _ <br /> ,,,.. ,:��,:,: a:,.. <br /> .�,�;�.,-�,�,,:rR ., ,,� ,,.:�. <br /> EtE8lDENTlAL„�t�•_Attach..(2);Ploif P#ans;.(2}sefs:of=Bull'd3iigt Plaits;�(1}'se#�'of=En`ergy�Fo"rins,�R�0=Nt4Per`rri{!hir new�cons6vc�on,. . . � <br /> �: �;,�.i;�itAinimum;.t�en;(;10)�wori4ing;d�y,s:aiter�"s"ubmitta�:dafa::Requlied onslfe;:Gon`sfiucdon'Plans;Stormviiate��Riane w!Sitt Fence instailed, <br /> ""� Senitary`Eadllde§;&;1,dumpster��Site�Work;Permikt�r;_sutidfvlslon�/Ierge:proJeots;�hw�`.'=;�;wr,, _ �`��" ' " _ ' ` <br /> CQMM�#tC1At. Attac�tt{3)'coiitplete`sets'of'Biiltd3ng'Plaiis"jiliis a�Cife`Safety Page;(1}set af Energy Fatms.R-O 11{t Perintt�#or aew construc�tton.� ° , <br /> Minimum ten(10)working days after submlttat date. Required onsite,ConstrucUon Plans,Stormwater Plans w/SUt Fence.installed, <br /> . Sanifary Facilttles&1 dumpster.Site Work Permit 6or all newrpioj�cts:All commeralal_requirements_must meet aompilance " -- � •— _ <br /> � .�SIGN PERMIT AtteCti{2)"&etsof�nglne'e,`ced�Plaps:i,�:��^�':r �.. �:� -,�>;..� ,. _..- ' '- ' •`-- _ � _ <br /> ""`PROPERTY SURVEY reyulre�wfcr alf NEW oanst_ructlbn._ ... . _„ ' <br /> Dlrectlans: =r�f��=�.=�,�� -� .�� ; . <br /> Ffll out applicadon ccmpletely. <br /> Owner&Contrackor slgn back of appltcatlon,notadzed <br /> If over�!500:,$,Notie�of Commencement la reqal�ed. (AtC upgrad+�s over�T500j . <br /> ..::�����;;:-':,�., �{� <br /> " Agent(for the cantracto�)o�'Power`of Attor'riey`(fiar the owner)�would be�sameone�with natarized letter o ne a�yIo in s��rr!�•� q�. '.�y <br /> t4,, yr _ ;1 :i:- :,r"L:x^t£Mw�1e"ias':[.'��s'n:"i.7sSla'`,��-'0.�:6"`..�sxl:W:fyt`. . :vW�:;�4p'1�ii�tA'N�..�.'q{ 'r , -• „ <br /> ClVERTHECOtlPiT,ER>.F!E[�1Vi1�INGa;�;,�-:z Ft'9ntof- IlcatIon_flni ' '.' '• �?:`�3"��:t ���Lt.i�`? ;a�i,, ° <br /> -{ AAF , y},;_'---- :,:.r �:.,. � <br /> ,,�, wx,. <br /> - ��zG�^��:F•,6�I,CBS Plat/Survey/Footage) iii:�St7ii 1?;^!6ii :�•`(t�tr1 "It3?�7i•1 ,�,���"wj •�' <br /> Reroofsifshingles „a�"ewrer�.i i,�,:,�h$erv,ice�Wpgrades- ; _ 'p� ( _ :.,, <br /> ___.,..<.}�- -"y:�- .:v L:1 d7+iiti._:2,�a�'�:`�e=.`A�:j,,.��-:�(` _ _. ri: � f,:t `,s;O[ly-ifi::t. ,{�1, 8�{;4.� .�'.::- ,a,'s'_i�• <br /> D�1vew:ys-ftlot ov ".Count�r if on pu6lic.roadways::rs�s;ROW �'� � ';,'r °` ; . � '�'`�`'�`; , .� <br /> .�•,.) + ;, ,r:...:::,, •' -,: a <br /> � . . � . _t.,r.>�:�� ...�. ..� �; ., •��. , ' . � <br /> �� �ya � lt.:,�i €; <br /> � :lo.:�\ ,�•�in'u�,It:l"�I��:t�'v(fi:.�i��.)''t`i�.e: +���;li,�����-4��' ��.;r,.,�., Rr�y:�;.rr � , � ' <br /> E:��`'"M`_:c�'''"'�=Qr>''�a`'Ls.^"+�:1�'�'-fifi=-�4,k""`�Sn"�r"�'Q: 'Y'�'v'.�''" .. 'e'�.,:- .h ,�a.e. „ <br />