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� " 813•780-0D20 City of Zephyrhills Permit Appiication fax-813-78D-0027 <br /> Bui10(ng Departmenl <br /> Date Raceived phone ConuN ior Permltlla 13 7'S� _ �22 3 <br /> -1-T17Z-i'I <br /> Owners Name T� ; ' L G Owner Phone Number p L3`�)2 ' 3 <br /> Owners Address �d�Z'�'� d�d 1.�� 'r q�ner Phone Num6er <br /> Fee Simplc Titlnholde�Name C:�` r�M� O�r Phone Numbe� <br /> Fce Simple Titluholder Address S �S � S�'r�G}. �'► r j �f /'� 33 sy� <br /> JOB ADDRESS C:� � Z i It 'r OrL LOTl1 � <br /> SUBDIVISION � PARCEL IDF 13-ZL"2J-pe�oo-oD+ao'�15 <br /> �f (OBTALYEO fROM PqOPERTY TAY HOME) <br /> WORK PROPOSED B MSTALLSTR� REPAIR � SlGN � Q DEMOL(SH <br /> / <br /> PROPOSEO USE Q SFR COMM � OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME � S7EEL <br /> DESCRIP710N OF WORK L��'M�L��L�«S1� L`���VI.��JI' ��+�1.T� N.S � C u ti 1� <br /> BUILDING SIZE IOO�D�I�(Z(�g SO FOOTAOE �Or�aJ HEIGNT 2O�g�' 2�� �� ' <br /> Q iCUIL0ING a p�� yqLUATION OF TOTAL CDNSTRUCTION I <br /> '[�ELECTRICAL E ^�.�,�� AMP SERVICE �t� Q PROGRHSS ENERGY Q ,W.RE.C. <br /> L 4 <br /> . p <br /> dPLU�dBING S ` I,�/G� ��� _ ,}/��" � <br /> � � �,�(�-r �o <br /> i �IdECHANICr4L E �`+ y-J� VALUATIONOFMECHANICALINSTALLATION M <br /> [�GAS Q ROOFING Q SPECIALTY � OTHER , `�/'�,1 <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO !/�/ <br /> l/ <br /> BUILDER � COMPANY ���'�' G'C����+ ��GY-�C�-�� ���{��„� �� <br /> SIGNATURE REG�StEREo Y/N FEE cuaREn .Y J N � <br /> Addresa Zs�Z r� afk Q� �VL'�'�i TL�J<<•3 LicensoN C '/5225`1 G ' <br /> ELECTRICIAN ��/ COMPANY Gl"� : -"�/ <br /> SIGNATURE � qEGISTEftED Y/N FEE CURRE� Y/N � <br /> Addrnsa ' U � � (t�t�C��++'h f `� �.�111 i �G �S�� Liaensa A ` (, /��✓ <br /> BLUMBER COMPANY i ' <br /> SIGNATURE � D � REGI9TERED Y/N F�cuar�l, Y!N � <br /> i <br /> i <br /> Address Ucense q <br /> � MECHANICAL COMPANY ('L����}"':�j�= �-��}�L^ <br /> • SIGNA7URE � REGISTERED Y!N �e uaaen Y/N <br /> Address License q <br /> OTHER COMPANY U C('� ���T <br /> SIGNATURE EOIS7ERED Y!N FEE CURREA Y/N <br /> Addiesa License b <br /> illllllllllltllllllll1111111111lIIIIIIIIIt111t11t11111111111111itt1 � <br /> RESIOENTIAL Attach(2)Plol Plans;(2)sets of Building Plans;(1)sel of Energy Fonns:R-O•W Pertnil iw new construa�on, <br /> t,linimum Ien(10)workmg days aller submittal dale. Required ons�le,Conslruction Plans;Slormwater Plans w/Sill Fvnce u�staued, � <br /> Sanitary FacaiUes 8�tlumpstor;Sile Work Permi!for eu6divisfonsllzrga proJects <br /> COMMERCIAL Altach(2J cample(o sets of Buildmg Plans plus a LHe Salety Pago;(1)set of Energy Farms.R-0•W Pertnil for new construcUon. <br /> Minimum len(10�working days afle�submitlal dalo. Roqurred onsno,Construc�cn Pians,Slortnwaler Plens wf Sill Fenco mstalletl, <br /> Sanitary Facildies d 1 dvmDster.Sde Wnrk Permil far all r,ew projects.Air�pmmerdal reqmremenls must meet comphance <br /> SIGN PERMIT Aftach(2)sols u1 Engineered Plans. <br /> ""PROPERTY SURVEY requ4etl for ell NEW tonstruclion. <br /> Oireetions:• <br /> • RII out eppi�colion complefely. <br /> ; Owner 8�ConUactor sign back af apphcaGon,notamed � <br /> j N over S25D0,a Notice ot Commeneement Is required. (A/C upgradoa over 3750D) <br /> � . " Agenl(lor Ihe conUactor)or Power o!Atlomey(!or Ihe owner)w�uld be semeohe with nolari2ed Ictler lrom owner euthorizing some <br /> ' OVER THE COUNTER PERMITTING (ecpy of wnUact reQuired) <br /> I Reroofs i(shingles Sewers Service UpgraOes A/C Fences(PIaUSurvey/FoolugeJ <br /> i � <br /> f Dr"�eways•Nof cvcr Cuunter�1 on pubi�c roatlways..needs ROW ' <br />