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� � S - f�v - aoz� <br /> e��-�eo-oozo City of Zephyrhills Permit Application F�-e��-�eo-ooz� <br /> . Bullding Deparhnant <br /> . � ; <br /> Date Raeelwd �`�� I� Contect for Permfttln ��� �07 — /� / � <br /> Own�rs Nam� ��/.3 �Q� Owner Phom Numb�r X� (���r z/ <br /> Own�rs Addnss �S 3�U S 1 I er Phone NumMr <br /> FN Simpi�TlUeholde Name Ownx Phone Humber <br /> FN Simp�e Tlti�hotd� Address , <br /> JOB ADDRE83 5� 3� a3 2� S 1 LOT� � <br /> SUBDM810N K���`�'��'�+a PARCEL IDN �� `a'� '��J'� a� ���S�"� �� <br /> (OH�AINFD FROY PROPFRiYTAX N07IC� <br /> WORK PROP08ED B NEW CANS7R B ADD/ALT [�] SION Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> 7YPE OF CONSTAU ON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP710N OF W RK A C�Av C� �-i � j D�.i f�S�YL S G <br /> BUILDINO SI� SQ FOOTAOE� HEIaHT � <br /> OBUILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.R.E.C. <br /> QPLUMBING S � ���� _ <br /> �MECHANIC E /_!6-� VALUATION OF MECHANICAL INSTALLATION � l ���� <br /> CPJ <br /> QGAS Q ROOFING � SPECIALIY Q OTHER <br /> FINISHED FLOOR EL ATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEaeo Y I N �cur+�n Y/N <br /> Aaan.s ueense tl <br /> ELECiRiCUW COMPMIY <br /> g���7�� REGI57ERm Y/N �cuRne� Y/N <br /> Addr�ss License# <br /> PLUMBER C�P� <br /> g�p�'N� RE013TERED Y/N FEE CURREA Y/N <br /> �� Ucense�f <br /> MECNANICAL COMPANIf � ��Ce'� <br /> g�p�7U� r�cisTeReo Y/N �curtaET Y/N <br /> Addr.sa 0 0 �� C�ct/u-� ��'� ucense# AGl?f I(D� I <br /> OTHER COMPANY <br /> SIGNATilRE �cisr�o Y I N �E cuwia Y/N <br /> pddrus Lleenee# <br /> 17"I"I"7'1-TI f" 1-1-1 l'1 1'1 f-1-17.1_f�T17.fTT7 I fI"1 rll I Il fl I I I7T71-1I I'TI lT7 il-I�T7 l i'I�I'i <br /> RESIDENTIAL ch(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-aW Pem�R tor new eonshudion, <br /> Inlmum ten(10)woridng deys eRer submlttel date. Required onslte,ConstrueUon Plans,Stormweter Plarre w/Slk Fence Inatelled, <br /> Ifary Fedlities 31 dumpster,Site Work PermH tor subdMalonaAarge proJeeta <br /> COMIMERCIAL (3)complete aets af Buflding Plana plus a Life Safety Page;(1)set oi Energy Forms.R-O-W Permft for new constructlon. <br /> infmum ten(10)wcridng days after submlttal date. Required aisite,Constructlon Plans,Stormwater Plane w/Sitt Fence instelled, <br /> imry Fedlitles 31 dumpater.Ske Work Permft tor all new pr�ecffi.All eommerdal raquirements must meet cwnplian� <br /> SIGN PERNR ch(2)sets of Engineaed Plans. <br /> PROPERTY SURVEY required for a0 NEW conatruc�tlon. <br /> Dl�dlons: <br /> FlII outapptlea complately. <br /> Owner 3 ctw aign badc of applicadon,notarized <br /> If over f2500, Notiee of Commeneeme�rt Is requlrod. (AIC upgrades ovar t7500) <br /> " Agent(tor the iraetor)or Power oi ASomey(for the rnmer)would be someone with notarized letter hom owner euthwizing same <br /> OVER THE COU PERMITIING (Front of Applicatlon Onty) <br /> Reroois it ahinglea Sewers Servfee Upgradea AIC Fenees(PlotlSurveylFootage) <br /> DrMwayrN over Counter H on public roedways..needs ROW <br />