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, , > 0'73-780-0D20 City oi Zephyrhills Permit Application. Fsx�s»-7eo-oozi <br /> Buildng DeDar2menl <br /> Dete Ret¢IVed _phene-Contact For PeimitNn <br /> TTT'Tl. `� <br /> Owncr'3 Name .�x„e{7�(;;I; �t�,�� �� �E , <br /> ,/ - t�llnne Mum6¢r <br /> Owners Address Ownei Phone Nuinber <br /> Fee S{mple Titleholder Name Owner Phona Number <br /> Fec Stmple�-Tideholder Atldress <br /> JOBADDRE55 L07� '� <br /> SUfi01VI510N PARCEL IOp <br /> � � (08TAfHED'FROM PRCP.EflNTA%NDiICE)� <br /> WOfiK PROPOSED e NEtq CONSq B AODlALT Q SIGN Q Q DEMOLISH <br /> INSTqLL REPAIR <br /> PROPOSED USE � SFR O COMM �Q OTHER" ' <br /> TYPH OF CDN57RUCTION Q BLOCK Q FRAME Q STEEL �Q <br /> DESCRIPTION�OF WDF7K <br /> BUILAING�SIZE _ SO FOOTAGE� HEIGHT � <br /> QB�I�DING 5 VAtUn7i0NOFTOTAL'CONSTRUGTIOh <br /> QEL'C-CTRICAL, 5 ' AMP SERVICE Q PF20GRE55 ENERGY Q 'N.R.E.G. <br /> QPLUlABING S <br /> OhiECHANICAL S VALUATION aF MECHqNICAL INSTALLATION- <br /> QGAS Q RODFING � SPECIAL7Y Q OTHER <br /> FINISHED PL�OR ELEVA710NS ,� FLOOD ZONE AREA QVES NO <br /> ' P _R- '_ _�,_� _ , - <br /> BUILOER � � °;� COMPANY e��r'�"�'`�`t�S;�'�' i-(.Ul{i=!,/ �'�",�}.i, <br /> SIGNATURE �t� REG§TEa[D� Y/.N FEEWRqE� Y!N ' - <br /> Rdtlress License� <br /> -.>�:z.: ' ELECTRICIAN � : � �. COMPANY - i�!� P��C2l'j W.-� - i <br /> .f,��.;� SIGNA7URE � /+' !�Ec,sser+�o Y!N veecuw:En, Y7 N <br /> � Address ;.� COSOp _� o��� ��I .�r�f A_ J� /� License� ��(.3D��pD�� ' <br /> 1 �' <br /> PlUMBER COhtPANY <br /> SIGNATURE p�cisieFeo Y!N FEECURREn Y!N � <br /> ' Aderess - - - . . - . � - - - � Lirense� <br /> MECHANICAL- GOMPANY <br /> 51GNATURE KEClGStftED Y!,N Fee�uH4tn' v 1 N ' <br /> Address License t <br /> OTHER COMPANY <br /> StGNATURE REG�S�EREO � Y.l N FEECURF&n Y!N <br /> Atltlress License k � <br /> �1111111.1 [ lllllllll�lt.illllllllll.( Illllliltl,llllilllliil�lll'll11111111 ' <br /> RESIDENTIAL ptlach(2}Plol R'sn3;(2)seis ot 8uild�ng Plans:�1)set of Energy Fortns;�R-O-W Permit for n=_w conslruction, <br /> At'mimum ten(10)working deys ah2r gubmi�lal date,Required on5ite,Corswc�ion P�ans,Siormti+aler Plans titi;'Slt Fence instaUetl, I <br /> � Sanit3cy Faal�Ges&1 dumgster,�Site Work Permil forgubtlivisions6arge p[o]eots� 'I <br /> � CDM MERCIAL. Attach(2)comple[e sets of Buildirlo Plans pfus a Life Safeh/Psge;(1)set o£Energy Form"s.R-O-W Fermil for new constructlon. � <br /> .Rtinimum ten(i0)�wtking days efter submfttai de'le. Required onsi�e,Consiruction Plans,Sterm�yatecPlans�v!5�1 Fence installeH, <br /> Sanitary Faaiities 8 1 dumpsler.S�Ie Work Pertnd tor all,ne�v pro;ects:Ali commeicia(requlremeni5 musl meet compGance <br /> SIGN PERMIT ktlach(2}sels'oi Engineered Plans. - - <br /> � ""PROPERTY SURVEY required ior a11 NEW.constn;Gio:i. ' <br /> � <br /> Directfons: � <br /> FlII out applicaHon comp;etdy. <br /> Owner 8'GontraUvr sion Da�s ef applicaUon,notadzed- <br /> , If over 5250D;a�Notice of Commencement is requlred. (A!C upgratles o,ver E75D0) � <br /> ' " Agenl(for the cantrsclar)or Pvner of Attorney(far Ihe armery�wuld be someone wflh nolarized letter from armer zulhortzirsg same <br /> OVER THE COUNTER P.ERMITTING (tippy of.conlracl required)• � <br /> � • RarooFs N sningles Se�vers ScMcc UpgreOes AIC Fences{P�aUSurvpy/Fpptpye) � <br /> Driveways-No(ovor COUnler ii on-pu6lic roadways..needs ROLY <br /> � � <br />