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�,3-��u-uozo City of Zephyrhills Permit F�pplicatro� Fax 813-78ti-Od21 <br /> Bullding Department . � <br /> r <br /> Date Received ' _, phans�Ge►ntaatfor Permlttin +�a sa ( - �j 7�� ' <br /> Owner's Na�me d�rX C a.o�l e /�s�`�✓ cJ!J U�i. ��!'C- Owrner Phone Number ���" 7�' �S�' �� �� <br /> Owner's Address y �0 2�u..�� ��� Qwner Phone Idumber � � ' <br /> Pee Simpte�Titlehalder Fiame �- � Qwner Rhone Ftumber �i� ; <br /> Fe�Slmple Titleholder Address <br /> sae aaoa��ss `/ � �oT# �� <br /> SUBDIViSi01d �� � PARClEL IU�!# r3�GI c�i �F 4 I �l O C� t?O Q <br /> (OBTAIPlED F.ROM PROPERTY,7AX NOTICE) <br /> WpRK PF20P4SEp w NEw CONSTR ADQlALT �' SiGN Q Q DEMOLISki � <br /> '..e INSTALL. ,8 ,REPi0.1R <br /> PROPOS�DsUSE Q SFR, Q COMM � OTh1ER (~7'� [T "` .�..r�9 a,GPn•�.��`� <br /> 'iYPE OF GONSTRUCTtON Q� BLOCiC " Q FRAME �� STEEL Q `� -� '� <br /> DESCRIPTtON OF WORIC If�� ,_�.�-CF/.�i�� � �/` �t'�' � - T-Z <br /> BUi��lNG'SIZE- � �"SQ Ppt?TAGE��_ . ,HEiGHT� _ ] , <br /> QBUILDING �� VA4.UAT10N�QF l'OTA�C{?NSTi2UGT10N ` <br /> QEI.ECTRICAL �� AMP SERVlCE Q PROGRESS ENERGY �J W.R.E.C. ; <br /> QPLUMBING $ � : �� Q('� ' <br /> �.,� -t �..�- , <br /> GUiECHANICAL $ c�-- r VAL:UATION OF MECHANICAL IPISTALLATION � <br /> .J .�tv • c� " j <br /> QGAS Q ROOFING [� SPECIALTY � OTHER ��� � <br /> FINISHEQ f144R EtEVAT10NS � F�000 ZOtdE 14REA QYES. td0 ; <br /> C_ „ - - <br /> BUILDE6t C4�MPAPIY' ' <br /> S����TE�12� - REGISTEREO `(1 iV -'FE6 GURREF Y 1 RI <br /> As9dress ' ' kicense#'� � . <br /> @�.ECTRI��AN CClMPANY <br /> St�NATUFiE � RECFSTett�o Y! N ��cuR��° Y!N , <br /> Add�ess l.icense# � � <br /> PLUWOBER ` CQMPANY . <br /> SIGN�i'�U12E� , _REGtSTERED, - Y I.N FEE CURREP Y 1 N <br /> Adde�eS t.It.eRSe# � �. <br /> � - <br /> M�CHANIC/AL' ' � CaMPANY � /� ' � �c�'J� <br /> SIGMAT4�IE2� � �' ' RBGISTEFtED Y. �1 ��Cu�REE Y rN r <br /> Address �a, i��' c3Q/ /..� C• ' Liesnse# �.�C (�.SG��.�� <br /> OTHER ;' ,COMPANY <br /> SIGNATtIftE ." '. - ' ` REGISTEREd Y I �f _: FEE GtIRREI� Y 1 P1. , <br /> Address -- ' Ucense#�� �� <br /> R��IDENTIAIr� :Atha'cFi"'(2);PlotrRlans;,(2)sets:af.<B�ufldfng�Plans;�(1)setof-Energy�Far�n,s;R=CkW°Perinitfocnaw construcUon, <br /> ,, : <br /> - ..Min{murt��ter,►�(;1.q);worlcing.,d'a_ys;after;;'sutiriiltta}idate.:,Requlcei!onstte;:C'ori�truc�on�Plans;Stormwater Plans�wJ Silt=Fence ins#alleil, <br /> �� Santte''ry'tFac(ittles;&�;1y:,�umpste.r..zSite�Work,,�Permitforsu6division"sAarge:prajects �.'- "• " <br /> COMNIERCIAL Attach(3)`complete sets`'of B'ullding Pians�plus a'LIfe�S�afety Page;(1)set of Energy Forms.R-O-W Peerntt for new constru�tfon. <br /> Mintmum ten{10)working days after sctbmittai date. Required onsite,Constructlon PEans,Stortnw8ter Plans w!Silt Fence Instalted, <br /> Sanitary Facii(des 81 dumpster.Site Work Permit for all neinrprojecfs..All commercial requlrements;.must meet compllance � <br /> SIGN PERMIT AttacF�"(2)"sefs of EngJneeied�Plaris:;- -' ,,. . , .. <br /> *'•'PROFERTY Si1RVEY r .ulred_far_alt tVEW ccnsteuat3on.. <br /> .,. .,.._.... .___..._ _$q _ ,_ <br /> ��.. <br /> DlrecQons: . � � ' <br /> Fltl out appllcaticn completely. <br /> Owner 8 Contrector sign back of applfcaUon,notarized � <br /> If over�2500,a Notica.of Commancem�nt is rgquired. (AIC upgrades ov�e�T500) <br /> ��.r�,,-�:,;�.;- <br /> '* /�qenY(far the!contraCtor}or'Pawei of Attomey�(for the cwner)woutd be someane wtth notarized ietter from owner authorizing same <br /> �VER TH8 COUN?ER P.,ERMITTING- - •(Front of�Appllcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences{�latlSurveyJFootage} <br /> Drlvewaya-iVot over Counter if on publlc roadways..rieeds ROW <br />