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813-�80-002p �ity o�Zephyrhills Permit Applicat6on Fax-813-780-D021 <br /> BuiEding Depafinent <br /> a <br /> Date�ec�lv�d Phone Comtact fcr P�r�rtitftn � t� – � ! <br /> Omrner's N�me ��� �� T t t � !� �waner�hone L�umb�r <br />� Owner's Adc7ress y • ��C �� Qwrner Phon�Mar,nber � � <br /> �ee SImpY�TlQleholder Plam� Own�r Phone Piumb�r � � <br />( <br />' F�e Simpl�Titleholder Addr��� <br />� JO�ADDRESS ��I � � l� � l�l.� • LOY# ��1 <br /> 1 �`f (� – – r-��/� <br /> SUBDDWS�Oi� �1��tA.�,A� � PARCEL ID# J� `� " � C7V l„ <br /> (OBTAlPIED FROM FROPERIYTAX NOTICE) <br /> ������������ NEW CONS7R �a���.� o S�G�- o o ���►o��H <br /> IhlSTALL 8 REPAIR <br /> ��o�o���:cas� Q �s�� 0 cos�� 0 oz��R <br /> �rv��cr�co�sn�uc�o� 0 s�.ocK - C] Fw�nne ['�,� 87EE1 C] <br /> DESCRIPYiOPd OFlfYC9RK 1 V 1 �� , <br /> �tl1LDltdG�1� SQ FOO7'AGg��, HEIGHT ��� <br /> �B�l�'���� �� VALUATIOPI OF TOTAI.COWS'i'RUCTIOW <br /> QELECTRICAL �$ ��� " �� qEyp g�#Z�/[�� Q piZG?C,RESS ENERGY [� W.R.E.C. <br /> �__._,_ <br /> [�PLUMBINC; g s �L��+Y� <br /> L �r ! <br /> QMECNA[VlCAL $ VALUATIO;�OF 1'��GHAI�IECAL lNSTA4.LAT30N l�1 t � <br /> � <br /> QGAS [� Rt}OF1N� � SPECtAl.TY � t?THEEt <br /> FItdISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA [�YES NO <br /> 1_ <br /> �UILDER COMPAAII' <br /> 51GN�.TURE REGISTERED Y/ N FEE cuaRen � Y/N <br /> Address Llcanse# � � <br /> E��CTRlCI� C01tNF�AFIY <br /> SIGIdATURE �" REGIS7ERED Y/ iV ��e curtrte� - Y/N <br /> ,�ddr�s� Llcense# �r � <br /> p�.��r��� c���,a�r � �' ��1�i �� <br /> 51GNd11'URE REG�STERED Y/.N . FEE CURi2E� Y <br /> Add�a� "1 � � ` ucenss# t,�-e�J" V'"I ��,a,�� <br /> iYt�CFiAgliC�t,. � CO�FAt�tY <br /> SIGWd'PLl�E t�ciS7�t�n Y.! f� _ �E cuRr�n . . Y/PJ j <br /> Addr�ss - License# � � <br /> t?5�9�� C�11�JPA1�9Y ' r <br /> �«��T��� REGISTERED Y/ N .. FEE CURREA Y/M ` ' <br /> �ltfc9�es� Ltcense# �— � . <br /> F2��1Q��9YlAt: Attact�(2}Ptot P[ans,.{2)'ssts 6€Bultdiitg�Ptans,{1)set af Ertergy�Forms;R-t�-W Permlt for new cansfruc�an, J � <br /> Mtnimum.ten•(1Q)�.working days after,submittai d�te. Required onsite,.ConstrucNon Plans;Stormwater PEar�s��at��race�.s�JB�, . <br /> Sanitary Fac(Itties&1;dumps4er Site Work Rermit fiar subdivlsionsAarge priijects - � <br /> CO�fiBfl�R�l�.. �ittach{3)aimplete sets af Bailding Plans plus a I.tFe Safety Page;{1}set af Enetgy Farms.F�-0-W Pe.�rnii:csr z�x c�ss;,za„�,az. <br /> Minimum ten(i0)working days�after submtttal date. Required onsite,Constructiart Flans,Sto�mvrater Pl��„S�t Fei-�fe�-��,. , <br /> Sanitary Facllitles&1 dumpster.Site Work Permit for all new projects_AE]c�mmes�ci�i reqttlretressts rw-t n�c�m� <br /> SiGi�PERlf�IT Attach{2)seis af Englneece.d-Pians. - <br /> °••'PROPERTY SURVEY required for all IdEW constructian. <br /> D#rea#lcn�: - - - <br /> Fill out applicatlon completely. <br /> Owner�Contractor slgn back of appl3catIan,notarized � <br /> �f ovar 32500,a Pio4ir.�og�oaeem�ae�enem�i�r�e{uieed. (�+lC upgradas over$7500) . <br /> '" :%Y.�-w�{:�r�e contractor)or Pbwer of i4ttomey(for ttie owner)would be someone with natarized letter from owner authorizing same <br /> � "�"�,"'"�:�,'���P�P,91Tt7E�G {Fron#af Appllcation OnlY) <br /> �`�� ,�a�� Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> � _ .0 _ <br /> K._.�i�ire�w^�� .�,-:z�::s�;��.:.,�aryr..needs ROW - <br /> �,r=��:n=�, . <br /> .>;. .� <br />