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� a ,� — i� v — �o`�/ <br /> B���B�� City oi Zephyrhills Permit Applica6on Faz�13780-OD21 � <br /> Building Departrnent <br /> s^_ . � <br /> - ' o.s�a�.t�.a d '/o�-I�1 Phone Confeet for P�rtnfltin �'13 �(b? _ �1 e15�l <br /> o�.r.�. � a� le.�� �A.�cs�.,-�-eri Ownw Phom Numbv g 13-3 I� �-1 S a a- ' <br /> Owm�'sAddms cJ SS I ��IT D(LJLJ4C� cf Lvc�� Owner Phone Numb�r <br /> FM Slmpfi Tltleholde Name Owner Phone Humber <br /> FN SImpN TIN�hold�Addros� <br /> roe�onr�ss ��ISS� /r1�itLba�✓����d C-�:=ry9 ' J,,;�.�s 3SSY�- �ors � <br /> suaumsioH �1£Aoauovc� �'�� PARCELID� ��"d�o `$��O/y��a0000—e77�rc� <br /> (OBTAtMED FROY PROPFJi�Y TAX MOIIC� <br /> WORK Pi�OPOBED B NEW cANSiR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSFD USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRU ON O BLOCK Q FRAME Q STEEL a <br /> DESCRIPTIONOFW RK � �At�°rie�-� e�-� Duc� veer..� $°S pf y�•�-�s /Qfiiv v£..�: <br /> BUILDINO SI� SQ FOOTAOE� HEIONT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q pROORESS ENERGY Q W.RE.C. <br /> QPLUMBING S <br /> QMECHANI s �.a�a VALUATION OF MECHANICAL INSTALLATION <br /> OCaAS Q ROOFING Q SPECUILTY Q OTHER <br /> FINISHED FLOOR EL ATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COkPANY <br /> $���� REGI3TERED Y/N FEeCURR6� Y/N <br /> Mdrus LlCense� <br /> ELEC4RICIAN COMPANY <br /> $�C+��� REG�srEltm Y/N FEECURRB� Y/N <br /> Addrsss Lioense# <br /> PLUMBER Cp�yp/�y <br /> $�0�7'V� rtEa�sTERED Y I N FEE WRREn Y/N � <br /> �wa�.. u�„se� <br /> NECHANICAL CONPAN1f �� �iZ�ll L'�°S <br /> SICiNATURE r�cis�r�o Y/N �cuRREt� Y/N <br /> �da�.. Olq K GoiL--�� �� u��# C.�G/�/!e$�/ <br /> onieR; coMrMnr ' <br /> SIGNATIJRE r�6isT�o Y/N FEE cunaa Y/N <br /> Addras Ueenae� <br /> �-i 1 7-1 T l 1 7-1-7"1 1 1 �'I-1"17-1'f'T"f-I--I T7 1 f'1"i'7 T 7 7 1 I l I"1 1 1 1 1 T7'17"7 I'i I 1 T'1 i T7"Tl 1 7'/-1'i <br /> RESIDENML eh(2)Piot Pians;(2)sefa of Bullding Plans:(1)set of Enetgy Fortns:R-O-W PertnR for nsw eonatrueUon, <br /> INmum ten(10)waridng days elter cubmittal da6e. Requlred at�site.ConahucUot�Plans,Stwmxater plans w/SIR Fence Inateiled, <br /> Fadiitles 61 dumpater,Site Work Permft for subdlvbbneAarge proJacte <br /> COMIIIERCIAL (3)eomRlete sata af Buqding Plarm pius e LNe Safety Pege:(1)set oi Energy Forms.R-aW Pertntt fw rsew eanstruetlon. <br /> inimum ten(10)woAdng deya after submtttal date. ReqWred onstte.Conytrucdon Plans,Stormwater Plana w/SIR Fence InsfaOed, <br /> {tary FecOftlea 31 dump�.Ske Work Permk for e)I new proJects.All eommerdal raquiremeMa must meet campilance <br /> SIGN PERNR (2)sets of Engineerod Plans. <br /> PROPERTY SURVEY requ)red for e�NEW consWcdon. <br /> DindlW�s: <br /> Fltj a,t sppu completey. <br /> Owne►6 ctar efgn�dc ot epplicetlon,no�tred <br /> M owr SZ500, Notln oi Commene�merd is nquind. (AIC upgrod�a ov�r i7500) <br /> " Agent(for the ctar)or Power oi Attomey(for the otimer)would be someone with notarized letter from owner authoriyng eame <br /> OVER THE R PERMITTiNG (Front of ApplleaUon Onty) <br /> Reroofd H eh(nglea Sewers Servlce Upgradea!VC Fencea(PIoUSurvey/FoWage) <br /> Drlv�wryrN over Counter if on pubUc roadways..needs ROW <br />