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813-780-0020 Gity of Zephyrhills Permit Application Fa�t-813-780-0021 <br /> '� Bui4ding Department <br /> '���'�'d �'' � ������7 � Phom Cor�at 1br P�rmllNnp 819 908 _ O1 S1 � <br /> ! i f t ! / 1 1 J�S�7�-7 � ' � �.1 • • � t 1 1 1 1 TfTi'" �� <br /> OMm�N�m� R+obin HaU�away Own�r Phom Numwr (4ti7)816-2530 � <br /> owtsa's Adde+ns 9387 Juntor Ave Paras!Gity�FL 32703 Own�r Phon�ltumbar �� <br /> FN BhnpN Tlti�hold�r N�me �A � Own�r Phom Numbsr l � <br /> Fw�ShnpN Titbhold�rAddeps N!A <br /> J08ADDREdB 521719fhStreetZephyrhll�.FL33542 �� C� <br /> sU8DN1810N �� PARCEL IDa 11 26�21-0010-19$00-0030 <br /> {paTAltiED FROIE Pl�PERfYTAX MO�ICB} <br /> WORK PROP48ED e NEw OONSTR e ADD/ALT � SIGN C] C] DEMOLISH <br /> INSTALL REPAIR <br /> PROPO�ED tlSB Q SFR Q COMM Q O'TffER 8 C8 <br /> rn+e oF coNernucnow p a�ocic p Fw►M� p sr�. p <br /> DEatxtiP7sON oF wORK Reglace Same S�e:13 Windows and t Doar �D�v� P�1 C r <br /> 8!lILD�l3 812E' � � 8ti FOOT/1t�8� HEtONT � <br /> QBUILOING '�14,649 � VALUA710N OF TO7Al.CONS7RUCTION <br /> QEI.EC7RICAL �� AMP SERViCE Q PROORESS ENEROY Q W.RE.C. <br /> QAtUM81Nti (l�Yi� , ;,�r j jf�� '�j\".1 <br /> L �,..—i �,,a v <br /> QMECHANICAL � VALUA71pN OF MECHANICAL IN3TALI�TION <br /> pc�As Q ROOFINO Q SPECIAI.TY �] orH� <br /> FlNISHEQ FLOOR ELE1tA1iON8 ��� fLOOD ZONEAI2EA QYES NQ <br /> � <br /> BUil�t � Weeiher 7]te Windawa <br /> SIQiNA7URE RE018TE7t� Y/N F�CURREN ...�Y/N <br /> �� 2119 W Cotumbua Drhte Tampa,PL 336Q7 ��# CtiG151554i � <br /> El.�CTfi1C1AN � � CpMIPANY � � <br /> �IGINA7URE t�018�t� YI N t�cuRREK YIN <br /> Addnas Lltxroe#� � <br /> FLUTABER � � COt/PANY � <br /> SI!'l'�NA7URE itE013fIItID Y/N Fff CURREN Y/N <br /> Addlfis 1.lOanse#�� <br /> YECHIWICIW � � CQMPANY � � <br /> StQl+ilINRE J �4�8T� Y!N �cu�N YIN <br /> �aan.s uc�,se u � I <br /> OTHER � � COilPANY � � <br /> SIONAiURE �o�8rve�n Y/N r�cuaReH Y!N <br /> Jiddt�ss IdCertse#I I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllll <br /> REEIDE4RUUIL AthtCh(2)Plot Piene;(2)aeta oT Bupdinp Plefle;(7)set a}Eneryy Forma:R�4W PecmR tor new oonehudton. <br /> Mlnimum ten j10)workinp daya etter aubmlNet date.Requtsed or�site.Conc6udiart PGaru.Sbomrarafer Pians wJ S�f Fm�e tnataibd, <br /> SenNarY FeeAitla�81 dumpater,Site Work Petmft ior qubmvtslonNivCs P�� <br /> COIAMERCUW AVach(2)oompleEa sete of BuOding Plerb plue a Ltfe 8afety Pege;(1)eet ct Energy Fomie.R-p-W Pemnit for new conaWdlon. <br /> Minlmum ten(1Q�wodclnp days eRer aubmittel date.Requhed�,Ccrnhuctlon Plar�.S6onttwetes Plens w!3�!F�ce lnetetled, <br /> SanNery FecB�taa 81 dum�er.S[te Wcrk Permtt fnr eii ne�v proJeatn.AII comme�ci�i teqatremerda muat mee#eanpl�ce <br /> SIQN PERMIT Attach(2)aeh oi Enpinemed Plenr. <br /> ' "'"PROPERTY BURVEY requtred for ail NEW conetruof�on. <br /> ' �.t_tzcit . . u . . tt � • c��_�4.� * • u..�� � , , ia . . � . . u � t . . � j . . . . <br /> , atnat�ons: <br /> FlO out epp�ratlon completely. <br /> Ownx 3 Contrec6or tipn beak of eppl�adon�noterized <br /> � H owr#'�l5q4.a ttotia�oi Camm�nasmen!ts nqn�ad. (ll,tC apger�das owr:TQBQj <br /> " Apent(for ifie�dor)or Pawer W/�Lcmey(hrr tl�e ownat�wouid be eomeone wllh notaHaed lettsr t�om awner eutlwrL2Jrre aame <br /> OVFR i1�COUNTER PFRMR71Nti (ocpy of cantrec!raquUed) <br /> Reroois N eh�gtee $swa�e Sesvlce Up�+¢dee A!G Feneea{FlotBurveY�Be} <br /> Drlv�wiqa-Not mrer CounEu if on�a wadweYe..neede ROW <br />