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� � a .� � i a v — oc��� <br /> at�-�eaoo2o City of Zephyrhills Permit Appfication Fe�-a��-�ooz� <br /> ° `t Bullding Depat4nent <br /> : <br /> � ' DYroReuhnd �� —a�-�0� Phan�ConfaetforPemfttln � ��� _ ����- <br /> o�,.r,�am. r Orm�r Phom Numb�r ��3-? �-'�'��� <br /> Ownda Addrw � � ut OtZC� �T Ownor Phone NumMr <br /> FN Simpf�Tftlohold� Name Owner Phone Numb�r <br /> FN Slntpp Tltlehald� Address <br /> J09ADDRE83 �7� � �ZZ1vQC.C� S � LOT! � <br /> SUBDM810N ��'g-�",�� '' PARCEL ID3 �y�'�-`!°`�'I �O�� ^-f�'(D('=p�--�C1�,� <br /> (00TNNFD FROY PROAFRIYTAX NOTCE� <br /> WORKPROPOSED B NEWCANSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALI. REPAIR <br /> PROPOSED U�E Q SFR Q COMM Q OTHER <br /> 7YPE OF CON87RU ON Q BLOCK Q FRAME p 5,�� p <br /> DESCWP•T10N OF wc � C C�r A� E� o`t �d� �`f S�e 2 G ' ��✓� � <br /> BUILDINO S� 8G FOOTAOE� HElOHT � <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRIC S AMP SERVICE Q PRO�RESS ENERGY Q W.RE.C. i <br /> OPLUMBING i <br /> OMECHANI S f�S� VALUATION OF MECHANICAL INSTALLATION <br /> O� O ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ATIONS ROOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE necisT�o Y1 N �Cur�a Y/N <br /> Addras Llcense� <br /> ELECTRICIAN COMPANY <br /> g�GNATURE REGIS7ERm Y! N �Cuaa6� Y/N <br /> Aadnss ueenae# <br /> PLUMBER CONPANY <br /> SIQNATURE r�oisT� Y/N F�a1RRB� Y/N <br /> ��.. u�# <br /> NECHANICAL ��� CONPANY � SQ �1 CL°S <br /> S13NATURE r�cisr�o Y/N FEecuRA�. Y/N <br /> �dar... Q i� �•( C�:�,c''fb�ve u��a �1$1i.o`�"l <br /> on�eR. co�P�wr <br /> SIGNATilRE RE�isTF�eo Y J N FEE Cura�B� Y/N <br /> Addr�ss Lieense# <br /> ri-n�r� r ��1�-rrrrn���� rrrr-rrrrrrr�ri� inrr� rr�rTrr.��rTt�T�rrrrr� �rr�_t <br /> RESIDENTIAL (2)Plot Plena;(2)seffi of BuOding Plana;(1)aet of Energy Fortns;R aW Pertnk for rrow eonatructlon, <br /> Inimum ten(10)worldng deya etter aubmMml date. Required anstte.Conetrudbn Plane,Stamwater Pla�ro w/SiN Fenee kiatelled, <br /> itery Fedlitles 61 dumpater,Site Walc PermR for eubdMebrrolierge proJeete <br /> COIVIIIAERCIAL (3)complete aets oT Bullding Plena pJus a Life Setety Page:(1)set ot F.nergy Famn.R-o-W Permtt for rrow eonaWcdon. <br /> Inimum ten(10)worldng days atter submittal dete. Required or�site,Cons6uctlon Pians.Stortnvvater Plans w/SDt Fence Inatsfled, <br /> Kery FacOitlea 31 dumpst�.Ske Wak PertnR tor eil new proJecte.All eommerdal requiremerda muat meet campliance <br /> SIGN PERIIIR (2)eeTn of Englnemmd Piens. <br /> OPERTY SURVEY roquired for ell NEW oonaWctlon. <br /> Dl�iloru: <br /> ffll outappfice canpletely. <br /> Owner 8 cta eign badc of epplfeatlon,notarir.ed <br /> N owr iZg00, Notla of Commu�ament Is r�ulnd. (/VC up8rad�s ov�r:7600) <br /> � agent(ror ure tractor)or Power oi Attcrt�ey(fa the owner)xnuld be someone with notarized letisr from owner authaizin9 same <br /> OVER THE CO R PEFWIT�INQ (Front of Applleatlon Onty) <br /> Rerooi!H ehingles Sewets Serviee Upgradea A!C Feneea(PIoUSurveyiFootage) <br /> DrlvaMrrys-N over Counter H on publle roadwrays..neede ROW <br />