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' . Bi&780-002D �fL }� City of Zephyrhills Permit Application ��c�tsaeo-0o2t <br /> //`Q/Y(�!/ Bullding Depattrnert <br /> nam ru�i�, � ' ?1 y _/� <br /> Phonm Co�ec4 for Pamdftln� P� <br /> Wmsrs Nemo Qrmae Phone Humber <br /> Own�r's Mdmaa Owie�r Phom Nmnber <br /> Fse Slmple 71tlMo1d�r N�mo Oumer Phone Nam6er <br /> Fee Bimp[e 7YU�ho1@1r Addrws <br /> JOB ADDR�43 . � � � <br /> SUBDMBION f AatCELIDS� `/ �-��/ <br /> (mruwm�ae waaa�mtnu uonc� <br /> WORK PROPOSED e NEW CON4TR e ADDIALT Q SIGN Q Q DEMOLIS�I <br /> ���� REPAIR <br />, PROPOSED U9E Q SFR Q CpMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q <br /> DEeCft1PI10N OF YYORK � u <br /> �111LW�G 8f� SQ FQOTAtdE� HEIGNT <br /> Q BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> []ELECTRICN. S '� AMP 3ER1/tCE Q PROGAESS ENERC,Y Q W.REC. <br /> OPLUMBING y � r ���r r <br /> QM���� S VALUATION OF MECHANICAL INSTALLATION � y <br /> � l� �/��- <br /> p c�.s O R O O F I N G p s P�c w.n 0 O THER �� � �° ,7' <br /> FINISHIDROORELEVAnONS FLOODZONEAREA QYES NO �� <br /> � � <br /> BUILDER �pgp� <br /> �IGNATURE atctisr�o Y!N �Ewtit�n Y/N I <br />' /Wdns� Llcerme# <br /> ��(s� a �i C� � <br /> �,� � ��a�,► <br /> SIGNA7LRE t�arEr� !N �curur�. Y/N <br /> ��a � <br /> Addres� l� Llcenee# <br /> PLUYBEA �apppy <br /> SIGIAA7URE R�TEppp Y/td �cuw� Y/N <br /> Add�°s° Llcansa# <br /> MF.CliAHiCAL COMIPANY <br />� SI6tdA7UttE pEOlB�a� Y!N Fgcuru�n Y P1 <br /> Addnss Lkense# <br /> I OTHER S�PJIPP1dY <br /> �G��� �� Yl PI FEeCVaRe� Yltd <br /> �aa�,. u�# <br /> RESIDENiU1L Atteoh(2)Piot Planc,(2)sete of Buliding Afens;{1)set of Enerey Fortna;R-O-W Permft far new construc8on, <br /> MlNmum b�{10j vrorkiny deya e(�r eubmlttel date.Required onefte,Cmistructicn p�ans,gtnrmwster p�gns w/Silt Fenea Instelled, <br /> Senftary FredllUea 81 dumpe�r,SiOa Work PermRfo�subdlNsfonellerga pmjac� <br /> OOAINERCIAL Atlach(2)aamplete sate of Bullding Plens plus e LKe Sefety P�e:(1)aet af Errergy Farma.R-O-W Permk 4or new em�stnktiott. <br /> i4�Nmum ten(10)x�Mng deys af�r e�mlttal date. Requlred ansfte,Conctructicn plerts,gtmmwater p�r�s�S�!Fence I�taGed, <br /> Sen�y FedOtles S 1 dumpahec Slte Work Pertnk(or sli new{aoJecis.All eommerdel requlremenls muat meat�mpli�ce <br /> SIGN PERMIT Oltteeh(2)aem of Enylneerod p7ans. <br /> ""PROPERTY SURVEY requlred(oi e11 NEW Om�strualicn, <br /> Dl�eetlons: <br /> FlII out application comptetely. <br /> Owner S Contrectar elgn badc ef eppllceUon,na�r§ad <br /> n ov�r i2600,�Hotice of CommeneemeM k nquirad. (IVC upgndea owr 57600) <br /> " ABerA((or the ooMraoEor)or Pawer W Atlomay{lw Cte Cwnar)xauld be someorre wAh noterh�d letter from rnmer euthaibng aeme <br /> OVCR TFIE COUHiER PEWMI7TINo (oopy of oontraet requ(red) <br /> Remofs if shingtas Sewcrs Servlce Upgradas A!C Fer�eos(PIoVSurveylFoofege) <br /> Ddvewqy�Not over(?ouMer H on publio roedwaya..needa ROW <br />