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� � �s - ��v - oo�� <br /> � _ 813-78Q0020 City of Zephyrhills Permit Application Faz�13780-0021 <br /> Building Departrnent <br /> Date Reeelwd �'����'' � Phane Contaet for Permktln O 3 b 7 - ``I�� <br /> Ownda Nam� �� �JN l��.J�Q-17 Owner Phom Numb�r K ��"'��.3`--���� <br /> Own�i's/rddnss �Q��J �-�'�S 1 �� Ownar Phone Numb�r <br /> FN Slmpb TfNehotde Name �� � Owner Phone Number <br /> F��Simpb Titlehold� Address � � � <br /> JOB ADDRE88 �O� �--�ke s,�e ��)�[� LOT/ � <br /> suennnsioN L-J I+t�e r-S M N P PARCEL ID� ��� -2 — —�O��c.b—�lX� <br /> (OHT/11Nm FROY PROPER�Y TAX N071C� <br /> WORK PROPOSED B NEW CANS7R B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> DESCWPTION OF W RK � t �.�► e ..c��' o?'T�N /�SP_e 1L SG /�K � G���—t <br /> BUILDINO Slg SC FOOTAOE� HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC/�L S AMP SERVICE Q PROORESS ENERGY Q W.RE.C. <br /> I <br /> QPLUMBING S <br /> OMECHANI E t rD� VALUATION OF MECHANICAL INSTALLATION <br /> `-[ <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR EL ATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COM?ANIf <br /> SIGNATURE REGISTERED Y I N �GURrtEn Y/N <br /> Addnss License# <br /> ELECiRiCIAN COAAPANY <br /> g��N/►nRE REGI57ERm Y/N �Cuaaa Y/N <br /> Address Lieense# <br /> PLUMBER COMPANY <br /> g�pN/►nRE REOISTEREO Y/N �cuwtEn Y/N <br /> �aar..: u�e# <br /> NECHIWICAL _-" COMPANY � �W/Cf'S <br /> g�GNA7'URE aEGisTeaeo Y/N FEe CURR�t� Y/N <br /> Ad'droaa �i O 1�Ctl R.�'L'�.�� License# <br /> OTHER COAAPAN1f <br /> SIGNATURE r�cisr�o Y I N �cuRae� Y/N <br /> Addr�s License� <br /> Il 17-7 Tl l T" 1-7-1'fft � t-1-17"t �-Tll..t'Ti 1 1 fI""1 rll I Il 1-'1 1"fl li-7'17�1 f'i I 1-iTil-7'Tl 17'1-Tt <br /> RESIDEN7IAL ch(2)Plot Plans;(2)seta of Building Plans;(1)set of Enargy Fo+ms;R-O-W Permri for new conatrudlon, <br /> Inlmum ten(10)working daye etter submlttel date. RequUed onslte,Conatruetlan Plens,Starmwater Plarre w/Sllt Fence Inatelled, <br /> itery Fedlitles 61 dumpater,Slte Wrnk Pertnk for aubdhrislonsllerga proJecb <br /> COMMERCIAL (3)complete seffi oi Bullding Pisns plus a Lffe Sefety Pege;(1)set ai Energy Forms.R-O-W PermR for new consttuctlon. <br /> infmum ten(10)worMng deys after submittal date. Requlred a�site,Construedan Pians,Stormwater Plans w/Slft Fence inatalled, <br /> Mery Padlftlea 81 dumpater.Ske Wak Pertnft for all new proJecfs.All wmmerdal raquirements must meet oompifance <br /> SIGN PERNR ch(2)sets of Engineered Plans. <br /> PROPERTY SURVEY requlred for e0 NEW construc�Uon. <br /> DineflOns: <br /> FIII out appliea wmpletely. <br /> Owner 3 et�eign beck ot epplieation,notarized <br /> H over i2500, Notke of Commnneement is roquirod. (AIC uppredes over=7500) <br /> " Agent(for the tracter)a Power ot Attomey(for the owner)would be someone with nofarized Ietter from awner authwi�ng same <br /> OVER THE COU R PERMITTINO (Front oi Nppllcatlon Onty) <br /> Reroofe H shingles Sewers Service Upgrades A!C Fencea(PIoUSurvey/Footege) <br /> Drlwways-N over Counter H on puWie roedways..needs ROW <br />