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a�a-7ao-oo2o City of Zephyrhills Permi4 Applica�ion Fax-813-780-0Q21 <br /> �uf}d3ng Degartmeni <br /> �aee R�ceivmd . pl�oca�Gan4�c¢foe Perml4fi� �� (�� -- {3 �'� �' <br /> Owner's Rlamg �C..Y I��l V �! 4lJ!► i w �avn�r�hone Plumb�r <br /> Ovuner°��ddress ���Q � C`t�v� ��Ud• Ouvn�r Phone PlumbeP � <br /> Fee SlrropYe YI�I�hald�P h➢�rma �� � Ownee Phon�idumBa�r �— � <br /> Fae Sfmpla'fi@I�hold�r�lddr��� <br /> �a������� ���� ���� t.�h�eei 5-�-- ��,�� ��� <br /> su�a�i�r6�«� �� �U�V���.(� � �a�e�u,��� ��-r��-�� - �3��1 t�- 00 3CX7 �L�!t�C�. <br /> (OBYdIP18D FROPd PROPERTYTAX NOTICE) <br /> !�►OfdK PROP�SE� , e 1�Evu caNsrs�8 ADDIAI.T C� SIGN Q Q DEM{}LiSH <br /> INSTALL R�PAIfZ <br /> PidOPOSE�tlSE Q SF12 Q GOMM � OTFiER <br /> TYPE OF��R95TRU�lfl06� � BI.00K " Q FRAME 0 STEEL � <br /> Desc������a�wo�x I Y� �-�'{C�Y1 �l����� <br /> �tflLt3lP�C's�I�E �Q F�OT'AG�E_� F4EtG�iT' ��.� , <br /> �.._� - <br /> 8UlLD1NG � VA�UAT'tO�1 OF TOTAI COiVl81'RUGTION <br /> DELEGTRICA� � � AMP SEE2VtCE Q PROGRESS ENERGY Q UV.R�.C. � <br /> [�PLUMBtNG $ " <br /> �,n�.- � � <br /> QMECHANIG,AL $ YALUATtOftI OF NlECHM!lCALlRlSTRLIA�TiOiV <br /> C,,,__,,.....,,._�- <br /> (�c�s � RaoF}n�� .[� sPEc��,�.rr [� QTHER <br /> FINISHED FlOOR ELEVATIOIVS �� FLOOD e ONE AREA �YES IVO <br /> �UILfD�R �i�l6��it}Y <br /> �t������� REGISTERED Y/ IV FEE CURREP �(/� <br /> +���«� License# r� � <br /> �L��YS�t��� C���'�1Y <br /> �SG��+���� � REGIS7ERED Y/ IV FEE CURRE� Y/P� <br /> A�a1e��� License# i � <br /> �L9l81l��� �� (� � G��FA�9Y �t�/�t <br /> SiG�tl0.'Tid�E" �*.� � REGIBTERED ��V ��P � r 1 ���CJ� i <br /> �'ic4�rt3ss ���� �'�� l C(�-�,'.1f��} ��tt!- License# C.���I� ` �a I <br /> Rf�EGH�VF'1lG�L �Oi2��AAlY <br /> ��������� REGISTERED Y/ IV FEE CURRE� Y/-fV <br /> +�����$ Ciaense# �� � <br /> ����� .GO�fIfPAi�3Y <br /> SI�W�I'�'I�RE REGISTERED Y/ 1d . FEE CURRE� Y/N <br /> Fi4�dfF�� LIc8t1Se�# � � <br /> ��SiB�t�'�tAl: Attach(2)Plof Plans;-(2}sets of Buiidii�g�Pians;{9)sef of-Er�ergy�arms;R-O-W Permit far new constructlon, <br /> RRintmum fen(10}working days after subtriittai date. Requlred onstte,Con'strucUon Pians;Stormwater F'lans wl Siit Fence instal�ed, <br /> Sanitary Faoflities.&1 dumpster.Site Wortc Permi#for subdivisionsllarge proJects <br /> C�Mt���Ci�9.. Attach(3)c�mptete s�ts o€Buitdirig Plans plus a I.ife Safety Page;{1}set af Energy Farrtts.i�4•W Permit#ar new construction. <br /> Minimum ten(10)working days after submlttal date. Requirad onsite,Constructian Plans,SQormwater Plans w/SiIY Fence InsYalled, <br /> Sanitary Facilities&9 dumpster.Site Worlc Permi#for all newr projects.All commereial requlrements must meet campliance <br /> �i�E�P�R�tf'3 �0.ttach{2}ssGs af Englneered Plans. <br /> °"'PROPERI'Y SURVEY required for ail NEW canstruct3on. <br /> �Iraa4lor�s: <br /> �III aut apptica�on compietely. <br /> Qwner 8 Gontrachar sign back of appllcadan,notarized � <br /> 8��av�e����0,�A1agEc�oS`�or��ri�nc�en�a►$t��a��a���c�. {�dl��a�g�cY��a�m�$Y5�0} <br /> "" Agent(for the contractor)ar Pouver of Attamey(for the avuner)would be someone with notarized letter from owmer authorizing same <br /> 4!t£R'Y7�6E CCitl�lliE[3 P�i3�'!il'�'TIP1G -{Front of 1�pp1lcmtian OniY) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(Plot/Survey/Footage) <br /> �e'{vsu�r�y�-Naf over Goun#er If-on pubt3a roadrniays..needs ROW <br />