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� � � � � S - J�v - �oz� . . <br /> 81378Q0020 City of Zephyrhills Pertnit Application Fax-81&780-0021 <br /> Building Department ' <br />� , • � D�te Rxehnd p�— �� l � Phorw Contaet for Permlttln �� 3 ��0� _ ci�(S 7- <br /> Owmrs Nam� �:-y�:r+'tc�(L� ��L�\�-..�w$ Owner Phone Numbar 6�' ��� '�l�(�( <br /> ����d� l� 1 a L�} \—c��5c S 1 p�er Phorro Number , <br /> FN Slmple ittleholde Name Owner Phone Number <br /> F��Simpb Tltlehold� /Wdws� � <br /> JOB ADDRESS l 1 I� L� !—O�e S 1 T'<-�� �`'�-�S LOT� �� <br /> SUBDM810N �p Cl e��� PARCEL IDS ��'Z�p'"�I � �L fo O�OO O U O— �,(g() � <br /> (OHTNNED FROY PROPFRIY TAX XOTICh7 <br /> WORK PROPOSED B NEW CANSTR B ADD/ALT Q SIGN Q Q DEMOLISH I <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER i <br /> 7YPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> ��.' ��'1� � � c�J'.O e.� l�{ Sc"e�� �`�� �(C�-�` lit se i 1 ��� � <br /> DE8CRIPTION OF W RK � � <br /> i <br /> BUILDINO SIZE SC FOOTAOE� HEIOHT � <br /> Q BUILDING 5 VALUATION OF TOTAL CONSTRUCTION I <br /> � <br /> QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.R.E.C. <br /> � <br /> I <br /> OPLUMBING S , � <br /> i <br /> �MECHANIC E�.j�Ur t1 VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> I <br /> O(`,pS Q ROOFING Q SPECIALTY Q OTHER , <br /> FINISHED FLOOR EL ATIONS FLOOD ZONE AREA QYES NO I <br /> BUILDER �P�' � <br /> g�G�7�(� REGISTERED Y I N FEe Cuw� Y/N I <br /> � <br /> Addr�as Ueense# � <br /> ELEC7WCIAlI COMPANIf <br /> g�G�7�� REGIS7ERm Y/N FEE CURne� Y/N <br /> Addnss License# <br /> PLUMBER C�P� <br /> SIONATURE RE613TERED Y 1 N �cuAaEn Y/N � <br /> Aadr... ucense�l � ! <br /> MECNANICAL l COMPANY �"'D �'�►Ce S I <br /> g�p�NpE REGISTERED Y/N FEE CURREn Y/N <br /> Ad'drosa �1 l7 hL �A'�C� �lG� License# �G l��l.s 1 ; <br /> i <br /> I <br /> OTHER COMPANY ! <br /> SIGNA7URE REGISTFFED Y I N FEE CURREt� Y/N � <br /> I <br /> Addnss Licenae p <br /> nrr�rr� r n-rr� � � rrrr��-rlrrrrri � rr�T» � nr�ir��T� r��� rr� �T�rrrnirrr� <br /> RESIDENTIAL ch(2)Piot Plans;(2)seta of Building Plans;(1)set of Energy Fortns;R-O-W PertnH for new construetlon, <br /> Inlmum ten(10)worldng deys etter submlttel date. Requlred orrelte,Conatructlan Plans,Startnwater Plerte w/Sllt Fence Inatelled. <br /> ifery Fadl}tles 81 dumpster,Site Work PermB for eubdh�islonsAarge proJeGs <br /> COINMERCIAL (3j complete seffi of Bullding Plans plus e Lffe Safety Page;(1)set ot Energy Fortns.R-O-W Pertnk for new eonatrudlon. <br /> Inimum ten(10)worldng days aRer submlttel date. Requlred ansite,Conatruedon Plans,Stormwater Plans w/Sitt Fence Instaited, <br /> �tery Facpftlea 81 dumpster.SRe Work Pertnk for ell new proJaets.AII eommercial raquiremerds must meet eompliance <br /> SIGN PERNR ch(2)sets of Engineerod Plans. <br /> OPERTY SURVEY required for ell NEW conaWcnon. <br /> Dinetlons: <br /> Fiil outappiiea compleTey. <br /> Owner 8 ctor sign badc ot applfcatlan,notarbsd <br /> H owr i�500, NoUee of CammeneemeM la requlrod. (INC upgredes ov�r=7500) <br /> " Agant(for the tractor)or Power af Attomey(for ihe owner)wouW be someone with notarized letter from owner aufhori�Ing eame ! <br /> OVER THE COU R PERM(7'T1NG (Fmnt oi Appllcatlon Only) � <br /> Reroot6 fl ahtngles Sewers Serviee Uppradea AIC Feneea(PIoUSurvey/Footege) <br /> Wlv�wrys-N over Counter if on puWic roedwsys..needs ROW <br /> - - - - - - - I <br />