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} <br /> alsaaD•oozD City,Of ZephyrhillsPermit Application F8x-813.780-0O21 <br /> Building Department €'r t+��r�rrSG 5 <br /> Data Received; Phone Contact for Permitting t ) t!J."-3 <br /> I tI t:taiA 1_Li1I mo{. , . . .. <br /> Owner s Name .f/ti"Y r f41 }� } J ��p q Oviner Phone Nurtiber <br /> Owner's Address it+�`7f(✓}� Q '�' Owner Phone Number <br /> FoeSimpteT?Uehbldet.Aame t ILL 1 "r / Owner Phone Number <br /> Pee Slmple..IitleholdefAddress <br /> 30S ADDRESS '" + +•i11Y 't'r''Ij LOTV <br /> SUBDIVISION PARCEL ID; <br /> tOSTAINEO MCIA PROPERTY TAX NOTtC% <br /> ' YJOR(i PROPOSE'O. NEW MN5'ltt� ADOy� � .SIGN "Q DEMOLISH <br /> INSTALL REP, <br /> PROPOSED USE �. SF.R X�J CORM OTHER, <br /> TYPE OF CONSTRUCTION _ BLOCK Q FRAME aTE1 Q- p <br /> t" U � .#c <br /> DESCRIPMNOFWORIC� •,�l� i � 'l+[�ttriT�t�tI�7; ijt fDP- <br /> i, <br /> BUILDI'r(GSIZE �Ji5goy T -.. soF60TAGE. HEIGHT' <br /> F ...._-•moo .. _ <br /> BUILOIidG S.1 /t r1 r �p,LUATION OF TOTAL CONSTRUCTIO �F��"'Z.tNi..�—S1"i'�- <br /> `�ELECTRICAL S. I / r��_�'.• .AMP SERVICE PROGRESS ENERGY Q 1N.R.E_C. <br /> I r�f"l <br /> .=PLUVSING. S . <br /> �rAECHFN)CAL. 5. VALUATION OF MECHANICAL INSTALLA.TioN <br /> iC$ ROOFING Q SPECIALTY'= OTHER <br /> FINISHED FLOOR EL VATiGNS FLOOD ZONE AREA =YES NO'((( <br /> iLJICDE, 60ji1PANY .�i <br /> .,,,� <br /> ` SIGNATURE: 1.i=-� 13-f-. nc.?S1C:s-OLVI P! r-E£Curc.,E. I .'f 1 N <br /> Address. 374 n_ yTcsri, 4 Licenser <br /> EL EC tAN. /// COMPANY t�J tG(YT14��� $SL�S� '.f GY43� <br /> SIGNATURE .( RECtsrEa=_oI Y 1:1 P FEC CURPE Y i N 1 <br /> dj License g <br /> P f E COM N fi. ..� [ �t't r.I� % <br /> Wii�NA•TURc+� r.Et�r TEED Y IN C' Rz-r om r_YIN - <br /> 1Addrass}: License#I[ t,: FC0,� -r?172 11 <br /> h1ECRAN?CRL}�+';j ---• COMPANY I' - <br /> 'SIG J V RE;tsr_ a YIN FEE Rn9, LY f N 1 <br /> Address Lanse _ <br /> COMPANY �"SS�CLYJIKt CJI�I li!L _ <br /> SIGNt��RE' t?EGIsTEREo I Y I N E�cuRgEn L Y i N <br /> Addiaas� t I 3D5 Liwnse r <br /> z.m S=i7i1/ P�zQv►�e�v�d tJt F <br /> It:ftiti=1211_t"t'II1III111IIdI11-I1ttli.I I I I I tttl'litflhlF7tft11't_t [[it I -. <br /> RESIDENTIAL: Attach,(2j Ptot Plans;(2)Sets ofBuilding Plans;(1)set of Energy Forms,R-O-W Permit for new construction: <br /> Minimum ten(10j working days after submittal.date. Required onsite,Construct n Plans;Stormivater Plans wl Slt Fence utstaDLd, <br /> ;Sanitary Faplities 81 dumpster;Site Work;Permit for.subdivisicnsilargg projects <br /> COMMERCIAL Attach(2)'complete sets of Building Pie plus a Life Safety Page:'(1).set of Energy Forms.P-0-111 Permit for new construction, <br /> ' Minimum ten(10)working days aftersubmittald;te..Required onsite,Construction Pans,stixmvrater"Plans wl sltFar ce Installed, <br /> Sanitary Facilities 8 l dumpsler.Site Work Permii fr r all new projects.All commercial requ€rements nust.meet corripllance <br /> SIGN PE,RMIt' -Attach.(2)sets of Engineered Plans. - <br /> -PROPERTY SURVEY reti fired for al NEW consimatlom <br /> .l�a 'a.,s.a• t.a i 1 a.a�b i a I a-n-�:t a'a,1'o s..a-.rat 3� , <br /> Directions: - .. . <br /> Fill out application completely: <br /> tlwsser.E Contractor sign hack of application,notarized <br /> if over$2500,a Notice at Goinme6ceinent is regliired. (AIC upgrades over$7500) <br /> Agent(for the cantraclar)or Pawer of Attorney(for the owner)would be samebrie with notarized letter from owner authorizing same <br /> OVER THE.COUNTER PERMITTING (copy ofc ilRet reg1.15" <br /> Reraats IF.shingtes iseviers Service Upgrades"A/C Fences(PioUSurveylFoctage) <br /> Drtveways•Nat over Counter if an public Taadways-heads ROW <br />