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• T <br /> 813-780-OW City of Zephyrhills,Permit Application Fax-813-7 1 <br /> MMM DeparWwd <br /> Date Reeefvad C Plnprle Cordao!for 6'/ <br /> Otirnmr:t�Gaae v3/I1! OwWPbwkrNlsnbaT <br /> Owner's Address ff "t(-�-- 77) V Oainw ft"Miaow <br /> Pee stele Tiflafroldrx Name I � owner afione Numbs' ! I <br /> Pas smrpla•rmdholaei Address <br /> .WBADDREss " LOTS. <br /> SUBDIVISION �� off-/ PAr emm W6 <br /> (Ut)t'A1IG0 Rt0l1 TAX N07ICEI <br /> WORK PROPOSED �] NEW C00M KADGF/ALT SIGN 0 Q D M USH <br /> o �� RI�AIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CO OMUCrWN 0 _ BLACK Q FRAME STEEL , Q <br /> DESCRIPTION OF WORK 1p,4!5"Faual 3 Z 197 V 6'�7� 67rO <br /> BUILDING SIZ I SQ FOOTAGE�� HEIGHT <br /> QBUILDING � VALUATION OFTOTAL CONSTRUCTION <br /> ]ELECTRICAL f5 ANPSERVICE Q PROGRESSENERGY W.RE.C. <br /> QFLUMBING IS1.1-111-1`—� <br /> CE(NIECRANICAL Is <br /> y j VALUATION OF MECHANICAL INSTALLATION <br /> r7cm 0 /ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REMStz3 v I Y t N FEE CUMM Y t N <br /> Addnass License# <br /> ELEC COMPANY <br /> T CM I _. REGISTERED FEE cUtzR>EP6 Y I N <br /> Addrm Lioetse#E 1 <br /> PLUMBER 1 COMPANY <br /> SGNATURE 1 REGIbTFRED YIN FEE CUMM Y t N <br /> Address License# <br /> ESIG A NIC I�wt ,--�f1�lLt�� COMPANY N FEE CURM I YIN <br /> S �j� /I�eZ 8" 'r/I✓{ <br /> Addross T gAl LV�IJ '� � License# <br /> OTHER COMPANY 1 <br /> SIGNATURE REWS ERW I Y t N FEE cUlaz� Y t N <br /> Address License# <br /> ! ill /! El/ I ! t!! ! ! !ti ! ! tEltli!! ! ! t ! ! ! 1lEtiEllll / 11itl1li ! ! tl ! lE1 / lE11 <br /> RESIDW r M Attech(2)Plot Plans;(2)sets of BtJft Plow,(1)set of Energy Fames;R-O-W Per n t for now ecru. <br /> Minimum ten(10)wadwV days alter SabmU date. Raquh®d.ansite Oaru r 1'tatts Stomtwster Pleas wt Stt Fence installed : <br /> s.rirny F a 1 dumpdgr;Sfto Work Porrrrit for�dnr[siortstlarpe projads <br /> COMMERCIAL Attach(2) soft of BuVk9W Pbrs Plus a We Safely Page.(t)set of Ertaryy Forms.R-O-W Permit for now aons tnicbon. <br /> famman tan(10)wwW r4 days alter sutanMW date. Regained onsd%Consbuciar Piers.SpoMWater Plans vd SIR Fence installed, <br /> Smeltery Fad A i dwvstw.Ode Work Pamol far at new projects.At commercial reglitwwf is must mast owrIpH"m .. <br /> Sir PERMIT Attech(2)sets of FVnammd Pbm <br /> —PROPERTY mqumW far all NEW corlsbelt�iors. <br /> oir.�rra: <br /> Fit out appocation completely. <br /> Owner&Co*actor sign be*ofapptcmion,notarized <br /> H aver$25W.a MGOM alr Goner It ls ngrdrmi (NC upgrades ewer'fr5W) <br /> AgertY(fortlre cartr j a Paw r of Attoittay,(t(lf M!!?m)N+aYd be sarrtacr►e wigs notarmed IeCet ffom owner autltorianfl same <br /> OVER THE COUNit>Z.PfJiklli rtI/G (mPY ) <br /> Reroafs if shUVW Sewers, Servico Uppradss:AtC r' Fences(PIaUStavay/Fc0t0W) <br /> Driveways-W over Counter if on pubDo madways.lieed ROW <br />