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{ <br /> s�arnn nn�n City of Zephyfhills PerwA P.prlicaBon FaY.alg-an n sit <br /> adding capanment <br /> OM Received AltnnoCOntncEfoa•Rermlttiag• 1 3�~ �c � <br /> t� L <br /> Owners Name Owner Phone Number <br /> Ownefb Addroza Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> FOGImplo 7109hgldef�dtlress 1 <br /> JOBADDREBSS �I r rY�� LOT# <br /> SUBDIVISION PARCEL 109 <br /> {09TA}NSDPROld PR0PER1YTAII NOItCM <br /> WORK PROPOSED [� TALL NEW CONSTR� AODIALT ® SIGN r7 ® OF.MOUSH <br /> [1 INS REPAIR <br /> PROPOSED USE C] SFR C1 COMM ® OTHER <br /> TYPE OF CONSTRUCTION HLOCIC l FRAME STEEL I1 <br /> DOCRIP710M OF WOW LgILo <br /> t3U1L01NG SI'xE- +� 80 POOTAG& "EIGHT, <br /> OILLDING S VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL & AMP SERVICE PROGRBSS ENERGY ® W.R.E.C. <br /> �PWMBING <br /> =MECHANICAL S VALUATION OF MSCHANtCAL INSTALLATION <br /> =(M ®' ROOFING SPECIALTY=- flTHM <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REtYBTt RE0 t ehxrsRen <br /> Addreso �� License ELE <br /> SIGN T COMPANY `- <br /> SIGNATURE - �N � •Y7 - <br /> Address LleenwS <br /> PLUMBER COMPANY <br /> SIGNATURE? REGISTSK0 --'"7sry'i' peea—ARO I YIN <br /> adaw,o 7 Licarmep �:43i\�•2FOk� <br /> 1.1ECHAMCAL <br /> 31CiNAT11RE •�'. COMPANY <br /> REGISTERED Y i N FEE CURRB,OTHER <br /> Y <br /> SIGNASIGNA COMPANY <br /> SIGNATURE REGISTEREDI Y/ FlsecURREn <br /> Address Ucen3e0 <br /> it�eer, � � ee� � � � e � � e � �rt� et>ttrflli>; � ttt �tstlttt � ��� lt � ttt1111tt �1ti11 � t MMICENTIAL Arlarh{2)Phil Plans;(P)saga nq R,jtgtfnn FEgn6'0)set oPEneMy Forms;R.rtitnr Prrmtt*er nov consrrurttnn, <br /> Minimum tan(10)working days after SeDmR101 date.Required onette,Construction Plans,Stonnuater Plans tvf Silt Fence Installed, <br /> 6anitaly Facilities C,I dumpster.Sna Work Permit for OUlydiufeicnsnarge projocta <br /> COMIRRC1AL Attach(2)Complete sets or Suilding Plans plus 0 Life 8efety Page;(1)set of Energy Forms.R•O•W Permil for nrv+censbuctlon. <br /> Untmum ten(10).WcAirtg days after submJual deto. Roqulrsd onaita Conctruedon Plano,Stcffnwztor Plans a/Silt Fence Insta od, <br /> d al F�tdI1g29 tC'1 tlompslQr.Sits 1Ndck 1 mNt'idr aV new P►cjdokd.Ai!commersiet tGqulvismonm mum meet eomplisneo <br /> SIGN PERMIT Atteoh(2)Seto of"Inoared Plane, ' <br /> ""PROPERTY SURVEY requlled forell NSW constructlan. <br /> Dkectfons: <br /> R1,out applicavon completely. <br /> Owner a Contractor sign OEM of application,notadat:d <br /> If ever�600,a Notice of Commonaamvm ie r equlrad, (AIC upgrados evor S1800) <br /> ;tn .ur a.. a...nw,v tt C.r.the Crn7-ten^r Fci wr 4r a rrM�¢� •..,..t.r �,' <br /> OVER THE COUNTER KWITTING (copy of ContfaGt required) <br /> P---m a if ehinytes Sswars Servico Upgrades AfC FenCeS(Plot/SuNeyftfte) <br /> theva yaps-R!ot•ovarCounteW.On•publiemedways:.needs ROW- <br />