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sta raD ao2a City of Zephyrhills Permit Application Fa=elsatw Graz, <br /> Butidmg'Departmeni <br /> Date Reeet red l. Phan contact for,Portwillnl Rd f 3 13�3 ts+.•r�7 <br /> j -rrrt-r•rt-T• .....111SS5777S�'������� rr..-=Frr T"4 d ��ft/ - <br /> Owner's Homo I Rq�s/R FidAtr ORntS.a oFF EAet6-S Owner Phone Numhu w�;�„j,�/`D7. 3yoGr <br /> OwnoCs Addrasa 7 VFW k' ill 606-0 ZlE "ll"S'tl tt Jr Owner Phdne Nomhor �f.�- ��Q- srrr•sY� <br /> k <br /> Fos Sio Plo Thloholtlor Nstno I I Owner Piwna Numkrer <br /> Fee Simple Titleholder Address <br /> loGADDRESB I S k N ttliTLt x R. $3S't13 LOTO.' <br /> SUBDIVISION PARCEL IOF <br /> r-----I IOWAPAW iRPN PROPERTY TAX NOTICF) <br /> WORK PROPOSED e NEW[ON5TA® r AbLVALT SIGN t--.i CD DEMOLISH <br /> INSTALL REPAIR <br /> + PROPOSED USE _ SFR COh1M �.J OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK 1l(� FRAME Q STEEL [� . <br /> DESCRIPTION OF WORK IDr a31F' QRyOVFj�,I j h <br /> BUMDINO SIM C�SO FOOTAGE �3� HEIGHT s r>7 e <br /> MBUILDING, S 5610 p0 VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL r�...—...J AMP SERVICE Q PROGRESS ENERGY © "WJLE.C- <br /> pPLUMBI:�IG 17i'� <br /> QMECHANICAI (($� VALUATION OF M.ECkANlCAI.INSTALLATION <br /> =GAS = Roopmo = SPECb►LTY Q OTHER <br /> i FINIS1+O FLOOR ELEVATIONS FLOODIONEAREA =YES NO <br /> BUILDER py� COMPANY 1?i ffSk +*oniST¢JCToorj t TILE. <br /> SIGNATURE • F`� R 13MRm I YIN I FU GURRO, LyjN <br /> AddressS+s 7'UKKn't C¢E$r KQ•ftaaTGlt. 7�3Stfo LicenseM Cige 1X60!•l9 <br /> ANY <br /> SIGNATURE <br /> RE NGISITJM0 YIN FCECUIM . v N <br /> SIGNATURE ' <br /> Address ti"..' <br /> PLUMBER COMPANY <br /> SIGNATURE REb1Sttat[t1 I YIN I rce AIRR-- Ly 1 N <br /> Address t.ldunse d F <br /> MEC1WitCAtGMPfufY <br /> SIGNATURE j Y Nt FEE a7RRFn YfNT <br /> Address CY' �VCf�• '�E�lM+}[tF"t�3� lJoemeN ICAGo5�1�33-1 <br /> OTHER i COMPANY <br /> SIGNATURE I REU'svvwo YIN <br /> Address UPense ll <br /> [tt/[tit[Itittt[[ttiilttiit Yllrti tti[tl iitt tiirttilttititltt ifitttt <br /> RESIDENTIAL Arach(2)Plot Plans:(2)sets of Building Plans;(1)set of Emily Fortes;R•O-W Permit for tithe WMIrWIDII, <br /> Metimum ten(10)txaking days after sutan"tol dolo.Required onsho.CormWtUon Flans.Stotmwater Plans wl Sin Fence Mataned, <br /> SaMtary Facrities&1 dumpster.Suit Wes Permit for eubdMsioc N po prrteas <br /> COMMERCIAL Attadr(2)complete seta of Building Plans qua a Ufa Safely Pago;(1)set of Emiry Fomu.R-O•W Pemh for new mrstrrution. <br /> Mrtimum tan(10)working doys after submittal date,Required onshe,Cornlmdion Flans,Stonnwater Mom wI Sift Fence Installed, <br /> So,Jtary Foe tiea 8 t durn"r.Site Wax Perm"for all nA pros.All commercial requiters"most meol Compliance' <br /> SIGN PE"rr Auadr(Z)sots of Engindorod Plans. <br /> —'PROPERTY SURVEY required for W NEW coristructron. <br /> •i t i f t i •a s.i•.t.t' '-'•.hi i i i F.E •i.i.SZL.F i F.ia.a.i i- <br /> DinGUons: ' <br /> 'Fill Out aWpoation coptplefefy. <br /> Omer&Contractor Sign back of spWuratloo,notarized <br /> N ovor S2l!" a Notice of Commancemont Ia mqulrad. (AIC upp-des over$7500) <br /> Agenl(tor the contractor)or Power of Attorney(for the owner)would be aenmone,With rWtanZed tester from O After authorWnq same <br /> OVER THE COUNTER PERMITTING (copy of contract mquired) <br /> Rnmtits if Oimglos Sewera Sorvice Upgrades A/C Forces(PIoVSu,v y1Fcotogo) <br /> OrivewaysJlot over Counter if on poWic rdadways-needs RoIV <br />