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8134aa= City of Zephyrhills Permit Application Fac s12 7eaoo21 <br /> BuUft Deparhrant <br /> Date Re eeiIiad Phone Cordaet for Pasmit@ng <br /> `OweNs's Name: FL `YN <br /> Gown Pfione Nantber` Cl i=c+3 r 3d ;-of <br /> OwrtePhone wartLer [ ' <br /> Fee 5hnple TM9ahotda Name- Owner Plrate tNrinber <br /> Fee Si*de THIebolder"pddmss <br /> JOB ADDRESS 1-557 - ►. <br /> i. PARCE 160 a =a I=Qoc - r <br /> (WAXIEDFR04IMPERIYUXURITIM <br /> VIM PROMED CONs1R ADD/ALT p SIGN p p DEMOLISH <br /> e NEW 11S1STAt1 REPAIR <br /> PROPOSED USE .: Q SFR p 'COMM . OTHER <br /> TYPE OF CONSTRUCTON [p BLOCK - p FRAME" p STEEL p <br /> DEsciapnok OF wa K U&/ AIC -D e'am m enis, <br /> BUILD sm �� SQ FOOTAGE HEIGHT <br /> ING <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICNI S <br /> rr AMP SERVICE p PROGRESS ENERGY 0 W.RE.C. <br /> =FLUMSING (S <br /> t Y 1i"'ECHANICAL ��, VALUATION OF MECHANICAL INSTALLATION_ _ • . <br /> i <br /> MCAS Q ROOFING 0 SPECIALTY p OTHER <br /> FINISHED FLOOR F_LEYATtONB FLOOD ZONE AREA pYES - NO <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED, I YIN FEE W('RRSh�' <br /> Address Liethsse#F <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE REGISTERED I Y/N FEE cumin " "I Y/N " <br /> Address . URx3nse#r <br /> PLUMBER I COMPANY <br /> SIGNATURE REGIaIEnm I Y/N FEE ClJfd,MY/N <br /> Address ' License#-t <br /> flEGHANiC•AL �' I�IIPANY <br /> SIGNATURE REGISTERED1� VI RI YIN I <br /> F £CURR2ER YIN N <br /> Address I Alit n Kd Zh►1 i5 �. ` (. Uaense#KLRC0 '- <br /> OTHER CCMl1PAN1( <br /> SIGNATURE REGisrEREn Y N FEE a1RRv. YY N <br /> Address Ucense#�- E <br /> 1 1 1 1;1 ! 1'11"_I 1:1 t 1•t 1;1;1.1 1.1'1 1"1 1.1 i"11 11.1 i l l""1,1•t 1'11 1 I,i 11'1 1 1 1 1 FI 1 11 1 1 1 111 1"1 e l l <br /> RESIDENTIAL Attaeh(2j t?bt P{azis:(2)sets d Bwktmg Plans:(1)set of Energy Forms`R K1 W"Pennit for new von.--" <br /> MgniRrtttrtt fBIi{t4}wtttlang days ell S su[xn3ttaf dabs`Regtmed oriEiie,Cunstrttstion P(airs;:Stamwa#er Plates vd Slt Ferree installed,. <br /> t Faa1'trevt Ra T site work PRamit for srRbdrvisionsflarpe DRo)ecis . <br /> COMMERCIAL AaadR(2)mmpfa6a ses,d!Etuidinp Plans pWs o,LiTbi Sefeq!Page;(1)set of E'rRmgy Farms.R-O-W Parmit for new ccnstrucrtion. <br /> Nf�nirair ben(1Gj vwprlatr�'deys sir subnirif�,daQe.Rei$ifred oiws .Corn Pktns.Smmwater Plans w/Slit Ferree installed, <br /> Saniiaty Fad6tias 31 durnter Site Wok PerxnsT Eor efl itew ptojerds.AA a�nrts must meet compliance, <br /> SIGN PERMIT Attach sets ttf,ErRpiiteetrtd Plans.; <br /> ""PROPERTY'Sl1RVEY nagtned fa atl NEW <br /> Fll out ap0cation cea plat ly. <br /> Owner$Cotttractar sign bak.of apWicatcn..ratadzred <br /> It aver W5W.a Notice of Cavomerocowd is m*dred. {A/C apWades over$75M <br /> Agent(for the=oacW)cr Power of Aftmey(far the amw)wodd ba someone with notarized iette rf m ovmer augmnzing same <br /> OVER TNE•COUNTERPERMITTING (I;Vk�f xrrrtrectregaired). <br /> Resole if shingles Saris SwAca upgrades A/C Fences(PbU3urvey/Footage) <br /> Drhneways-Not ever Counter if at public madways..needs ROW <br />