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a���sauozo City of Zephyrhills Permit Appl(callvn Fax-813a80-021 <br /> Bvadtng Daportmam <br /> Dote Received Z Plharm Contact tar Parmittlr7 <br /> OwAoesName uJ r Ownall'b"a'N9u�mmbber"p �(!� '���^fill <br /> OrmrrrsAdd7a�s 35+� 7A4 d o�vraho"Illar (� <br /> Foe Simple TWahotdar Hamo Owner Phone Number <br /> h <br /> Poo S1mplo TItlahotdar Address Al <br /> JOB ADDRESS Chi. 1 fJ � -35 J LOT <br /> SUBDIVISION PARCEL itAN Q "�(V - l 4 f p 0 6>Q a d'00! <br /> JOSTArnEO FROM MPOW TAXbrOT7CE) <br /> WORK PROPOSED � NSWCCNSrRO ADDIALT SIGN DEMOLISH <br /> INSTALL ri REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRtMNOFWORK 4✓� 'J"0 'Z;>AVvtA t A-4465 <br /> BUILDING SIZE .�W FOOTAGE I.�-:3,C HEIGHT [7�= <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is AW SERVICE PROGRESS ENERGY W.R.C.C. <br /> [7PLUMSJNG Is ,AID <br /> =MECHANICAL S /�, 'JALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q 1 ROOFING ED SPECIALTY= OTHER <br /> FINISHED FLOOR(ELEVATIONS FLOM ZONE AREA MYES NO <br /> BUILDER COMPANY �X4r05 S12d.-0t I,GGC. <br /> SMRATURE REOSSTEAED Y I N . FEE CtrRr#3 Y r N <br /> Addrocs 3�S 0/ 1QG ,BABSprvA Uatursmk CSC:tuo ury D <br /> ELECTRICIAN COMPANY <br /> SIGNATURE, 'Y N FL�CVFSREa Y Ai <br /> Address Lfcansafl F_ <br /> PLUMBER Nj C014PANY <br /> SIGNATURE `� REGW tETtcA YIN r'EE aU,4Rtil, <br /> Add.. 1.1-vsnso <br /> MECHANICAL =IVA, COMPANY <br /> SIGNATURE REG ST-D Yr N , MCUnFmh Llai <br /> Address License N <br /> OTHER / COIItPANY <br /> SIGNATURE •" Rt riFST17IED Y r N FEE CS Z4 Y I N <br /> Addrosa LIWISa A <br /> 11IdT118111iIl9llillitillilll9171lifiill! ) illi9AiilII/ 9ili! lI9II )II <br /> RESIDENTIAL Attach(2)Pot Plans:(2)e013 orBlAiding Plans:(1)sot at Energy Forms:R-O-W Permit for now construrAon, <br /> ;dntmum ten(ID)wemking days altar submiltb data RMdred aorta,Conutrmbon ftM,Stommala Ptens W1 SRt Fcm;q irMtaflr4, <br /> Sanitary Facilities R T dumpstar,Site'Ara*Permit for subdMstons&:rIta projoets <br /> COMMERCIAL Attacth(2)completo sets of BWfdiaq Piers plus auto Sooty Page:(1)set of Energy Foim,.RA-W Permit for now construcSon. <br /> Nr4mum ton fig)wotldttg days aft submittaT data.Rog0W onstte,Cons:nrc6an Plane,Stormwater Plans Wl SRI Fen=grstatfed. <br /> Statw FaaTites B t tiumpster.SRO work Pamlt(or an new projects.AE=nmt requirements must meal rmnpiLmoe <br /> SIGN PENO Attmh(2)sets ar,Englneerod PUm. <br /> -PROPERTY SURVEY ragWrod farall NEW con hmtlan. <br /> Diroctlons: <br /> FRI out sppU=Wn completely. <br /> Owner a Contractor sign bark of application.notartzed <br /> lfovw=500,alloticoofComimr,temomtsmqutrod. (AiCupgmdas over$7600) <br /> " Agent(for the contractw)or Power ofAttomoy(ror the owner)vsnWdbesomeang vAthnotai Wletterfromc%=auahortngssmo <br /> OVER THE COUNTER PERMITTING (copy at%;=bvrR regwml) <br /> Rkanarp it zwlnt�pc Sevv= ScMeo Upgndoa A10 Fonces(PIaUSurvoytFaotagej :;. <br /> Drlvoways-Not over Coanterit on pub0amodways-needs ROW f <br /> h ; <br />