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813a8C-0r>2fl City of Zephyrhills Permit Applicdon Fax�et3.780I1021 <br /> ftutldvrg Oepodmant <br /> i <br /> r Date Receluad Photw sdntatct for PsTmftd " t x aa <br /> Owner's Name I "� owornme <br /> Owner's Addnae Owner Phone Number � � 1 <br /> Pot etmpts TiWholdilr Name <br /> Fee SlmpIs Tfttshaldir Addim i/(r� j���'}� <br /> JODAOORE53 <br /> r 1 LOT* I.L1.i..1� I <br /> SUBDIVISION \t tr :®�C-Z PAROL IDS <br /> MVAMD FVIC!►ROFEM TAX Mmca) <br /> WORK PROPO$BO � NEW CONSTRQ ADINALT C� SIGN Q ® DEMOLISH <br /> INSTALL U REPAIR <br /> PROPOSED USS Q SFR Q rxtae6t <br /> TYPE OF CON$TR M ION Q BLOCK Q FRAME Q STEEL Q 1- <br /> OOSCIUnION OF WOW <br /> WILDING on � � 'SO FOOTAG NIGHT <br /> Qt3Uti ptNG VALUATION OF TOTAL OONSTRUCTION <br /> QELECTarCAti "'�� AMP SERVICE Q PROGRESSENERGY Q W.R.EC. <br /> LUMBiNO x �•••�••��� <br /> MECHANICAL s VALLIAT,ON OF MECHANICAL INSTALLATION <br /> =OAS Q ROOFING Q SPECiAt Ty i...� OTFisR <br /> FINISHED FLOOR ELEVATIONS r FLO00 ZONE AREA AYES NO <br /> sull.021% �. COMPANY i <br /> WORATURE 111 REMSMED Ljj_N_j Fi s RREN I YIN" <br /> Addrasa "'�'��Licens�# <br /> 11MY1RICIAN COMPANY 1 <br /> SIGNATURE REOISTERE4 I YIN FEECURREN Y J <br /> Address — Licenses <br /> *LUf to ^''� lSDtAPAFSY 81 ^ffi'l a „� <br /> SIGNATUREr ntc�st�lrtvgGExta " YIN � <br /> Address ti�. 1 LlCgnse# <br /> USCHANIOAL { .. COMPANY <br /> SIGNATURE YIN 76ecuntRE't'"'' <br /> Address LICeiS�iefl( I <br /> OTHER COMPANY <br /> 610NATURf! I REGISTERED I YIN WEECURREN i�---^----- <br /> Address t E Llcenselt 1 w f <br /> rtrrrtrrrrrrrrrrrtrrrrrrtrrtrrrrrrtrlrrrrttltrtltttettttttt101t1tttt <br /> RgWDANTIAL AtffiO'Ci)1110t F ians,fe)ssis of tSuatung Mans,III Set of tMergJ"I'MM,WOW i+erma for naw constnicaan, <br /> Knlmorn ten(10)wcrldng days abraubmawl date. Rasuiraf onaite,Construction Plana,Storrrtwator Plansw!t3rit FsncOlnetetred, <br /> Sanhaly Facilities B f dumpster,Site Work Permit foreubIlMsionERaigp pml"a <br /> COMMERCIAL Attach,())complete eats of 6uttding Plane plus a Lilo Safety Page;(1)let grEneW Forms.ROW Pdrmii for new oonstluatian. <br /> MIMMOm ten(%wafts days aRcroubmatai date. Required snake,Constmaon PMns,Slarmt►titer Plmie ud Sift Fenno Msielled, <br /> 1180112 y Fildbes 81 dumpster.Site Wodc Permit far all noun projects.Ad[wamfnsrciai mquiremsnte most MW comptiance <br /> SIGN PERMIT Attach;())sets of Enonwred Pians- <br /> ""PROPERTY SURVEY requked for all NEW consuumom <br /> DltactWna: <br /> Cat oat awaaeen as;i+a ►- <br /> Owner&Comluctars(pn bukafappl=Uva,mtanaed <br /> itawr02t100,et coafCammrrtcamantrsrequlted, (AlOupgnadesovar$7600) <br /> Agent qar the contractor)or Power o`Attorney(Wths awmar}would be someone with netonwd letterffom awnar authoritrng same <br /> OVL'RTHE COUNTBR Pt:RMITrime (copy of contact required) <br /> Rewors If shnglas sewom Service Upgrades AIC Fencea(ftV3unrey/F0Ot8p8) <br /> Imut of-Not ovor r;punter N on pubho madvrays..neeos ROW <br />