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815 .700.0020 City of Zephyrhills Permit Application 4fi 066 rar.nlaaoo•oo21 <br /> • ' O Blllkeng LsePann nl <br /> Date Received G -'- ..�0 / 0 Phalle CantaetiorPermltttng 8 9 <br /> T <br /> IT' -r n �I' r .. 1 i 1' 9 Q^ Q <br /> Owner's Name Ai IL tat. � <br /> Owner Phone Number 3 ( r 7 -3 it/ <br /> Owners Address _ (/ tt;_ ` � ; I Owner Ph one N � <br /> Fee Simple Titleholder MigriaMEMIIII Owner Phone NUMb„ 1 .� <br /> Fee Simple Titleholder Address Er" ,g'<. :Gf ( /dim` i-06)-1- • <br /> rata ADDRESS ligu n'-1' rat. ✓ ._W VIi e/ 1 , LOT o 1 <br /> SUBDIVISION 1 PARCEL 10# 2 / - 1 0200 _ D UO OO -`CO oo <br /> • , - • . - ERTY TAX NOM EI <br /> WORK PROPOSED NFWCDNSTR ~ ADD /ALT I �.�C X 1 : EJ OEMOUSH <br /> -- INSTALL — REPAIR T� <br /> PROPOSED USE 0 ;rR Q rOMM ni OTHER 1 --- ' -r I <br /> TYPE OF CONSTRUCTION n BLOCKeLOCK 0 FRAME r1 STEEL 1 <br /> DESCRIPTION OF WORK I i �I�/ r I '. <br /> I i (� <br /> Q 1 1 U 11 <br /> BUILDING SIZE 1 0 = , b4 FOOT • OE 0 ■ : ! t • HEI GHT IJ <br /> JILQINC S <br /> 960 VALUATION OF TOTAL CONSTRUCTION <br /> CagifteRTRAL . — — I AMP SERVICE 11 PROGRESS ENERGY n W R.E.O <br /> nPLUMptNk; IS 1 5 s <br /> n MEC.,,,,Al_ Is VALUATION OF MECHANICAL INSTALLATION 4 • i'' <br /> • l--�t I � , <br /> nGlti; Q ROOFING I I SPE'GN -TY OTHER J ! . <br /> FINISHED FLOOR GLEVATIONS FLOOD ZONE AREA RYES NO 0 <br /> BUILDER COMPANY 1 <br /> SIGNATURE RE,,.,,. ` ( Y/ N 1 nee MIMIEN 1 Y/ N 1 <br /> _... <br /> Address __1 Lioanse A I <br /> r <br /> ELECTRICIAN COMPANY _ <br /> SIGNATURE err:e: morn L Y/ N 1 FEE CURREN I Y I N I <br /> Address _ - 1 I cnnsc tl I _ <br /> PLUMBER COMPANY <br /> I <br /> SIGNATURE II R' M TE r, 1 Y/ N 1 FEE CURREN 1/ Y/ N <br /> Addrer. 1 • License rr _ <br /> MECHANICALPMNY <br /> SIGNATURE rt turrrevu r I Y I N 1 FEE CURREN 1 V/ N 1 <br /> Address ` � 7 W License if <br /> OTHER � COMPANY 4' 4 ' ' . A 4 47A- -i , G �!�► <br /> 2....44 SIGNATURE rwi A era.rcnec FQ N FEE CURREN Ma= i AyHdL / <br /> Address ierd.>.a MI r 1 r ' Aj ft License n G/�' IF1 R <br /> 1111111111 11111111 111111111111 (1111111111111111111 <br /> RESIDENTIAL Attach (2) Plol Piens, (2) sets of 9Ulldno Plans; (1) set of Energy Forms, R•O•W Permit for now conetnictlon, <br /> Minimum len (10) working days after submittal date Reawr!':1 on/14n, Construction Plans, Stormwater Plans w/ SR Fence rn toted, <br /> Sanitary Facilities & 1 dumpster; Site Work Ferrol. her Subdnnsionr✓lorgn projects <br /> COMMERCIAL Attach (3) complete sett; or Surkiing Plans plus A I, if.. Safety Page. (1) set of Energy Forms. R -O -W Porrnr for new construction <br /> Miremlrm tan Of)) working drys after submillol date RnOurred on!iie, Construction PIRna, Stormwatar Plan. w■I SIR Fence mslale0, <br /> Sanitary Pacdines & 1 d,mpier Srtc Work Fnrr:lil For all now ornIerIs. All commrirCliil rrn,lremnnls must meet Compliance <br /> SIGN PERMIT Attach (2) sots of Enolneiuo I'lens <br /> ""PROPERTY SURVEY required (or all NEW censbucl,On <br /> .I--I u I .- -r, --rlt • I • i , j• r 1! 1 ' •1$' I I-- L.1. a - .i .t 1 1 - 64-- IIF- I - i - L - 1 - .1 - 1 - .I <br /> Directions. <br /> Fill out AppIN:Ahon cemplatoly <br /> Owhei & Contractor von beck Or etlokation. nOlerlZed <br /> If over 82500, A Notice of Commencement Is required. (A/C uPSiradnc aver tTsno) <br /> Agonl //or mR oorR IRelnr) nr Power of Attorney (far !ha awnnr) would be someone .doh n0teriZP.kl IpnRr from owner authoneing same <br /> OVER THE COUNTER PERMITTING (From of Application Only) <br /> Roranfs if shingles Savor:. Seneca Upgrades NC ('once: (PIoVSUNey /FnOtepa) <br /> Drlvewwys•Nol ovr•.r CminIr,r don public roadways needs ROW <br /> • <br />