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al <br /> FA*. fa t' It 1 • <br /> 0137=0.0020 City o Zephyrhills Permit Application Fa oI - 7e� <br /> Bolding Department r /jo$v <br /> � ..: • <br /> B6 y y, _yam 9 <br /> c4 Deo Received <br /> y ' Pro Phone Contact for Pen^Ktl A �+ p <br /> Owners Name 1 P ta X Owner Phone Number 1 ~7» — SY ! 1 <br /> OvvrMw' Addtase [ 4 b a 6 1�L1 $ k e Y 1' pg. , Owner Phone Number 1 ] <br /> Fee Simple Titleholder News I I Owner Phone Number ( I <br /> Fee Simple Tleehotder Address [ 11-- <br /> .108 ADDRESS 1 4 1 4E26 L i i sk e r i 4 0 P 0�1 (I1'l lls a. 33 SYa Lore [ I <br /> e IO ( 1 PARCELIDaI I a b -2lr C ►b 0 ' 0 0Doe -03P <br /> (ammo mom PRoolwrrTAll NO1ICE) <br /> WORK PROPOSED B NEW coNSTa f1 ADO /ALT = SIGN n Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR ED COME Q OTHER 1 1 <br /> TYPE OF CONSTRUCTION Q BLOCK fl FRAME Q STEEL = 1 i <br /> DESCRIPTION of WORK {fie PI 4Ce 4 4.0 8311 G A) Clek w Qlv i y <br /> BUILDING SLIE I I SQ FOOTAGE HEIGHT I <br /> =eUILPNO Is _ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL I 1 AMP SERVICE 1 PROGRESS ENEROY Q W.R.E.C. <br /> =PLUMBING I VS. V 0 - <br /> W `fed lv� ! C "J <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> c; <br /> I <br /> =OAS Q ROOFING = SPECIALTY 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I ] FLOOO ZONE AREA =YES NO <br /> COMPANY I <br /> BUILDER nedieTF.Reo 1 Y/ N I FEE COMM 1 Y/ N 1- <br /> Address r I I d I I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE �! J [YIN J Fee CURaen Y I N <br /> Address ,�� -.I'♦ License s I J <br /> PLUMBER V <br /> v R' COMPANY f le le f ivy ivos e <br /> SIGNATURE p Rea 1 i 1 N J f c 1 N 1 <br /> Address r /op S.s , 1 ' ST 47unner( /.3"o I Scenes I CFC cis lay <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIOTPA O [ Y/ N 1 FEE cURREl 1 Y/ N 1 <br /> Address 1 1 LIcrxtaod I I <br /> OTHER COMPANY I <br /> SIGNATURE REwe1ERED 1 Y/ N 1 rue Cum T Y I N 1 <br /> Address 1 I Lionfem A 1 .1 <br /> 111 111111111 1 11111111111111111111111111 11111111111111111111111 11111 <br /> RESIDENTIAL Attach (2) not PIBns; (2) set of Building Plena; (1) set Of Energy Forma; R.Q.W Parma for new uproocIIon. <br /> Minimum ten ( Working data nRer eubmltlal date. Required snake, Constntotlen Plane. StlmwMer Rom w/ Stu Fence k stelintl, <br /> Sertftnry FacIlMna & 1 eumoster, SNn Weds Penns for et*dMslensnsrge prokgs <br /> COMMERCIAL Attach (3) conwlele sale et Building Pi ens plus e Ure Safety Pegn; (1) set of Energy Fang. R-O-W PemNt for new comfit sSon. <br /> idioms ten (10) waking days after 'wombs date. Regtlred onafto, Cenatnxtlon Plena StonmuMer Plena w/ alt Fence Installed, <br /> Sanitary FAWN, 4 1 dumpier. site walk Permit for eh new projects. Ali eonunerolel requirements must meet compliance <br /> SIGN PERMIT Arleen (2) sets of Engineered Plena. <br /> ""PROPERTY SURVEY required for MI NEW construction. <br /> - edri�' 'w'�1��1 Irl iii•e 1 1 1�i/rei�i J e e i1� `� - - - • w.�Ir� 1 e 1rr1r1iw}wr <br /> Directions: • <br /> FiW out application completely. <br /> Owner & Contractor sign beck of epplcxtlon, notarized <br /> If over OR O% s Nodes of Commeneemsnt le required. (AC upgrades over 57500) <br /> Awl not the coMraelor) or Power of Attorney (for the owner) would be someone with rtora(znd Zeller From owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplIcelon Only) <br /> Retook If shingles Sewers Servbn Upgrades A/C Fences (PIo1/5tevey/Foclage) <br /> Driveways-Not over Counter If on public rorMwnys..neede ROW <br />