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$��-��a City of Zephyrhills Permit Application Fax�13-780-0021 <br /> euiWing Depertmerri <br /> , De6s Recahred � PAone CorMad for P t ' O <br /> Owr�s Name L-C.Sr., Ow�wr Phom Numb�r <br /> Owner's Addms CJJ�(� OwnM Phons Numlfsr <br /> Fee Slmpls 71Uehdde► Ner� RyFt � Ownsr PhoiM Idumbsr �� <br /> Fes Simple Tltlehddsr Addr�ss '— <br /> JOBADDRESS � �C. LOT* � <br /> SUBDMSION ^ C L� PARCEL IQM - -� '� - <br /> (OeTA�►ED FltOM PnOVEAiv TAx qot�C� <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q pEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q�SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL �� <br /> ��� � � -�t Curr rntx�-�I <br /> BWLDING SIZE ��` �' "J� � SQ f�00TAGE � HEIGHT � <br /> QBbILDING a (} ll VALUATION OF TOTAL CONSTRUCTION <br /> �CTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�1�ABING S ! `1 � l n't, �C� <br /> V <br /> �►iAN�CAL S VALUATION OF MECHANICAL INSTALIATION -/� <br /> �� I <br /> (�c�ns p RooFiNC p sPecw�Tr � on�R ^ f 2� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 1` NO / � �� <br /> �.. � <br /> .... ..... .... � 1✓' <br /> BUtLDER COMPAN1f ��-1� m� �.3�L (� <br /> �G��E rtEC,�st�n Y N � cur�n N <br /> �... 3r �, �* I b ZIZ� <br /> �c�c�ew �'�� �or�r�wr �� 1 C_ <br /> ��T�E REGI&7ERED N FEE WRRE� N <br /> � � � oi2�ic <br /> � � � ��s �. �P� �Ste,- rn � SJ� <br /> NEGISTERED Y N FEE CURREI. N <br /> nae�sss �-I (� £G �� �r _([�j- I U 1 S7 I Q <br /> MECHANICAL / jr �Q� COMPANY S r` —� <br /> SIGNATURE (_C�c tyL RECi1Sl62ED N FEE CURREA / N <br /> � � � �# cau. <br /> onieR carv�wr <br /> ��T� a�c�sre�o Y/ N c� cur�n Y! N <br /> � LiCense # �— <br /> Illlllllllllll llllllltlllllllllllllllllllllllllllllllllllllllllllll <br /> RE&DEN7IAL Attach (2) Plot Plans; (2) sets d Buildin6 Plerm; (1) set of Energy Farms: R-0-W Pertnit tor new �ion, <br /> Minimum ten (10) workig daya aRer sibmlhal de�. Required q�site, Car��h�m Plans, Stmnwater Plens w/ SiR Fet�ce installed, <br /> Sanifary Facilities & 1 dumpster, SNe Work Permd for �a�pe Prol�B <br /> COMMERqAL Attach (3) complete seta d Buildirp P�ans plus a LiFe Setely Page: (1) set d En9ipy Fams. R-0-W Pertnit for new cpnstrudion. <br /> M"mimum ten (10) wakin8 deys aRer submiltal dete. Required areite, ConstrUCtion Pleru� Stamweter Ptene w/ SiR Fence installed, <br /> Sanilary Fadldi� & 1 dumpster Site Wak Pertnd for all new pioje�ts. Ap commercial requiremenls must meet campliarxe <br /> SIGN PEIUIIT Attach (2) sds of Erpineered plans. <br /> ""PROPERTY SURVEY required for all NEW constnipion. <br /> DirecUons. <br /> Fi11 out appliCetion cpmpletely. <br /> Owner 8 Contrada aipn beck d ePPlication, noter¢ed <br /> M owr iZQ00, a Notice af Comnw�camant Is r�qWnd (� �P9� ovx t7600) <br /> �' A9errt (for the contrador) a Paver of Altorney (for the owner) would be someone wifh nofar�ed btler from owner auViori�ng seme <br /> OVER THE WUNTER PERMITTING (FroM d Application pnly) <br /> Reroois if shingles Sa�ers Service Upgrades A/C Fences (PIaUSuveY/Foofage) <br /> DrivewaysNd over Caxaer iF on piblic roa�Meys..needs ROW <br />