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e��-�eo-oozo City of Zephyrhills Permit Application F�-e��-�eo�o2� <br /> Buildinp OepertmeM <br /> , " D�b R�csiwd .�' Pl�ora CaNart for Permittl ( U <br /> Owners Nams N� ' Ownx Phons Number J" 1 S� <br /> Own«'s Adtlroq I 10 l�.�uxY\e5� bUrC 1L �W S�D �3'Jl D� Ownx Pha�s Numba - "l2C <br /> F.. Simp• tw.nad.r N�m. � NF� owner Pnons ►�h,mbsr <br /> FN Sfmpl� 71tl�hddsr Addrws � <br /> JOB ADORESS l:?�� N(�l�.�r �_ LOT i� <br /> SUBDMSION � C� PARCEL IDR Z�- -Z ' O ' C� GC' � <br /> �oeTaNeo Fuor vaorEnrr rn,x Nor� <br /> WORK PROPOSED �/ NEW CoNSiR 8 ADD/ALT • Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL �� <br /> DE8CRIPTON OF WORIC n <br /> BUILDING SIZE l SQ FOOTAGE � HEK3HT <br /> ��UIIDING 6 �T(� VALUATION OF TOTAL CONSTRUCTION � a�Q� , �� <br /> Y <br /> �ECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �I'tUMBING S �� � <br /> ECHANICAL S VALUATION OF MECFWWICAI INSTALLATION �( <br /> QGAS Q ROOFING Q SPECU4LTY Q OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES K NO ) <br /> L� <br /> BUILDER COMPANY �J U 1 1 I� �� � <br /> ��TV� REGIST�ED N FEE CURRE� / N <br /> � �� b' <br /> nder.,. �2 3Z0 L�e# 1 b'� �l� <br /> ELECTRICIAN ` COMPANY C,�� <br /> &a�'NaE RE61ST62EA ! N � cuar�r, ! N <br /> �°° ` License # �" � (} (� � 2q ( � <br /> VLUMBER ' n COMPANY ���eY 1v �}-� ` �J • <br /> SIGNATURE � REOISTERED / N FEE CURREI. N <br /> �°+� Licerree #�� � ��, - �j' 2 � U 1 <br /> MECHIWICAL COMPANY � <br /> ��T�E � a�oisreteo N FEE CURREA / N <br /> � Lioense # <br /> OiHER WMPANIf -� <br /> SN3NATURE REGISTFRED Y! N FEE CURRE� Y/ N <br /> �u Licenee # <br /> 11111111111111111111 / 111111111111 1111111111111111111111111111111111 <br /> RE&DENTIAL Attach (2) Plot Plana: (2) sets d Buikf�g Plans; (1) set of Enerpy Farms; R-0-W Pertnit tor new constnicticn, <br /> Mfnimum ten (10) workinp deys aRer submittai dete. Required oruke, Conetnution Plans, Stamwater Plens w! SiR Ferxe installed, <br /> 3anHery FacUkiss & 1 dumpater; SAe Work Permit far wbdivisipnylerpe proje�ts <br /> COMMERqAL Apach (3) complete aeta of Building Plens phis a LiOe Sefely Pepa; (1) set of Enerqy Forms. R-0-W Permk for new construcbon. <br /> MinKnum ten (10) working days efler submittsl dete. Ret�uired oneite, Consfixtion Plerre, Stormwater Plans w/ SiR Fenoe installed, <br /> Sarritary Fecilkies & t dumpater. Site Work Permit for all new pinjecta. AN commeicial requirements must meet campliance <br /> �ON PERMIT Attedi (2) aets of Enpir�ed Plerre. <br /> "'PROPERTY SURVEY required fa all NEW oonstnx;tion. <br /> a►.�aw�.. � � � <br /> Pin out �picetion cornpletely <br /> Owner 8 Contracta sign beck of applicetion, rataraed <br /> H ow► t�00, a Notlp of Comm�ncamont b►equirsd. lAlC �PO�� �► t7600) <br /> " AAeiK (for the coMreda) or Power of Attomey (for the ownar) would be someone with notarized letter fran owner authaizing same <br /> OVER 7HE COUNTER PERMITTING (Front d Application OMY) <br /> Reroofs if ahinpler Smvs�s Service Upprades AJC Fences (PIoU3wey/Faofape) <br /> or�ww.y.�ia wsr courne. A on q,wic roadways..needs Row <br />