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si��eo-oozo City of Zephyrhills PermitAppliqtion F�-s��-�eo.ao2� <br /> s�iainq oepartmeru <br /> �.R.� - ��,� y o� Q <br /> � �s N.�. - �..�.��.. I � �l 3• S <br /> o�.r.na� ��'7t�sr�.a�e., Rz �SS2S l o��n«»�.. <br /> F..simple TitleAdd..N�me � own..Pnon.l�Manb�r � <br /> F�s Simpl�Titlalwldar Ad�ss <br /> JOB ADDRESS 7 I l7 LOT* ��� <br /> SUBDIVISION �J \ � S PARCEL ID/ � U�`�, - <br /> � loera�o ptor vrtovertrv T�x uorice� <br /> WO�(PROPOSED � NEW CONSTIt e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTFiER <br /> TYPE OF f�7RlIC710N Q BLOCK Q FRAME Q STEEL <br /> DESCRIP710N OF WORK M <br /> BIHLDING SiZE IZ� X � SQ FOOTAGE �O MEIGHT � <br /> QBUILDING S , 1 p� VALUATI�1 OF TOT/LL CONSTRUCTION � 2,�� ,�� <br /> QELECTRICAL S AMP SERVICE � PROGRESS EMERGY Q W.RE.C. <br /> �MECFWNICAL S VALUATION OF MECFWNICAL INSTALLATION '��I�� � <br /> �cns � RooF�NC p sPecu��v � on�R <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES (NO 1 <br /> \.J <br /> ' �I;�S�„f 1���0� O � <br /> BLNIDER � �� COMPMIY <br /> SICGNATURE REGISTII2E0 N FEECURRFI. !N <br /> aa�s FL t;�r,�e�r 11-���a �-\ <br /> ELEC7RICIAN COMP/1NY ��+�-�.-1 ��[�-(1 C� <br /> S�NATIRE aEC,�sr�o N �curmEn N <br /> � �h�\t ��# P�.onr2q�o —1 <br /> PLUMBER � COMPMIY �S1C� O1'K.� <br /> ���E ���� r�cisrEttEn Y N FEE CURRE� /N <br /> � �-- �* 1!-1 10 2-i b <br /> , <br /> MECHAWGAL COYPANY � <br /> �� ) � REG15TERED N FEE CURRFJ. /N <br /> � � � h�11S , �. �# <br /> O'iHER COIIPANY � � <br /> ��� REG5TH2ED Y/ N FEE CURRFJ. Y!N <br /> � �IC6I138# <br /> t111 � 1111tt11111i1 � � 111 � 111 � 1111� 111 �� 111i111lll� llllttlll �illlilll <br /> RESIDENiIAL Attsch(2)Pbt Plans;(2)sets W BuikSrg Plans;(1)set of Energy Fartns;R-0-W Permit ior new oonstrudion, <br /> Minimum ten(10)wdkvg days aRer submiltal dete. Required ansite,ConstruXion Plar�s,Stamwater Pl�s w/Silt Fence installed, <br /> SanAaiy Fecilities 8 1 dunp&er;Site Work Pertnit for suCdivaior�sAs'DB P�$ <br /> COMMERCLOL Attach(3)complete sets pF Building Pleru pYis a Life Sa/ey Page:(1)set d Energy Forms.R-Q-W Permit far new�ion. <br /> Minimum ten(10)workin8 deys aRer submittal dete. Requied a�sile�Corutr�x3ion Plens,Stortnwater Plans w/Sik Fence installed, <br /> Sanitay Fecilities 81 dumpster Site Work Permit for all new piojeds.AN commemial reqiaremerAs must meet oompliance <br /> SICaN PERMIT Attach(2)sefs of Erg'rieered Plans. <br /> "'"PROPERTY SURVEY required for all NEW consUuction. <br /> Oirscllons. <br /> fiN art applicatlon completey. <br /> ONmer 8 CoMrac3a sign back of applicetion,notaraed <br /> n owr f250o,a Notice d CommuwromaK is rsqutrod (NC W9rades owr f7soo) <br /> ~ P�t(r«me carwaa«)«Pwver of attomey(ra n,e owner)wa,a be s«neone wan naer¢ed letter from o�xner autFariang same <br /> OVER THE CO11P17ER PER�N7TING (Frark of Applica[ion O�IY) <br /> RerooTsiFShingles SeNers Service Upgrades A/C Fences(PlotlSi+veY/Foo►age) <br /> D►Iwwalis-Not over Cwrder if on P�Iic roedways..r�eeds ROW <br />