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a�3�eo-oozo City of Zephyrhills PermitApplication F�$�,�-�eo�o�� <br /> Buildina Deoartmerrt <br /> �.R.� - o ' ��,�� U 0 -S <br /> Ownar's Name IV Rl�' �.. Owner Pha�e Numher <br /> ow�er:naa�as c��r� o�.r Pnons� � <br /> r-e�s►mw.nnenaa.►r�am. f� o�►rt�w,mc.r � <br /> Fe.Sima�e nnenorosr e�darsss (�.J+! ^� <br /> roe aooRESS �S� ( �IQY 1(Tf. � wr r I G-L..7 I <br /> SUBDMSION PARCEL ID/ L`S'� Cb ' <br /> IOBTAMIED FROM PROPERTY TAX NO710E1 <br /> WORK PROP08ED � NEW CONSTR(�I ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE Q� SFR Q COMM Q OTHER <br /> TYPE OF CON87ftUC710N n BLOCK n FRAME r� STEEL r�� <br /> DESCRIPTION OF WORIC � ��.7�'"1 1 �� �Ul <br /> BUILDING SRE L`�\X J�� SQ FOOTAGE �t D HEIGHT � <br /> Q'�UILDING S VALUATION OF TOTAL CONSTRUCTION�Zy�LJ <br /> a��-- <br /> �ELECTRICAL i AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING S- — � � / / <br /> � � �l <br /> MECHANICAL S VALUATION OF MECFVWICAL INSTAUATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES � <br /> BUILDER / COMPANY �p� � —� <br /> SIGNATURE �cisra�v N �cuRr�n N <br /> � Licenee# <br /> p �,`(, <br /> ELECTRICIAN COMPANY L I G �� I, �j CN'�� <br /> ���E REGISTB2ED Y N �cuartEn N �L ���r7`�n�I <br /> � i �� <br /> L b,� 1,� „�► U � <br /> PLUMBER /_i � RCONPANY Y 1Ca �OY�^�Y N `vl <br /> SIGNATURE ��i! <br /> � �� Lioense S �-'l ��Z�7-�� � <br /> MECHANICAL COMPANY S C <br /> ��T�E a�cisrEneo N �E cuaaEn N <br /> � S License# <br /> OTNER CpMppp�y <br /> SIGNATURE REGI6TH2ED �E cwxrtEn Y/N <br /> � License�k <br /> Illllllllllllllllllllllllllllllllllllllllllllllltllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildi�B Plans:(1)set oi Ener�r Fortns:R-0 W PermR for new�ion, <br /> Minimum ten(10)wakinp deys a�[er eubmjqal date. Required onsi[e,Construdiori Plens,Stamwater Plans w/Sitt Fence mstalled, <br /> Sanitary FaciliUea&1 dumpeter,Sile Work Permit for subdivisionyleige prpjeqs <br /> COMMERdAL Attach(3)complete sets d Builydinp Plene pkis e Life Safely Page:(1)set d Energy Forms.R-0-W Pertnd for new constnxtion. <br /> Minbnum ten(10)rwkirq deys after sibmittal dste. Requbed msite.ConsUudip�Plens,Stamwater Plans w/SiR Ferbe insfalMed, <br /> Sarrtary FacilMies&1 dienpster.Site Work Permit far all new projeds.All cammercial requrements must meet compliance <br /> SICaN PEF�AIT Attach(2)sets of Engineared Plans. <br /> ""PROPERTY SURVEY required fw aN NEW construdion, <br /> Direttlans.• <br /> Fill o�R appliCation completey <br /> Owner 8 Conlradp'sign beCk Of epplicetion,nofa¢ed <br /> 1(over 5�00.s Notlee of Comm�neenwnt h req�ind (��P9��►S73oo) <br /> " Agerk(for me oamaaar)or Pw✓er or attorney(ror n,e owner)w«,a ne sorneone wah naarizea lener nom owne.aulFar'a'ng seme <br /> OVER iT1E COUNTER PERAItTi1NG (Frmt of Applicetion OMy) <br /> Reroo(s it shirgles Sewers Service Upgrades MC Ferx�es(PIa1/S�rveYlFootage) <br /> Drfvw�'ays-Wot wer Camter if on Public roadways..needs ROW <br />