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e���so-oo2o City of Zephyrhills Permit Application Fax-e�,�-�eo-oo2� <br /> Budding DepartmeM � <br /> oae.rt.csiv.d �L r►wne conraa tor Pem�f G L : ' <br /> o,�n.r$N.ne i 1� (_iJ�. ow�..rt�or�e rwmber <br /> Owne�'s Address 'I��( f.�'cirrtc,l�ir1%�' Si �31� Orrner PBone Number � <br /> Fee Simple TlUaholder Name ��� Ownar Plwne Numbx � <br /> Fee Simpe Titlahdder Addrass `—"- � <br /> JOB ADDRESS J 1� ��� r �f.�.r)rV_(\ �"� LOT* C� <br /> sueomsioN Par���os � Z�•Z�' GI� C�)GC C�l�;c 1 U <br /> �08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOBED � NEw CONSiR 8 ADD/ALT Q SIGN Q Q pEMpLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM Q OTHER <br /> TYPE OF CONS7Rl/CT10N Q BLOCK Q FRAME Q STEEL �� <br /> DESCRIPTION OF WOFOC � Y � � � <br /> BUILDING SIZE ��I X/1 � SQ FOOTAGE� HEIGHT � <br /> ��UILDING a ,l)j \ (.�) VALUATION OF TOTAL CONSTRUCT ON '�1(,�(�� C�� <br /> .� � � <br /> �LECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> ��8�►� $ �,� ,3Z33 <br /> �CHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES � <br /> �__,� <br /> SIGNATURE � L�� �M�o 1.�.. U ���1.����C. I"'L���. <br /> � � ���1 �-, � --� �, �� I Ic�2�2ic <br /> ELECTRICIAN COMPANY �� �'� � � <br /> SIGNATURE REGISTQ2ED Y N FEE CURREA Y N <br /> � � ' ��# �cci2�il� <br /> PWMBER J�1�_ COMPANY C����{ CYl F 1 ��,�' � <br /> SIG►+ATURE C ` REGISTEREO / N FEE CURREA N <br /> � � <br /> �° r ��+�e# 11 C�1�J�I(,� <br /> SIGNATiIRE ,y rI COMPANY .�� LY S � � <br /> REGISTERED N FEE CURRFI. /N <br /> � � '� �' � �# KiC C`� ' 1� � <br /> OTHER COMPANY � <br /> �G��� REGISTERED Y!N FEE CURREI. Y/N <br /> � License# � <br /> IIIIIIIIIIIIIt111111111111111111111111111111111111111111111111A1111 <br /> RESIDEtV71AL Attach(2)Pbt Plans;(2)sets d Building Plare;(1)sel of Energy Fortns;R-0-W Pertnit far new corutniction, <br /> Minimum ten(10)worfcing deys after subrtiittal da[e. Required onsi[e,Construction Plans,Stormwaler Plans w/Sitt Fenaj installed, <br /> Sanitary Facili[ies&1 dumpster,Sde Wark Pertnit far subdivisionsllarge prpjeqa <br /> COMMERCIAL Attach(3)Canplete sets d Building Plans plus a Life Safety Page;(1)sel d Energy Fams.R-0-W PermH for new construction. <br /> Minimum ten(10)working tlays aRer submittal date. Required or�site,Conatruction Plans,Stormwa[er Plans w/Sift Ferxx�installed, <br /> Sanitery�acili[ies&1 dunpster Site Work Permit far all new projecfs.AN commercial re�irements must meet compliancs <br /> SICN PERMIT Attach(2)sats of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conaWction. <br /> Dirsctions. <br /> Fill oul application completely. <br /> �NT16f Q.COf1�f8C►Of 61�1 bBC�(Of 8�IC8�lOf1,f10f2fIZ6f� <br /> n we.szsoo,a rronce of com��s.aqw►«i• lac�ades over s�soo� <br /> " Agerrt(for the coMrada)a Power of Attomey(far the owrier)would be someone with notar¢ed letter from owner authormng same <br /> OVER THE COUNTER PERMI771NG (Frart oF Applica[ion Ony) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PbUSuvey/Footage) <br /> Driveways-Nd rner Counter iF on public ro.adways..needs ROW <br />