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` 87���0°� City of Zephyrhills Permit Application Fa�-e��-�aaooz� <br /> ������, s�� <br /> �.�.a.«�w - — vno�._co�,a ror w�m Z�' / �/ �/ � <br /> � i � � � � � � � � i� � ' <br /> ownsrs Nam. � own.r Pnon•Numb.. <br /> Ownsfs Addn�s CN �- � �` Ownsr Phon�Nwnbx <br /> Fw Simpl�Tidshold�r Name Owner Phone Numbsr <br /> Fes SfmpM Tklehold�r Addross <br /> JOB ADDRESS 1-�W 3 C� LOT/ ��� <br /> SUBDIVISION PARCEL IDD � ^Z � � ' � <br /> (OlTANm FROM PROPERTY TA7I NOTICF) <br /> WORK PROPOSED � NEW CONSTR 8 ADp/ALT Q SIGN � O pEMpLISH <br /> INSTALL REPAIR <br /> PROPOSED USE - SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q ", <br /> DEBCRIPTION OF 1NORK �D W P V �i W r'(/IL S � . <br /> BUILDINC 81ZE SQ FOOTAGE�� FIEI(iHT �_� <br /> BUILDING S �a �S� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL j AMP SERVICE Q PROGRESS ENERGY O W,R.E.C. <br /> QPLUMBING j .�- <br /> D�C��� S VALUATION OF MECHANICAL INSTALtATION <br /> QG� Q ROOFING � SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUIL�R � ` COMPANY S� !JA W J11�.� �� <br /> SIGNATURE REGISTERED Y/ N �E Cur�tEn Y/N <br /> ,�.�. � � . r �� 3���18 ��* c, <br /> ELECTRICIAN COMPANY <br /> SNiNATURE r�asrEr�o Y/ N �E curu�n Y/N <br /> Addross <br /> License# <br /> PLUMBER � COMPANY r <br /> SIGNATURE REOISTERED Y/ N FEE CURREA Y/N <br /> Mdross License# �-� <br /> MECHIWICAL COMPANY --� <br /> 316NATURE REpI3TERED Y/ N FEE CURRE� Y/N <br /> Addrsss <br /> License# <br /> OTHER � COMPANY -� <br /> SiGNA7URE REGISTERED Y! N FEE CURRE� Y/N <br /> Addnss License# -� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Pbt Plans:(2)seta of BW Wing Plens;(1)set of Energy Fortns;R-O-W Pertnk for new construction, <br /> Minimum ten(10)workirq days after aubmittal date. ReqWred orbite,Conshuction p�ara,Stortnwater Plans w!Silt Fence instelied, <br /> Sanitary FaGildes 6 1 dumpate►;Site Work Pertnit for subd'MsionaAarge prpjecb <br /> COMMERCIAL Altach(3)oanpbte sets o(g�Hding plans plus a Ufe Satety Page;(1)set of Energy Fortns.R-0-W Pertnit for new cwutruqiwi. <br /> Minimum ten(10)waking days after wpmittel da[e. Requlred oneite,Constnktion plen,Stortnwater p�erm w/Silt Fence installed. <br /> Sarifary FacNitlea 6 1 dumpeter.Site Work Pertnil for aM new projecta.All commerciai requirements must meet complfance <br /> SIGN PERMIT Atfacff(2)seta d Enpineered Plans. <br /> ""PROPERTY SURVEY required Tpr dl NEW consVUCtion. <br /> Dinetlons: <br /> Fill out appiicatiqi completely. <br /> Owner 8 Contraaw alpn back of appication,notaAzed <br /> If owr f2300�a Notlp M Com�nt b nquirod. (MC uppnd�s over i7300) <br /> •• Agent((or►he contractor)a Power d Attorney(for the owner)would be someone witA notarized letler trom owner authorizing same <br /> OVER THE CWN7ER PERMITTING (FroM of Applicatbn pMy) <br /> Reroofa N shir�gles Seweis Service Upgrades A/C Fences(PIONSurveylFoot+Be) <br /> Drlv�ways-Not over CouMer H on pudic roadways..needs ROW <br />