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s�a-�e°-0°2° City of Zephyrhills Pertnit Application Fax-e��-�eo-ooz� <br /> Buildl�g DepaMient <br /> . � <br /> I <br /> o.c.�.n�.e �,.c�.a ro.w� /3 �7�i _ ��� ; <br /> f <br /> o�.r.N.m. �"7 2 12 P S, / ow�..Pn«»�,e.. / 3�7 3'�3 -3 i� � <br /> � + <br /> owmrs Addr�ns � 7 ./G"N Q L-< S S�'i' v Q Owmr Phon�NumMr � <br /> s <br /> i <br /> FN Slmp�TNhhold�r N� Own�r phwh Nwnb�r � <br /> i <br /> FN Simp�T1tl�hoid�r M�ss � <br /> J08 ADDREEE � U� 1 cS S 1� � �/ � LOTA � E <br /> suaonnsion DI�/��z� �3/°��c PARCEL 10/ f�-- Z(v--v?1 -c:v I 7 c� -- O/.Zc.z--Cr� Zj � <br /> i <br /> �ORAN��ROY�R0r6m TA7f NOTC� � <br /> WORK PROPOEED NEW CONSTR ADD/ALT � SIGN Q Q DEMpLISH <br /> INSTALL 8 REPAIR � <br /> PROPOSEO UEE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONaTRUCTiON O BLOCK � FRAME � STEEL Q , <br /> oescraPnon oF wowc �C_ �' � c3'�� ,�- TD i✓ / 3 S c� ,� � <br /> BUILDINO EI2E SQ FOOTAOE� HEIGHT � 1 <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION I <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY � W.RE.C. � <br /> QPLUMBING S �' 'y ; <br /> �� � 3 �5 i <br /> �MECHANICAL j V/1LUATION OF MECHANICAL INSTALUTI�N i <br /> �� ' ! <br /> Q� Q ROOFING Q SPEGALTY � OTHER �' <br /> i <br /> FINISHED FLOOR EIEVATIONS FLOOD 20NE AREA QYES NO <br /> BWLDER CpMppNy <br /> s����� REGISTERED Y/ N FEE CURREI� Y/N + <br /> Addf�ti �ICEII!!� ? <br /> ELECTRICIAN I � COMPANY � <br /> a����� REGISTERED Y/ N FEE CI�J� Y/N i <br /> Addl�ss �kense# <br /> P <br /> PLUMBER �pµy -� ± <br /> 810��� REGISTERED Y/ N � FEE CURREF Y/W <br /> � <br /> �dfNi LIOlfI!!# � � ? <br /> MECHANICAL COMPANY � �.f?'V►C� -S <br /> a����� REGISTERED Y/ N FEE CURRER Y/N <br /> kwti,. cc�CX 1? Se� Po c.1- �..�� /3�v u��# __ �L.;f4C 1 �%L.��'1� : <br /> onieR coMwwv <br /> SIGNATURE r�cisrer� Y/N �e cu�n Y/N <br /> Addnu Litxrise#�� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111 <br /> RESIDENTIAL ARach(2)Plot Plans;(2)s�s of BWlding Plans;(1)ast of Energy Fams:R-O-W PermR ta new construc�ion, <br /> Minimum tsn(10)world^9 daya aftx subm�al deta. Raquksd orrke,Constructlon Plana,Stortnwatx Plens w/Sllt Fsncs instdled, <br /> Sanitary Faditles 31 dumpsta•,Ske Wa1c PermR for wbdHisbnsAvge ProJeets <br /> COMMERCIAL Attach(3)canplsta ssts d BuIWMp Plens pkro a Life SsfMY Pags:(1)sst d Ensrgy Fama.R-O-W Permk for nsw cartrucUon. <br /> Minimum ten(10)worldn8 dM alter aubrMtW date. Requi►ed oraile�Constructlon Plana,SWnrnvatx Plarro vW Silt Fenee installed, <br /> Sanifary FedlPosa 31 dumpste�.Sita Work Pertntt for ail new projscls.A�I oommerdal rsqulremeMS must meet compNen� <br /> EIGN PERMIT Athch(2)sets a(Enyinserod Plsrn. � <br /> ""PROPERTY SURVEY roqulrod fw aN NEW caatrudWn. <br /> ���. 1 1 1 1 , <br /> FlII out appticatlon completely. <br /> Ownsr 3 Contractor aign badc a�appicaUa�,nartar'vsd <br /> M owr t2S00,�Notlq of Comm�ne�m�nt b r�lnd. (MC uppnd�s ovK t7300) <br /> " Apent(fo►tlro�ar)or Power d AltomeY(for Cie owner)would be eomeone wRh ratarized btter from owrner authorizinp same <br /> OVER TNE COUNTER PERMR11N0 (FroM ot qpplicetlw�pnly) <br /> Reioofs M ahNgles Sewers Serviee Upprades A/C Fences(PbtlSuroeY/Footage) <br /> Orlv�w�ys-Not over Courrter if on public rosdMrays..nssds ROW <br /> � <br />