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Bt3-380-06�0 City of Zephyrhills Permit Application Faz-$13-T80-002t <br /> Bullding Deparimen( <br /> Oate Receivad �j� .- o, ,_, <br /> n��-�--� Phone Contactlor permittirtg <br /> Ownofs Nama Qy�n t�)W (,(,� � �jL '(� <br /> S�vner Phona Number <br /> Owner's Address ��i,i c.,pfti�' tM� �, �� @r � <br /> �`r�t0'.t,,Phone Number � <br /> Fee 3impte 7itleholder Name ��"`� <br /> Owner Fhone Number � <br /> Fee S3mple 71t1ehoiderAddress <br /> JbBADDRESS ��C�L � . � r�\� 1 ���+ <br /> � f LOF# � <br /> SUBk3tYlSION ��—��� PARCEL 10A' S��a�"QU,�^� Q�"� {� <br /> (UBTRINEDFROM PRpPER'tY iA7(NOTICE� <br /> WORKPROPOSEp e NFWt4rrsrn� AODlAL7 � SIGN <br /> INS7ALL H�pp�� 0 � DEPdpi,IS1i <br /> PROPQSEO USE � SPR � CpMM �� QTH[R <br /> 7YPE OF CpNSTRUCTtON Q BLOGK Q FRAME � STEEL � �^"'—"—'-------� <br /> DESCPoPTION CJF WORK <br /> BUlLDING 5t2E C�__!� Sp ppOTAGE� <br /> HEIGHT � <br /> �BUILOING a <br /> VAlUATIQN OF TOTA�CONSTRUCTIQN <br /> QELECTRICAL �� q�P SERVICE � <br /> PROGRESS 6NERGY O W R.E C. <br /> �PlUMB1MG �� <br /> Qtu[ECHAMICAL �'� 1�q�UATION t1F MECHAryICAI MSTALLATIqN <br /> �---�—_-__� <br /> QGAS ROOFING [� SPFCIALTY <br /> � OTHER <br /> FINfSHED FLOOR EL �� FLOp3]ZONE A(2EA QYES NO <br /> BUINATl1RE CO#APAMY ('('_ � 1"\�G �CA � V� (0 f <br /> RCGISFElYEp Y/N FEE CURREK Y J N <br /> dlddreas �� •7 le7 J Q 331y License# ���s��y�� <br /> ELECTRICIAN COMPANY � <br /> SIGNA7URE ffEG75TERED Y/ N KEE CURREN Y I N � <br /> Address — <br /> „_ Cicense#��mm� � <br /> PLUMBER � COMPANY r��_ ^ I <br /> SIGNAFURE REGIS7ERED Y i N Fee curtn�n Y I N <br /> Addrosa �_ License# r�—�a�—� <br /> MECHANICRL � COMPANY __ I <br /> SIGNATURE REGt37EKtED Y 1 N F6E cUwa�n Y J N ! <br /> Addrass � Licensei� (a—� <br /> OTNER � �6�pA�Y � � <br /> SICiNATURH REG�9TERE0 Y 1 N FEE GURREh Y!N <br /> Adtlreas I.icensef � � <br /> 1I111111111EIIfE11l1111EIIIIIItEl1I11i11fIiI11111111111IttI11t11iF1 <br /> RE3t0EM17At� Attpch 42J Plot Pians:l2)sels of BuUding Ftana;(1)set of Encrgy�anns;R�O�W Permit for new consUucl�an. <br /> Minimum ten(1Q)warlc(np deys afler submittaf daie Required onsite,Carys4ruction Rlans,Sformwater plans w1 SiIE Fence instaiied, <br /> Sanilary Fadlities&7 dumpster,Site Work Pemeit!or su6divisionsltarge projects <br /> COHIMERCIAL A11ach{3)comp3ele se;s od fl�xldirtg Planx plus a Lfle Safety page;(t)gg!cN C•nergy Forms.R-O-W i��rmrE for new conslrucuon. <br /> Minim¢m ten(i0}working days afEer submqtal tlate. Require�!ensile,ConsWdian Plans,Stam�waler P�ans w/Sf1l Fertce inslallad, <br /> San(!ery Facd7Ue9 8 1 dumpater,Sile Work Permit for s1E new�rrqects.All cornmercial requirements must meel complisnce <br /> SIGN PERMIT Attach(2)se15 of Enpineet0a7 Plans. <br /> ""PROPERTY SUt2VEY requiretl for aN NEW tonstruaion. <br /> fliracNOns: <br /> FiR out appticalion completely_ <br /> Owner&Cantractar s�gn 6ack oE appl�cation,riq3arized <br /> [t over 52500,a Notlee at Commaneement is roqulretl, (q1C upgrados over L7500J <br /> " Agent(for Ihe contrectarj a Fower ot A�tomay{for tt�e pwner}wouFd be sameone witE�rtotaeizad le�ter Irom owner authorizing same <br /> OVER TNE CQ13N7ER PERMITTW�, (FroM afiApplicatian Ordy) <br /> Reroofs if shingles Sevrers Sarvlas Elpgraiies A.�C Fences{PIoUSurvey/FOUfage) <br /> Orirownys-Noi nver Cowiter ii on public rosdwsys„needs R44V <br />