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eia-rao-oazo City of Zephyrhills Permit Applicatipn hax-613 780-0p21 <br /> Du[k11ng OepaAment <br /> Opt�f2ecelyed "^'—� <br /> Phone Cont�ct for Permitt�fng � j <br /> ..� Z I�TT —_... ! . _ <br /> OwoeYS Nama ��aS <br /> ,�,,/�/��i��� �L� �l�ner Phane Numbar <br /> Owners Address 7a[3 C.pllcj p �� �4 �� <br /> wn r Phone tVumbet <br /> Fee Stmple Tltleholder Nama +��Q� <br /> 4wner Phone NumDer <br /> Fee Simpb Titleholdor Addresa � <br /> �o�AOORFSS �dya 1 . '� r�;( L 3s�#I <br /> l4T# � <br /> sueo�v+siorr �aRCe�io,v 3Sa�S�'r�1�0�10—p&$'Qi9"00 " I <br /> (407A11FED FfiOM PR+DPERiY FA%NOTICE� <br /> WQRK pROAOSED e NEW CONSTR ADD/ALT �J SIGN <br /> fNS7ALt � a�pqFR � 0 DEMUUSH <br /> PROPOSEp USE Q SPR � COMM � OTHFR <br /> rl'PE OF CONffiTRUCTION � 9lOCK O FRAME � S7EEL Q <br /> DESCRIPT10At OF WpRK (��� ,7� <br /> BUIL4ING SIZE Sq F007ACaE� <br /> HEIGHT <br /> UtLOING s ,�fr^f <br /> yrci� VALUqTION OF TOTAL CON5TRUCTlpN <br /> ELECTRiCAL S AMP SEFtVICf a <br /> �C� Q PROGRFSS EN@RGY yy,q,E,�. <br /> PLUMHING � � <br /> [�MEGHANICAL s VAl.UA7tON OF MEGFtANICAL INS7fU.t�yTlpM <br /> �� [� ROOFING � SPECIAL7Y� O7HER <br /> F!NlSFt�D FL 5 FLp00 ZONE AREA <br /> �� QYES IVO <br /> �J <br /> _.._.. <br /> BUILOER COMPANY (Y' ACC^1�C0�\ ��IO <br /> 51ONA�'URE HCGIBTERE6 <br /> Y!N Fee cuw+En Y 1 N <br /> Address 1 . }� . 7 107�Itt 33.';l y t,icense x��'(�/�44�� <br /> ��.ECrr¢�citw CQMPANY <br /> SIGNATURE fuEGisteReo <br /> Y! N fEE WpREh Y 1 N'I��- <br /> �ldtJfSSB "�—^------� <br /> Licensn/� <br /> P�UMBEit � COMPANY <br /> SIGNATURE REGiSTERED Y 1 N �ee auart�N Y 1 N <br /> Address � <br /> Liaense f �— � <br /> MECNA1iICAL COMPANY ��. . � <br /> SIGNATURE necssrer�EU Y!N FEECURAEt. Y1N <br /> Address ���N-_���� -�� � <br /> Liaense Ai�� <br /> QTHER COfuIPANY <br /> 3IGNATURE REGI5TEREA Y/N PFECURREN Y�� <br /> ... � <br /> Address � <br /> 111111IIIIIItII / tf1tt11EAtittlllllfl111t111111f'f �51�I41t�llllitl <br /> R�SIOEMTlAt qf�aeh(2}FIo(p1e�s�(2?sels of 8uildinp Plans;(1)se1 of Enargy Forms;32-0•W Permit for new consiruction, <br /> AfFn(mum ten(tp)vp�G�g pHY;�fter submirial tlele. Requked prtsile,Construct[an Plens,Stomm�ater Plans w1 Silt Fence instaAed, <br /> 5enilary Faa`lities d 1 dumpsler,gile Wo�ptrm��for aubdivisionsAarge projeUs <br /> COMM�RClA! Attecti f31��p�eta yels ot 8uiltling Plans p1u8 a lite Safety page;(1j set at Energy f orms.ff-O-W permit tor new cons�ruciion. <br /> Minim�m ten(1 p)wrork�r�g dayg�her submitta!tlate. Required onsite.Conatn,�d"wn Plans,5tormwaler P1ans wf Sih Ferice instailod, <br /> Sanilary FaciliNes d i dumpster,Site Wwk permit ta alf new projects.All commercie�requuaments must meat compiiance <br /> SIGN p�RMIT Atiach i23 se�s of Eng�neerad pfans. <br /> ""AROPER'fY SURVpY required for ali NEW cortstruction. <br /> D1racSans: <br /> Fi�out appl'icatfurt completely. <br /> Ovmerd Contractar sign bepk W apptication,notarized <br /> It oYSt$YSOP,a Noilce o4 Commenoement is required, (NC upgretles avsr 575DO) <br /> " Agent jfor Ihe contraaorj or Powsr of AIlomey(fa!he owner]would be someona wipi noiarizerf laffer Irom owner authorizing same <br /> OVER THE COUNTER PERMtTTIMG (Front of Applicatwn pnly) <br /> Reroots it sttin��ns Snw�e�s Service Upa�ratles A/C Fances�PIOUSurveylFoatage) <br /> Driveways.No(over Countarlf on public roaUways.,neetls RRYJ <br />