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e��-�eamzo City of Zephyrhills Pertnit Application ��-���-��21 <br /> Buiwing DePartmerx <br /> Dab Reuived -� 3 Plwne Cakact tor Permldf <br /> Owrwrs Name 1 �� �-t.� Owner Phone Numbw - 1 <br /> ow�,.rs naaress Q( �'t z owMr Phon.►+�mb�r � <br /> Fss s�mpe Tfuenaaer Nem. ��� own.r Pnw,s Munb.. � � <br /> � <br /> Fss Simple 7ltlehalder Addesss <br /> JOB ADDRESS �� W�i �. LOT B � <br /> SUBDIV1310N C l�- PARCELIDM 'W�' " �Zl C� <br /> (OBTAINED FAOM PROPERTV TAII N0710E) <br /> WORK PROPOSED � NEw COrisrR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REP/UR <br /> PR�OSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CON87RUCTION Q BLOCK Q FRAME Q STEEL � <br /> DESCRIP710N OF YYORK <br /> i <br /> BUILDING SIZE x � S�FOOTAGE S HEIONT <br /> BUILfJ�NG S ^n •— VALUATION OF TOTAL CONSTRUCTION �!D�yQ D. �1' <br /> !�� <br /> EIECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.0 <br /> �un+s�r�c a '� I 1 �� <br /> �wwicn� s vai.uanow oF�cwwica�.n�sTn�u►noni <br /> [�cans � RooFOrc [� s�cuu.Tr 0 on+eR �/ <br /> FINISHED FLOOR ELEVATtONS FLOOD ZONE AREA QYES�NO� <br /> �,�� �P,,►� �S� (Y1ob�►le.�-am2 <br /> SIGNATURE RECi18TERED N FEE CURRE� /N <br /> � � s 320�'�3 ��#(�� 1 c�-sal n � <br /> �� ��.e'�-�� `�"� �(����.te �c—�� <br /> ��Y N FEE CURRE�—�J N <br /> � �—� ��#(��b 1 Z�,1 h� <br /> PLUMBER ` (��w-�C�C/� COMPANY t rn�P� � 11L TIUI 'U!_� <br /> SIONATtIRE rtecisr�tEO N F�cuRrter. Y N <br /> Adtlraa 1- � license� � � rJ'�-�V <br /> �cwwicu [������,�t� �s� c�r�wv '1 �rl� �� <br /> Su3wnUt� � REOISTERED � FEE URREA /N <br /> ----�— � <br /> naarss. S ��a <br /> on�eR coMran � <br /> SI(iNA7URE REGI6TERED Y I �E Curtu�n Y 1 N <br /> �'� Licence# <br /> IIIIIII / Illllltlllll / llllllllllltlll / lllllllllllllllllllllllllll / / l <br /> RESIDENTIAL Attach(2}Plot Plans:(2)sets d Buil�n8 Plens;(t)set of Eneryy Fartns;R-0-W Permd fa new corretru:tion, <br /> Mirdmum ten(10)working deys aRet suCrnittgl date. Required onsite.Construdion Plans.Stormwater Pler�s w/Sik Fer�ce installed, <br /> Serrtery Facilities$1 danpater;Site Work permit for subtFvisionsJiqr98 Prqecf� <br /> COMM6RCULL Attech(3)canplete sets of BuNd'mp Plerre plus a life Safoty Pape;(t)set d Er�py Fortna.R-O-W Permit Tpr neYV construdion. <br /> Minimum ten(10)workinp deya aRer suhmdtal dete. Required a�sile,CarreUucfion Plans,Stamwater Plens w/Sik Fenoe irmtalied, <br /> Sanitary Facititie�&t dumpeter.3ite Work Permil tor all new pojecta.AN commsir,ial requiremerrts must meat compliarae <br /> SIGN PERMIT /tttech(2)seta oi Erpineered P1ans. <br /> ""i'ROPERTY SURVEY rsquired for aN trEW construction. <br /> Dirsctfan:• <br /> Fill out application compiatsty <br /> Owner&Corriractar sign bedc of application,notarized <br /> M ova t2!f00.a Nolfcs ol Cd�rwnt is n4ind WC oDW+dss wx t7b0D) <br /> '" AgeM(fa the conbaclor)a Power of Attaney(tor the owner)woukl be eameone with noter¢ed letter irom owner euttwrizing eame <br /> OVER 7HE COUNTER PERMITT1Nfi (FroM of Applicetion prNy) <br /> ReroWS if shing�es Sewers Service Upgrades MC Fe�ces(PbUS�+veY/Footape) <br /> OrivewayaNd over CouMer if on p�f�lic roadways..neetly ROW <br />