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e��-�e°'°°2o City of Zephyrhills Permit Application F,�-e��-�so.00s� <br /> � Bullding Department <br /> 9�h R�alwd t� �`-3 Phon�Conqet for Pamlltln <br /> -rr-r'r-rrrr — <br /> Ownds Nrn� A V Q�I �l7 Own�►Phon�NumMr ' 0 c1� ` �� <br /> OwnrrsAddr«s 3 ��4 m��a� WCGJ�' Own�rPhon�NwnMr �� <br /> —� <br /> FN Simpl�TlWhold�d Nam� N! _ Ownw PboM N�wnMr �� <br /> FN Simph TMMhold�{Addnss � <br /> JOB ADDRESE /��–I 17OU C�du C LOT/ � <br /> susomsioN M t�,��,v i,,�a c�G� PARCEL 10/ l �Cr�ot/�G/ , 6�-aix,—�/o <br /> �osr�a�m�eor v�em r�z�on� <br /> WORK PROPOEED B NEw CoNSTR� ADDlALT O SIGN � Q DEMpL�SH <br /> INSTALL REPAIR <br /> PROPp8ED USE Q SFR � COMM Q OTHER �� <br /> TYPE OF CONSTRUC710N O BLOCK � FRAME O STEEL a �—�, <br /> DESCRIPTION OF WQRK C �'A�� U�— 3`�►�-� I� SE'2.-� <br /> BUILDINO SIZE 8Q FOOTAOE C� NEIOHT � <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �E����- S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING j <br /> �MECHANICpL s ��� VALUATION OF MECHANICAL INSTALLATION <br /> Q� � ROOFING O SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEl�AT10NS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY _—� <br /> s��NATU(� REGISTERED Y/N FEE CUI�T Y/N <br /> Add1Nt Lkeflse# �� <br /> ELECTiiC1AN CONPANY —� <br /> 810NA7URE REGISTERED Y/N �cupR6� Y/N <br /> �wdrps ucenee#�� <br /> PLUMBER �pNP�y � <br /> s�ONATURE REGISTEREA V/ N FEE CURRB. Y/N <br /> AddfMt �_ LICMtse p�� <br /> MECHAIi1CAL CpMPANY /7/�� J�«[ !CG� S <br /> a���� RE6ISTERED Y/ N r'�ctxute� Y/N <br /> � Uoenae# L L•l?(_��/�!/CJ! 'S I <br /> OTHER C�P�, <br /> $���T�� REGISTERED Y/N FEe CuRRe, Y/N <br /> Addras Licenee#�� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi111111111I111111I111t1Ii1 / 11tI <br /> RESIDENTiAL Aqach(2)Plot Plans:(2)asfs cf guNdiny pla�y�(�)a�a{Enagy Forma;R-0-W PermR for new canstructlan, <br /> I�Inlmum ten(10)wwpng deya aRsr submiltal data. RepuYed qqke.Co�ahuctlon Plans.Stamnveter Plam w/SIIt Fence Instdisd, <br /> Slanitary FadlPoes d,t dumpatx,Site Work Permk far subdivisionyler�p projscts <br /> COMMERCIAL qUad�(3)compbte asb d B�ding Plam plus a Llfs Safety Pape:(1)set d Enarpy Forms.R-O-W Pertnk fa nsw mr�struc:yon. <br /> Minimum ten(t o)worldn0 dM alte►submktal dets. Requked amke.Construetlon Plara�StormMater PlerM w/SiR FMOe irutalled, <br /> S�itary Fadlltlss 6 1 dumpster.Ske Wak Parmft ta all new projeaffi.All commerdal requiremaMa must meet oompliancs <br /> aION PERMIT Aqtadi(2)teb of Enpineersd Plens. <br /> ""'PROPERTY 3URVEY rsqtdred for aN NEW construdion. <br /> DI►�etlons: <br /> FlII out appliptipn completely. <br /> Ownsr d ConhMsOor sign bsdc d application,rwtarizwd <br /> If owr t2500�!Netle�of Comm�nart�nt b nqulnd. (AfC upprada owr t7500) <br /> " npenc(ror me cbnvaaa>ar Powx of ntt«ney(tor ti,e owne.>,NOUId be someone wim nocarizea�ener from owne�wn,oribn9 same <br /> OVFR THE COUNT�R PERMITTING (Front of Appllcetlon Ony) <br /> Rsroots if ahqigbs Sewrers Savice Upgrades MC Fences(PIoUSurvey/FOMa9e) <br /> DrMw�s-NoC over Countx H m pudle roadways..needs ROW <br />