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. , e��-�eaoo2o City of Zephyrhills Permit Application F�-�»-��� <br /> Buildir�g Depertrnent <br /> o.a a.�.iwa - /c�- Z� I 3 Phon�Confaet for P�rmHtln c'��3 ��i _�L lQ o�f <br /> -r,,--..-r--r,- <br /> ow�.rs�. �+1 w� rn va�, �� oMm.►Pno�.Numb.► I 0�'�d f� a 7 L`/ <br /> Own�s Addnss lQ �a 3 P(f R S A-�+'� S 1 p�K Phon�NumMr �� <br /> FN EImpM TNNhWMd Nam� N 1� OwnK Phon�Numb�r <br /> FN 31mpM TlWhold�l Addnss <br /> JOB ADDREEE �Q�"�� f I P f�tSV�-..� �' S T_ LOT i � <br /> sueav�sia+ O A K Pa rZ k h^i+ P PAitCEL IDR O�-2w -�I- Oz="L u—�3cv -� +�� <br /> (OS'TAw�FlIOY PROr9[fY TAX MOtICCI <br /> WORK PROPOSED B NEW cANSrR e ADD/ALT [�i" SIGN Q Q DEMOLISH <br /> IN3TALl REPAIR <br /> PROPOSED UEE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCt10N Q BLOCK Q FRAME Q STEEL a <br /> oeacwvnoN oF wtlwc R c C�r�+'�-.�r� cs..� , -5 !G� �3 Se c'�-. P/c u N,; <br /> BUILDINO EI� SQ FOOTAOE� HEIOHT � �______ <br /> /v.. <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION � <br /> QELECTRIC/VL i AMP SERVICE Q PROGRESS ENERGY Q .RE.C. � <br /> QPLUMBING S � <br /> QMECHANICqL S ' �5—� VALUATION OF MECHANICAL INSTALLATION �� <br /> � /� <br /> Q(3AS Q ROOFING Q SPECIALTY Q OTHER �. - <br /> FINISHED FLOOR ELEVATIONS PLOOD 20NE AREA QYES NO <br /> BUILDER � COMPANY <br /> $���(� RE6ISTERED Y/N FF�CURRB. Y/N <br /> �wa�.. u�,se a <br /> ELECTAICIAN � COMPANY <br /> $�GNATURE REGISTERED Y/ N FEE CURRB� Y/N <br /> Addrat License# � <br /> PLUMB6R COMPANY <br /> g10NATURE REGISTERED Y/N �cuRRB. Y!N <br /> /�� Lloenas# <br /> NECHANICAL � COMPANY /'��� e-N l C P S —� <br /> $IONATURE REGISTERED Y I N FEE CURREh Y I N <br /> Addr�sa Ucenss# I ��`-� ��! � 1 <br /> OTHER CONPANY <br /> SIONATURE RE613TERED Y/ N FEE CuRRB. Y/N <br /> Add►�as Licenss�F <br /> IIIIIIIi11111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTULL Attad�(2)PI�Plans:(2)sets oi Buildinp Plana;(1)set of Ensryy Forms;R-O-W Permk for new construdion, <br /> Mlnimum ten(10)worMng deys eRsr su6mflf�dete. Rsquirsd aralle.Construdlon Plans,Stormwatsr Plans w/SIR Fsnce Instdlsd, <br /> SMnitary FedlPoes 31 dumpstx,Slte Work PermR fa subdMsionaAe►9e P►ak� <br /> COMMERCIAL Ntech(3)compkte ssb of BuNding Plem plus a LI(s Saiely Pegs;(1)set�Enerpy Forms.R-O-W Pertnk for nsw�on. <br /> Minimum tan{10)worMng days a11sr whmilt�d�te. RequYed omMe,Constructlon Plana,Stortnvratx Plans vw Slit Fence Instdled, <br /> 3�anitary FacBftl�31 dumpster.Ske Work Permft for all naw pr�ects.All oommerd�re�iromerhs must mest oomplfance <br /> SION PBRMR I�t�Ch(2)asts of Enpinesrsd Plans. <br /> '�'PROPERTY SURVEY roquirsd for aA NEW consWdbn. <br /> . � . i„� . �„� . . � . .y� . <br /> oi�uoM.:� <br /> Fln out eppliatlpn wmplete�y. <br /> Ownsr 6 CarMr$dor sign badc d applit�tlon.nofarized <br /> M ov�t2500,f Naqc�M Comm�ne�nl is nqulnd. (/VC upyr�d�s owr=7500) <br /> " Agent(for the aontrador)a Powx oi Attamey(tor the owner)wouW be someone with notarized lett�from owner authorfzing same <br /> OVER THE COUNTER PERMITTiNCi (FroM d Applieetlon Only) <br /> Reroo(s If ahingles Sawera Servfce Upgradee A!C Fences(PIoUSwvey/FootaOe) <br /> Drlvnways-Nod over Countu if on publle roadways..needa ROW <br />