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81��� City of Zephyrhills Pem►it AppRqtion Fau-813-780.0021 <br /> 6uddsg DepartrneM <br /> Daee Reoeived P1rone CoMact tor Permidi /�� S �__ NI�I� <br /> Owners Name � S�p��c. C-�c.lkn L �� ��— Owner Plane Numbor <br /> Owners Address � �.��C.'iUh � �1�eLu,�c� F�335�'�ow�r anone Numtbr � <br /> Fee Simple Titleholder Name Owner Pho�e Number <br /> Fee Simple Tftleholder Addre� <br /> JOBADDRESS Ip�D pJ��{�(.� 1.�, LOT# � <br /> SUBDMSION �C'��t �C�.nCV' ' PARCEL IDR �-1 J����I� D,��''�� Od7� <br /> IaaT�N�Faa�wtaetTr roUC rance� <br /> WORK PROPOS� � NEW[oN51R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCT1q�1 BLOCK Q FRAME O STEEL Q <br /> DESCRIPTION OF WORK S <br /> BUILDINO 5¢E i"W X S S� SU FOOTA(iE I7�3 HEIGHT ��' <br /> ��'�� s �I C SS� uP`�ATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S ANPSERVlCE Q PROGRESSEN@2GY Q W.R.E.C. <br /> �PLUA�iNG s ���,.y <br /> QMECHANICAL E VALUATION OF NECHANICAL INSTALLATION ��� � <br /> QGAS Q ROOFlNG Q SPECIALTY Q OTHQ2 <br /> FIPII�im FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> eun.o� /// ///''' coMr,,wr Ov�Nf}ivT 11omC� , S'n G � <br /> SIGNATURE �� REG6TERED Y/N FEE q1RREN Y/N <br /> aaa.� ��3� n �n D� /V ���# �t�� �'�S 6o3S <br /> ELECTRICIAN �pqNy ,�17v�L �LEGT2,r�-y C_L�� <br /> SIONATURE aEC�s7otm Y/N fEECURRB+ Y/N <br /> Addre� � (0 1.,0AC�1WtGv� IG,ZC� �.�{�a� License#� l 7���'��D � <br /> �J <br /> PLUMBER � r,p�pqNy C�U�N/vvT f"�O✓�'l E�� ++l C� <br /> SI(3NATURE / REGISfEREO Y/N FEE CURREN Y/N <br /> ,�� . q «� C�,��n tx �v ��# �—c. ��ta�W�i� <br /> MECHANICAL co«,Pnn,r DN 7�m� �{�.._. �hc, <br /> SI(3NATURE /�/« rtEr,�srE7tm Y/N FEE WRRBi V/N <br /> Adtlress e il(�Lfi��Q.� � Licer�se# �-�O�Y'i6 l'G <br /> OTHER ��� REGtSTPE/RED Y/N �q1RR�0��N �� <br /> SIGNATURE <br /> �«,� 1C7�i3`7 c Cuvi ��n r ' �;�# C 1 �1 � <br /> i I i 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 / 1 1 1 1 1 1 1 i 1 1 1 / f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 t 1 I 1 1 1 <br /> RESIDE71T1AL Attxh(�Pbt Plans:(�s�els of Buidin9 Plans:(1)se[d E�9Y Forms:R-O-W Permit for naw oonsWction, <br /> M'rnimim Len(1�v�orfuig d�ays aABer submOal da6e. Requied aisie,Co�tn�ction Rans,SLorrtn�a6er PFans v�/Sit Fe�noe installed, <br /> Sa�ry FaciHies&t dumpster;Sl6e Wak Permi[tor wbciv�ons�a�ge Pr'ol�'� <br /> COMMERqAL Atlxh(�compbUe se6 d Buii6ng Rans pkis a Life SehtY Page:(�)set d Energy Forrts.R-O-W Permi[for naw construction. <br /> M�in.,m ten(1Qj vwrking aays�ter su6mila�dare. FZequ`ea ors�e.consnucbon Plans,soorrrmeter Plans vi1 Sit Fenoe ir�sta�led, <br /> Sar�ry Faci6Ues 8 1 dumpster.SF�e Wark Perrtit tor aN new pajecLS.AN oonrr�al requ�anents mist meet compiance <br /> SIGN PERMIT AUach(�sels d Engineered Plans. <br /> ""PROPHtTY SURVEY requiied Ta ar NEW construction. <br /> Oitecdon�• <br /> FiN art appNcatio��Bely. <br /> Ow�er 8 Ca�rac0or sqn badc of application,na�arized <br /> If over f2BD0.a Notios of Com mencemerrt is requfrad. (A1C uppraeas over iT3oo) <br /> ~ ngeM(ror n�e oormacmr)«PoMer o►Amorney�rw me owner)vwua ee someone wim naar¢ed ktler rra�o�,er autFwrizirg same <br /> OVERTHE�UNT82PERMfiTIN6 (Fron[dAppiptionOnl» <br /> Rerods if sAingles SeMers Senice Upgrades A/C Fences(PlotlSuneylFoohage) <br /> Driveways-Not wer CouMer fi m pubpc roadways..needs ROW <br />