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e�3�eaario City of Zephyrhills Pennit App�cation Fax-813780.0021 <br /> suieing oeparbnent <br /> �R� ������ �7 7 53`1 -- K�R7 <br /> Owners Name �.. S�1C � t G. Owner P�wne Number <br /> Owners Address Al:� 5 F�Cr�P�- �VC ll'��(•[+� 1'L. 3�O�wner Plaee Number <br /> Fee Simple Titleholder Name � Owner Pla�e Numbar <br /> Fee Simple Tftleholder Atltlress <br /> JOB ADDRESS �1 7� ��5(t- �nL� �f LOT t � <br /> SUBDIVISION ��`�,C. A�1C.� PARCEL ID� ��'�0110��(�O���_v b�C�" ��� <br /> (C9TAN�fROM PROP6l7Y TAX NOIICE! <br /> WORK PROPOSm � NEw CONSix e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE m SFR Q COMM Q OTH62 <br /> TYPE OF CONSTRUCTIOP► � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � 'v'l- <br /> BUIIDING SIZE "W X�� �FOOTA(iE l i 1� HEIGHT �d�1 <br /> l�q�����' s (I' �gb VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL S ANS�SERVICE Q PROGRESS ENB2GY Q W.R.EC. <br /> QPLUM8ING S <br /> QMECHANICAL S VAlUAT10N OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPEGALTY Q OTHER <br /> FlNISNED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> e�„� ���� c�,r�, C.o�E�l�nT }i,om�s �n` <br /> SIONATURE (///' REGISfenEn Y/N FEE CURREN Y/N <br /> Address IV 7�J 1 '/IC� I.4tI1��e'(r� �r, /��2 License# � `��• ��+5��� � <br /> ELECTRICIAN COMPANY /��7OVE �,�.ECTR��- 1..��� <br /> SI6NATURE REG6rERED Y J N �curtRB+ Y/N <br /> Address t7� / �.QCiC�4'►'1GY1 Q�GZC. CItC1f� LicerrseN l 4 ��J��L'��v$� <br /> PLUMBER �// COMPANY COVL NfF'NT� �(��'Y��S �n(i, <br /> SIONATURE ,(��V RE(i1STERED Y/N FEE cuRRFN Y f N <br /> Address �C �� �� �IR+�n �r /1�C�� License# `�f�p�alt� ( � <br /> MECHAHICAL COMPANY DN T xl�?C �1� �r n C,� <br /> SIONATURE °'�� REC�srotm Y/N �cuRrtB+ Y/N <br /> Address ���od '���CL� �l� L'ce�seY �n�-��Qf o'�1C7 <br /> OTNER /,�J� CpMppNy N�/U� ����ES � �N <br /> SKiNATURE ��f/i REC�ISiERED Y/ N FEE WRREN Y/N <br /> „�� �c33� ckn��n r. .�uP ���# �� 13a°1�1�7 � <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br /> �oEHr,a_ �rn���;rn��e��;�,���E�Y�;R-0-W Parmd fa new oonstructon, <br /> Minimum ten(10�working days aRer submitlal dsie. �ed a�sile.Coratnxtion Plans.Stortm�eter Pla�v✓Sik Fence ir�sTalled, <br /> SarMary Facities&1 dumpater,Ske Work Perrtrt tor sub3visior�slarge D�1�� <br /> COMMERpAL A1Fad�(�oorrykUe sels d BuiMing Plans plus a LAe S'afdY Page:(1}se[aF Fnergy Forms.R-0-W Parmi[ior naw w�on. <br /> n0inimum mn t1�waldrg days a�er s��aaEe. rtequ.ed onsiee.cor�stn,ction Pla�,sewmNe►cr a�ans Mr Sit Ferwe ir�sta��ed, <br /> Sarrtary Faciitles&1 durnps6er.Si6e Wark PemN tor all new projeds AN cort�nercial raquiertieMs must mee[campliance <br /> SiON PERMR Attac�(�aeW af Ergirreered Plens. <br /> ""PROP92TY SURVEY re�ired for ar NEW�uchion. <br /> Di�o�x <br /> Fi�aut apptiwtion complahaly. <br /> Owner&Ca�a.�si�back af app6cation.rqluized <br /> If over 52500.a Notiee of CommencemeM is raqW red. (A!C upgrades over i73oD) <br /> " A�nt(for the mntrac6or)a Po�.rer of AtEomey(fw Me owner)wouid be sort�eane wilh ndar¢ad letler fiom o�ner a�Rlorizing same <br /> OVER THE COIAiTER PERM(fTING (Frat d Appic:�on Onl» <br /> Reroo(s if sAigks Sewers Service Upgrad�s A!C Fer�cas(Plo��roeYhoota�e) <br /> Driveways-Not wer Courrter iF on public roadways..needs ROW <br />