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613-780-0020 City of Zephyrhills Permit AppliCation Fa�-s��-�eo-oo�� <br /> Building Depertmerrt <br /> Dab ReulvW �2 t,p- C Phons CoMact for Parmitd <br /> Owns�'s N�nte 1�1 1,.��l Owm►Phone Number �� "J- 1� <br /> Owrwrs Addrs�s q� ` �t J U1 �� Ownx Phorw Numb�r � � <br /> F�e&mpe Titlehdd�r Nam� Iv� OwrNr Phaa HumO�r � <br /> F�e 3impN Tltl�holdK Addhss <br /> J08 ADDFlE38 C V GlA EX( LOT� [!y��(} <br /> SUBDMSION � PARCEL ID/ O"����y'��-Otn.l)' Uv��U'"W��h <br /> (OBTAMIED FROM PROP6CTY TAX NOTN�E) � <br /> WORK PROPOSED � NEW ooNSTR 8 ADO/ALT C� SIGN Q Q pEMpLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM � OTHER <br /> TYPE OF CON87ttUC710N Q BLOCK Q FRAME [� STEEL �� <br /> DESCRIPTION OF WORK <br /> BUILDING SI� 1 � � r SU FOOTA(iE�� HEI(il1T � <br /> QBUILDING (S!1 i.1�,1� VALUATION OF TOTAL CONSTRUCTION C� ��� <br /> L�k�.z_1 , <br /> �ELECTRICAL 3 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ��LUMBING S <br /> dec►�wicu s vru.uAnow oF�cwwicau irarn�unoN !/� � `J i (O� <br /> "��J <br /> Oc�s Q ROOFING Q SPECIALTY �] om�R <br /> FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA QYES NO <br /> BUILDER � '.�.�/", _,� COMPANV _ � 1 1! �__ �I 1 /�� <br /> ���E �� rtEoisra�o N �cuar�n Y N <br /> nadrs,s �.n a�� 'Z, � ��r 1 �b2JZ1b�� <br /> ELECTRICUW � ^ COMPANY U..�'�Ll.,U C�L�K--IG <br /> ��T�E aeo�sr�o N �E curx�n N <br /> � Licer�ee#� c_!�-vl.J� �- !��J I <br /> PLUMBER /7��r� . �l�j/��,� fJ COMPANY C1SI2Y MD�'Ji IQ �� <br /> SIGNATURE � ?.-�_�x_, REast�o ��Y)N T �cuaREn N <br /> � ��a? , -F�- —1 �.,� 1 l DZS21 C�� <br /> ---Q C <br /> MECHANICAL fbMPANY r� <br /> 31(itiA'f11RE aec�sratEo — Y N �cuaa�r.�—' <br /> � Laenae�Y V�J`t�� <br /> OlHER CpMpq�,�y <br /> SKiNATURE r�cisr�o Y/N �cuaRer. Y/N <br /> � License# —� <br /> illillllllllllllllllllllllllllillllllllllllllllllllllllllllllllllll <br /> RE&DEN7IAL Attach(2)Pbt Plans:(2)s�i d Buildmg Plane;(t)set d Etteigy Fortns:R-0-W PertnA tor new coraMrctian, <br /> Mirtimwn ten{10)workinG deys�ter a�nXtal date. RecN+ksd ofwks;Carrolrudion P�s,SMrmwatx Pbns wl SiR Ferae instalbd, <br /> Senitary FacNifies&1 dumpatar;Site Wark PertnK for aubdiviaions�ar'ps Prol� <br /> COMMERCW. Attach(3)complete sets d Buildirg Pl�s plus a Life SaFety Pape:(1)set of EneiBy Fortns.R�-W Pertnit for new conshudion. <br /> Mkrimum ten(10)workii0 days dler submittsl date. Required onads,ConsVtxlion Plans,Stamwater Plens w/3i1[Fence instaYed, <br /> Sanitery Fealiti�&t dumpater.Site Wak Permit for ell new prqeds.AN commen.tiel requemeMs must meet canplierqe <br /> SIGN PERMIT Attach(2i sel.s ofi Enpi'�eered Plens. <br /> ""PROPERTY SURVEY required tor a11►rEW ar�iort <br /> Dir�ctlont. <br /> FNI out application compbtey. <br /> Owner&CdNracta aipn beck�applicetion.rotari2ed <br /> M over f2eoo,a Notla o!c�ommrncanent�a nqufrod, (��Por+��t7e0o) <br /> '"' A9erA(fa the caMracta)a PaYver of Attaney(fa Me owrier)would be someone wiM notari�d bker irom ow�aAhorianp seme <br /> OVER THE COUNTER PERMI7TINO (FroM oF Application OMY) <br /> Reroofs i►ahirpbs SeMers Service Upgrades q!� Fences(PIoUSuvsylFootepa) <br /> DAwways-Not wx CouMer N on puWic roedways..needs ROW <br />