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__ _ <br /> /" <br /> 8���8°-0°2° City of Zephyrhills Permit Application F�-s��-ieo�oo2� <br /> sui�ar�g oepartmern, <br /> Date Received r - Phooe Co�Mact for P �� C(3' � - ��o�- <br /> -rrrrrr <br /> , Owners Name �t L"�MO ♦ L..Y � -- L{'7jS <br /> ar Phons Nu <br /> own.r:ada►.ss • S ( oh r S f.i��uo Mut I�§M �' owner Pnons N�mbe. � <br /> L3 2��-� <br /> . Fes Slmple Titleholdsr Name Ormer Plane Numbsr <br /> Fes Slmpla Titlehddsr Ad�sss �/ <br /> JOBADDRESS �V �} CDCx- �Y(y( Q � �I � L LOTS �� <br /> SUBDIVISION �Y��Y1�� L°O�M� ��+qRCEL ID# 3 S- 2 S �2 � ��3 V -���UL7��U L <br /> i <br /> (08TAINED FROM RtOPERTY TAX NOTC� <br /> WORK PROPOSED NEW CONS7R ADD/AlT Q SIGN � Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME � STEEL ` <br /> DESCRIPTON OF WORK N`J�(.��1 '-�-„g0� <br /> t ���25-ka-v��?,� om�tr�--tifI51 � • SS�a�� <br /> BUILDING SIZE �� gp FppTAGE�� FIEI(iF1T �_� <br /> BUILDING $� �Ov�J V VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 1^�,��j AMp SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> G <br /> QPLUMBING $ <br /> 0 �� �- Se��� � �J���-� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � NV`� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO� <br /> BUILDER � CpMPANY —1 <br /> SIGNATURE REGISTERED Y/ N F�cuwten Y/N <br /> Address —1 <br /> License# <br /> ELEC7RICIAN - COMPANY C-ac�5��1 3��M- V�5�..11 �*v�. <br /> SIGNATURE r�cisr�ep Y! N �c�n YIN <br /> '4ddr°as �icense p i��J 1�i7 v U'� \ <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> i4��$ Licenae# �— —� <br /> MECHANICAL � COMPANY —� <br /> SI(iNATURE REGISTERED Y/ N FEe cu�ten Y/N <br /> Addreas <br /> License# . <br /> OTHER /^ X � � CG C�S'�� ,�.. .1-�IAS lCx- ( (lT^- <br /> SIGNATURE !/ �--� � sr� Y/ N �c Y/N <br /> Address �} � �" e'f . ��V�e G �L��� License# E ()'G.' 1` <br /> tllllllllllllllllllllllllllllllltllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Akach(2)Plot Plans;(2)sets of Building Plans;(t)set of Energy Fortns;R-0-W Permd for new construction, <br /> Minimum ten(10)waking days after submittel dete. Required onsita,ConsVudion Plans,Stormwater Plans w/Sitt Fence installed, <br /> S�itary FacilHies&1 dumpater;Site Work Pertnit for s�divisiwu/large projects <br /> COMMERdAL Attach(3)comp�ete aets of Building Plans plus a Life Safety Page;(1)s�of Energy Fortns.R-0-W Pertnd for new construc,yion. <br /> Minimum ten(10)workinp deys aRer submittal date. Required onsite,Construction Plans,Stortnwater Plans w/SiR Fence installed, <br /> Sanilary FacilRies&7 dumpater.SRe Work Pertnk for all new projects.AI�commercial requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered plans. <br /> ""'PROPERTY SURVEY required fa all NEW cbnstruction. <br /> Dlrecdons: <br /> Fill out epplicalion completely. <br /> Owner&ConGactw sign badc of application,notar¢ed <br /> If ovar 52600,a Notics W Commencement is required. (A/C up�ades over:7600) <br /> " A9errt(for the coMractor)ar Power of Attortiey(for the amer)woukl be someone with notarized letter irom owner euthormng same <br /> OVER 7HE COUNTER PERMITTtNG (Front of Application Ony) <br /> Reroofs iF shingles Sewers Service Upprades A/C Ferx�s(PbtlSurveyJFootage) <br /> Drtveways-Not over Counter'rf on public roedways..needs ROW <br />