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. a��-�en-oozo City of Zephyrhills Permit Application ���� Fax-813-780-0021 <br /> • eda�ng oepartrnent <br /> o�.�:� ' P►�.��o.�.�,,� 13 3ti _ ll9 S <br /> Ownsr's Nams �L.�. � � r7�i� Owr»r Phon�Number ��" ����� � <br /> Owners Addnss ���� � J�� S ' Z-l�/ � Own�r Phon�Numba�- <br /> Pp Slmpla 71Wholder Nams Ownsr Phons Numbsr� <br /> F�a Slmpb Tltl�holdar Addrus <br /> JOBADDRESS / /9��N S- EE� J�Cp�Siy �LS IGL LOT* �-� <br /> sueonr�s� � ,,,R�a�, - - /-�py0-�Zd/00 -0060 <br /> 1�*��eor raorEmr,�x ho�q <br /> WORK PROPOSED e NEW CONSTR ApD/ALT Q SION Q MpVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER �----'� <br /> TYPE OF CONBTRUCTION BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORI( tJ' /Yf �/ O� D � G'•-�ry� ,�I/ <br /> BUILDING S¢E �� � / SQ FOOTA(iE � � E��� BE�1kf I6 <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> s 0O p _va <br /> Q ELECTRICAL f AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING s <br /> l ,�a= �Z� <br /> Q MECHANICAL s VALUATION OF MECHAMICAL INSTALLATION �� � <br /> Z <br /> O �s Q ROOFING 0 s�a,�,��rv � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QyEg QNp <br /> BUILDER � � , COAIPANY ,A� <br /> SIGNA7URE qeqBTenm Y� N t�cuqpo�T Y!N <br /> Addnss l Z 7�7� .S r .Z�1(�S f[ I � <br /> �� License# <br /> e�cTwcuur �OM�OWN ( 0 c.w� <br /> cowra+v Ha'� <br /> su3w►rureE J' r+EG�s�o Y! N �E cxinr�r Y/N <br /> wdarw � �'— <br /> Licenss# <br /> PLUMBER �� � ��I, � COMPANY �� <br /> SIGNATURE � � r�asrea� Y I N F�aa+aertr Y I N <br /> Address � � � � <br /> Ucense# <br /> MECHANICAL '� � v �� COMPANY �'��`M✓ � <br /> SN3NATURE o Y I N �e cursr�r Y!N <br /> ��u ` � Ucense# � <br /> O7HER " � /J �� COMPANY � �'`" � <br /> 8NiNATURE f���- qEc�s�Eo y/N �E a�r Y!N <br /> Addrosa �- � � <br /> License# <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of BUNclirg plans;(1)sel of Energy Fortns:R-O-W PertnR for naw oonsNictlon, <br /> Minlmum ten(10)woAcing daya aftx submlltel date. Requlrod w�aite.Caretructlon pLns.3�ormwater Plans w/Sltt Fence IrrefeYed, <br /> Sanitary Fadlltles 31 dumpslx,SNe Wak Pertnit for aubdfdslonylarpe p�aJeC(y <br /> COMMERCIAL Atlach(8)oompleta aefs of BulWk�p Plans plus a LHe Sa(eb PaOe;(1)sel o�Er�py Fams.R-O-W Permlt for�e�w conetructlon. <br /> hMnimum ten(10)workinp days aftar submitlal date. Required ar�site.Cq�strucYon Plans.Stortnwater Plans w!Silt Fance hstaped, <br /> SaMtary FadNtles&1 dumpsler.Site Work pertnit for all new proJecb.,qll aommerclal requirements must meet compllance <br /> SNiN PERMIT Attach(2)sels of Enylneered plans_ <br /> ••••PROPERTY SURVEY requked for ell NEW consUucyqi. <br /> Olnctions: <br /> Fill out applicatlon compleldy. <br /> Owner 8 Contradw sign badc oi applicatlon,notarized <br /> If ov�r 52500,a NoUce of Comm�rw�m�M Is rsqulrod. (A/C upprades py��f3ppp) <br /> •• pgenl(for the conUactor)a PoMrer o/Attomey(for tlie ov�)warid be aomeorre wMh notarized letler ham ovmer auUwrizlnp eame <br /> OVER THE CWNTER PERMITTINO (Front of Appllcatlon pny) <br /> Reroofs SeNrers Service Upgrades A!C Fenoes(PbUSurvey/Faolage) <br /> Drlvewari-Not over Canler if on pubNc roadways..needs ROW <br />