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J� '� B��-��'� City of Zephyrhills Permit Application FaX$��-�om2� <br /> , �^C �� &dldng t <br /> `� G <br /> �� �R��� a �� Plwno Corrtaet br P ratittie � —� �7 <br /> � �+ f <br /> Ow�sra Nsme RQT �{�� T Owner Phone NumbK <br /> Ownars Addrass G Q Z L i Ownar Phone Numbar <br /> Fae Simple 71tleUoldx Name Owner Phone Nunber <br /> Fee SNnpb Tideholdsr Addr <br /> �os,wor�ss 3 " u. Z 3 — ( wre � <br /> SUBDMSION PARCELI �[�Z�G��d'� O ���OO'QDI d <br /> (OBTAV�PROY PROPF1tTY 71U[NO71Cty <br /> YNDRK PROPOSED � NEW CDNSiR� ADOVAL7 � SICiN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSm USE Q SFR Q COMM Q 07'F�R <br /> TYPE OF GONSTRl1CTION Q BLOCK Q FRAME � STEEL Q <br /> uESCrawnoN oF wowc �MtS�LL Sc X�EuJ l6 � C�S€S ifE(�i�SE'S <br /> BU(LDING SIZE SO FOOTAGE �I� Pv H6GFR ��b R <br /> �BUIlAING S Yq�.(J,qTION OF OTAL CANS7RUCTlON <br /> QELECTRICAL E AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> QPLUMBING � <br /> �ChIANICI�L S�! �iD t 7� VALUATION OF ECHANICAI fNSTAIiATfON � � � <br /> QGAS Q ROOFlNG Q SPECULLTY � O7NER <br /> FINISFEO FLOOR EIFVATIONS � FLOOD ZA AREA OYES NO <br /> BULDER CONP <br /> SIGNMURE a Y/N fee cuw�� Y!N <br /> Add►eaa Llcer�ae A <br /> ELECTitICUW COMP <br /> 91GNATURE r�o Y/N �cura�n Y/N <br /> �eare.e uceme� <br /> PLUYBER COMP <br /> $IGIiIR7URE REGiST Y/N r�cuareen Y f N <br /> Addre� Lloeree# <br /> MECHAMCAL 1 COMP � r NVQ'C <br /> SfGNA7URE �cr N FEE Cu�tRB N <br /> Address Eka�se# C <br /> pTNER COYP <br /> SIGNATURE a Y! N Pre curtao. Y/N <br /> Adarea ucanse 0 <br /> IIIIIIII �IIIt111111111111111111111111111I1111i1111111t1i11111111111 <br /> r�oe+nu a,aad,(2)Pwe wa�:(z)se�.,ar euod��:(�)sec ar en r-orms:Row�ma tor r�comtruaon, <br /> un.oum t.n(10)woncing aays.fl�sicmilla�aal�. Raqui onsile.consvuclion Plaos.sLan,wamr Rens�sRt Fence mafalea, <br /> Senitary Feaitiea d�durt�pstar;Site Work Permil tor subd...omAaige ProJeds <br /> COYYERCIAL Attadi(3)canplMe sds d Bukirg Plana plue a Ufe Sefery ape;(7)aet d Eneryy Forms.R-0alV PwtnH fa naw wtminidion. <br /> Minimum ten(10)waA�ing days atler submNtal date. Requl onstte.Conatrucfion Pie�.St�mnwatx Plans�SNt Fenoa i�ed. <br /> Senl(ary Fadltle8 8 1 dumpater.Slte Work Permll far ell n projecfs.All canmercaal requiameMS musf ineet camplience <br /> SIGN PERN[T Atfsch(2)ads of Fnpfneered Plana. <br /> ""PROPER7Y SURVEY requireC for�I HEW consWdion. <br /> Directlont: <br /> FlII out appicallon arnpletely. <br /> Owner 8 Contrador agn beck d aPdicaGon.nofari�ed � <br /> M wer t2600.a Notice of CommencemaiH Is reqdred. (AfC up8rades S78D0) <br /> " Apent(for the contracmr)or Pow�r of AttortKy(for Ihe owner)would ba eo �ona wiSh noterized feftx hvm owner auHwri�ng aeme � <br /> OVER THE COUNiER PERMtT71NG (FroM of AppYcelbn Only) <br /> Reroofs if shmgles Sewers Servk,e Upgrades MC Fences(Ro urvey/Fodsge) <br /> Driveways-Nol over Counter M on pubik roadways..needs ROW <br />