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12f08/2016 13:59 8137831374 BAHRS PROPANE GAS PAGE 01/B1 <br /> 843-78DA020 Ci#y of Zephyrhills Permit AppliGafion Fax-8'13-78D�D021 <br /> I • Bw'lding Deparlment <br /> �' Dab RecolYed yp I <br /> PhotieContaetforPumltling • �1� !O� ..�Qr.� <br /> ^ Oxmar•s Name "4�'�(„��"' �'� vV a.( t�L4� owner t�one N�mb� "0'6�`- 35 – <br /> Ownar'�Addr98a �/ /l� ')'Y) Ownar Phon�Number <br /> Fee Simpl�Titlehalderidatne � Ownar PhonO Numb9t � <br /> FBa Simpie Titloholdor Addresa ' <br /> JOB ADDRE93 �/!I U EGL� Q7'?7 Il� LOT f� � <br /> SUBDMSION•. 1�r`�-fJ.__ � _7�1`1T� � PARCEL IDd! � pt� a�I � Bd�� <br /> 1�+4NEAFR0i11PRCPERTYTAXNOTICEJ . <br /> WORKPR�t3SeD ,NEWCONSTR ADD/ALT � 61GN � � O DEMOI.ISti I <br /> e INSTAU, � REPAIR . � <br /> PROPCISEQ USE Q SPR �Q COMM Q OTt�IER . ' <br /> 7YPE'4FCONSI7YUCTiON Q BL�K - Q FRAAAE Q STE�1, � , � <br /> oesc�PnoN csF woac �'. �'�� �ih�V �o[� . a� �'�" <br /> HUIL'WN;�,81ZE SQ pO0TA0E HEIfaHT �• li <br /> QBUILDING S VALUATfON'OFTOTAI,CpPIS7R1JC11pN , �( <br /> QELEGT.f(ICAL ffi AMP SERVICE Q PROGRESS ENERCiY Q W.R,E.C. �U <br /> � <br /> []PLUN�INci $ , . • � <br /> �11AECHANICAt� $�� �, �� VALCiA710N pF MECHANICqt,INSTALLAI'ION• � <br /> n„S`akS , Q ROGFING [] SPEGALTY Q t7THER <br /> FINIStIED FLO�R ELEVATIpNS FLOOD ZpNE AREA []YES Np � <br /> 81fi1:DER' � . � COMPANY -- ' - � , <br /> StONATURE REGtSTEIiED l�J N �Curu�en Y�!�� . <br /> Addr668 'Ueense# � <br /> ELEGLRICIAN t;OMpqplr <br /> SIGNATEIRE ' REOlsttit6n Y!N ' fEECURREI� Y/N <br /> /lddlg56 • � �y.�sp� ° <br /> PLUNBF_R:. ' CO'BAPANY' • ' _ . <br /> $lGNI1TURE R6GI9TTERRE� Y•/N .' fEECURNEt� 'Y!N <br /> _ NE� <br /> ' �►� � • ' LICeD88#�L_.' . <br /> MECFH4NICAL' ' , GOMFANY , t'✓/7'!rl�.�S /'�9;(JA�1IE [�7`1S't"�/C--HV� <br /> SIGi!llXTU(iE "'' r�SrERW T'�lT—r-�CURRE� 'YlN <br /> " Addri'as'-' '�� f L� � Licen�e# �����'�O � <br /> r•,'sr�. . . . • <br /> 'OTHER �' • �8(y�pp�y <br /> 91G�IATt)R�s. _ ' ' REGYSTEREp Y .N FEE CtAtREk ,_Y.!N <br /> Iiddres3•. . .'1. `�.(ceit3e# � <br /> RESIQ�N'f�W. .:' Ariacft•j2}�PkDN�I"an6;#3)sefscY`.... .,Plans 1 �ot E � Form'•R,0-1N:P�rtdt aew.cbnstn�di' <br /> '�it9. S) n?!BY s... ,.. for .. on. <br /> ;t�,_;',;�. '-MRd2Yq!ryF,!en�.(na)�rv�xmg�eaysatt�r:sr,6mrtta��aa�e.Ftequlred�bhsitB;Con`str�ctionPlans,SthrrmVatetpierisw/SOtFencalnsiailed, <br /> SantiQry,FadllU�s.�:1-dumpsterSi�W.a4hPermltto,r.subd'MstonsAerge:prvject3 ' • <br /> i aG4�IMERCtAL Atmctr°(2j parn'��g'�g'ofBu�tling Ptans pliis a LJf�9efety Page;(1)�et M Energy Forma R�dJV Pertnit tor�6wC�n8WCtion. <br /> M�Mmum ten(10)worictng days afteT suhmittal�te. Requked a�s�9,Cortetructipn Piens,StomTwdtBr P�qe w/Silt Fence�sfalted, <br /> I! Sankary�acllittes&1 dumpst8r.$iTe 4Voitt Permk fet afl�ngW ptpjec�.Ail wmmerdal requirem6nta must meet compllartca <br /> :81¢N'PERNI7 Fltfach�('Lf sefs of,Engiq9erad plans.�. <br /> ""PROPERTY SUR�Y requ�d foc ail NfiW censhucllon. . <br /> � Glieetions: ,. _ .. <br /> • FN out aPplkatio�evmpletely. <br /> Qwnet�Cnnttactar eign back ot app�aadon.nofa�Zad <br /> tf ovsr S25D0,a Notfee of CommAncemant i91+�uiigd (A/C upgrad�a evar 57500) <br /> "'� l�qent(/ortiie'coh7dolOrporNower of Wtomey(tor'tfie avnQ�)Wpuld be Someone wlth nata�d leiter$om owner auUrod�Inp sama <br /> QVER:THEC44N7'ER.P.�RhA17:TIHG . . (capyof�aa�•e�uGed) ' <br /> Reroofs if shingles Sevuers Ser�ice Upgrar,t� yC Fen�es(PIoVSunraylFoatage) <br /> Gi4veways-Not over Cwmter fFon pu611c roadvYeys..need$ROVY <br />