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� <br /> , , e��-�eaoo2o Cfty of Zephyrhills Permit AppllcaUon F�$�3•�ea°°2+ ', <br /> auilding�ep�ranent j <br /> I Date Rece�ved ., _ I <br /> •�Pftone.CanfaettorRorml <br /> (� i <br /> Owner'�Name / ' . - -Owner Phono Numbor r �1� � <br /> Owner's Addrasa � � Ownor Phone Numb�r + I <br /> Fae Slmple Tltlehoider Name _ Owrter Rhotro Hum6er ' <br /> Fea 8lmple TttlehalderAddreas � <br /> JOB ADDRESS • ��� � I <br /> SUBDMSION P.ARCEL IDN� <br /> . roaraureo�tox rnor�arr,•ruc Koncel <br /> .• . i <br /> wo�c PaoPoseo •New ooNsrn no�a.r {p� sioN �p -p oQnousH � <br /> � e. ir�srn� � r�aR • <br /> PaoPosEo�use fl s� [] �co�a+n • p oni� � � : <br /> TYPE OF CONSTRUG170N Q �ELOCK ` Q FRAME Q STEEC 'Q � <br /> DESCRIPTION OF WORK .' ' �, � " � �g,?/,� � <br /> BU1LDlNO 8RE ' SQ FQ0T11GE' M6GHT�.� <br /> i <br /> ' QBUILDING $ _ e6� VALUATION dF��'iKL CONSTRt1CTICN • �I <br /> I �]ELECTRIGLL $ � Ml�SERVICE �Q -PROCiRESS ENERGY Q W.R.E.C. � <br /> I QPLUN�INO i . � . I �^�/ <br /> I � ( �� . <br /> I QMEC�ipNICAL $ .�� VAiUATIONOF�MECHANICALINSTl4LLAT10N. <br /> { � i <br /> Ipc�►s [p �wo .p saEcu�rar� . oniEa � <br /> FINISHED FlAOR ELEVATIONS FLOOD ZONE AREA �]YES. ,NO , <br /> . . i <br /> BUILDER � CONIP7INY'' ' ', <br /> SIGNATURE __���� REa19�REn Y/N " �Fr�amRe. ' Y/N <br /> .' � <br /> Addreaa ' ' fleen�e�1F I <br /> ELEC'fRfCUlN� 'COMPANY- . . I <br /> SIONATURE �� ' F+�GIsr�D Y/N FEECw+aen�� �''�Y.N : <br /> . ., _ , ' - . � � I <br /> Addeoss • • llee�eAt.� � <br /> PLUMBER � CDMP.;}�WY ; . r . � <br /> SiGNATilRE' . R[�clsi�riED- � Y.1.-N .�.•�c.ur�n' �.' Y.-/N •.; <br /> ,- . <br /> , pddr�ae _ . .Itcense.# . ' • ,• I <br /> MECHAl�llCAL' /'� � COMP�� , •• •• . I <br /> SIGNATURE� �/ � 1�cis�ttm. . ,•. XJ N . �FrfCuaz+�n Yl-W' • � <br /> V µddreie' � . . -_ . . . " Llcense# I <br /> � . ' � <br /> OTFI&R : - • c :CQNIPI�}NY' _• . I <br /> SiONATURE '_° ` ' ' ` r��ISTEti� ' N.. �cUw�n Y f N , <br /> , . . . I <br /> /�d�g � � L7G91166# <br /> �s�nE��� .�r��rot�a�:cz�se�.ore�iar��i�;�(,�sacor��sr��ca:EiwP�;Kc�,�o�,��,. . <br /> ' ��MWmum�te�fjl.pk!hm?kin9idaya:eRe�"dtibtliit}el'date.:Re�LGeConsife�:Co'nebubNbn•Rianc•Stmmwate'r'Plensw/S�t'Fe�etrrcmped. �� <br /> ���..,•._. • <br /> IsaN�ry"�e.cl.q9es;a:��wnP��tawo�r_k�femdctcreuMflv�s_�Prk�►��9�Qroleas �• I <br /> COMMERCIAL Adech(Sj�ebmP�ete`seTs ci`BWtilGf�PI"an plus a Lifa Sefely Page:(1)set of Energy�Foims.R-0-W Pennit tor new mna�xEon. <br /> NMlmum ten(10)worklnp days after subml@al date. Required onsfte.CanshucUon Plana,Slmmwater Plene wl Spt Fence Inefelled, I <br /> Sanllary FacOitles S 1 dumQster.Site Work Permlt for ep new�p�aTs..Atl aommerclal requlremems.muat meet oompUanca <br /> 81GN PERA6IT Attadij2j"eeta`ofEn86jeened,P.-►a�s,�;-:�. . :: -_ .. . � <br /> ""PROPERTY SURVEY reqWred(qr all,NE11V oeRshuctlon. ' ' <br /> Diiedbna: • --• ... . , . <br /> FBI outappGcatlon complately. <br /> O�mer 8 Contracror stgn baok ot ePv�tlnn,noterizad <br /> H ovor 52600�a Hotlee of Commeneemmt Is nquind. (AfC uperad�a owr 57500) <br /> M � <br /> Agent(for the ecntrador)oFPbw�r oF Aitomey(icr ftie owner)woWd be'someone wlth notarimd letter irom owner eulhort:ing same <br /> ONERTHECOUNTER.P.ERM{�ING... ---(Fronto�APP1��^'�+�YI- . .. . <br /> Reroote It ehlnyles 9ewe�a SeMoe Upgredes AIC Fences(PtoUSurvey/Footege) . . <br /> DHvrwqre�Not ovar Counter K on pubQo raadxiaya.ifeede RCW� <br />