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FSt9-7AG-002i) City of Zephyrhills Permit Appiication Fax-813-780-0021 ~ �
<br /> Bulldim Depanment
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<br /> Data RucoSved � �„ '�,�' �Q( ���7 1��"k p� _ �,y�j I !L "n`,�i�i���-
<br /> Phone Cenlactiof Permittin �
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<br /> �wno�'s Name � � F-- _� Owner Phone Nu'mbor (`���)Z37'4�-�� t ( �) LL•
<br /> Owncr's Addrass '-00 S;Orange Ave.Orlandu,FL 32801 � owner Pnone Number � ail Code:FI,-ORI,?032 �
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<br /> Fao Simple Titlehotdor M1Wme NlA Ownor Phone Numbar �
<br /> Fee Simple T)tloboldor Addeo,c ���_ , � ^� � ^J�v y,w
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<br /> JOB Al�DRESS ���4��� ` ��L�v_,t��v-L���!_.I� LOT U � Un n �,-) / p „-i��-[
<br /> (�(.�✓ IiYA'1
<br /> suenwisio:: C_____ .� PARCEL ID#�3N-2$'2(-O1 S�- pQpp p -pD 2D f'� rj
<br /> � (O&TNHEO FRO�f PROPERIY7A%NOTfCF.} VJ ��I .� r(�, '�
<br /> WORKPROP0.SED j� r�c:vco,:sTn[� AU01hLT [�� s�c;v [� � oeti;ousfi ,
<br /> �_f INSL\LL (�j REPf,I.�+ �n�� ,
<br /> PROPOSEU USE �� SFR �, GOMA1 C� p7HER � y� ��^���-��� ��J�'� _ I
<br /> 'fVPt,OF CONSTRUCf10N I_�� I�LOL"K `�. FfiAtdE C� STEFI. �_� ^r— � � �
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<br /> , DESCRIATIONOf WORK .�..1�_____xj`•�J—�vl.��d -'- �L.�n�iti S� C.�j'(�fA_✓)1� `._...:_ c�,(�t.l��'�SCK/\
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<br /> BUILDING SIZE L__ __._� �� SQ FOOTAGE�1�j HEIGHT ZO�"J'I�Z�� -""��—^----+_ ��
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<br /> L`�eUiLUING ��/ P�A An� VALUATION OF TOTALCONSTRUCTION
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<br /> D�� QEi.FCTRICAL S 146�000 A�P SFRVICE � PROGRCSS[NERGY Q W.R.E.C. ��G��
<br /> � �PLJtf811JG 5 19�2SO "_.... �L`���7 ����
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<br /> ,, � Q�dEClinNICAI �'L10,U00 y,_ VALUA710tJ OF MECHNJiCAL WSTALLATION �r�
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<br /> r C]cns �' �zaoFir�c Q sP�c�r�.rr � OTHER, �Jo•�-�� ____�^�P �
<br /> FINISHEI�F-WOR EI.EVA'iIUNS �� FL6pD ZCINL RREF� �YES NO ' �'
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<br /> aut�osa ' coMrnNY Gerardi(:onstruction,Inc. —T�
<br /> SIGNATURE r.cc��Si�neU 1'F;S Yt N r�ecr.i7u+cn Y1M
<br /> addrw�s. 1b04 N.19th Street 7'ampa,Ft,33C05 ____—� i;��;,,rR q �C(:C#OG1908 � �
<br />� ELEC'iRIC1AN � -.`y._.v_V�I COMPANY � `..`_—. . . - --
<br /> SiGNATURE � i ftEGi91'EftEU Y I N rar'cu�iv.r� Y/N
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<br /> qddrose ^ l Licwnse� /
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<br /> ' YLUMBER � COMPANY � (� (��I f���C /LI�� Z J c��n�
<br /> ' SIGNATl/RE �'~� A__� ai r,isrE:aeo Y;N_r Fre r.�azEt. T Y/N '
<br /> � �� 1�.1?���fs:1 r������_...._.__� ��i���
<br /> N1Umss Liu:nse�i
<br /> I MECHANICAL �.W � COMPANY
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<br /> SIGNATURE ? v�c���cr+r.0 '.'J N � FcacV�rn YJN
<br /> R[idfUSS (.ICHISG{i �—_'—^� �
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<br /> .SIGHATURE — � COMPANJ �•t_K FEE CVRit[i� Y!N_
<br /> luldress C_-�----�_,�__�� � License 1f �— �
<br /> Ilt { IIIIIIIIIIII111fllllllllltl { 1 { IIIIIIItillifllllilllli17111117t1,
<br /> RESIDEH7IAL SUacli(2)Plot Plar�s;s2}setti ot Building�lar,s:;t}set nf Enerz�y Fnnns:FZ-4LN Permii for new c�eoslivcUon,
<br /> ffinimum ten(10)tvotkinn daya aftor eubmi+;a!tlate. Required onsiL.Conslnrt'oa Plans,StOrtnwaL^f P(�f15 YA Sift Feae inotall ti,
<br /> Saniiary Facili�ies 8 t�dumpst^G Sde:Vcvt:Pcmit:tisuhtli��i"iansla;yr.proiccts
<br /> COb7MERCtAL At'.8ch(2j C�mniC;G 5�I,of f3u�;tl3ng Plans o�us a L:�,5afcty P�ge;(�)set of F.i;en7Y Forms.H-U-N f�ermti tor o�w curNVu_Niun.
<br /> Alipimum len(1 U)e:crkvu�days a{�er su6riitLi:d21e. Required c,:uile,Cnnstt[riion Plans,Slcr,rnK•alr.r�hm v�/Siit Fence i24:aBzd,
<br /> San�tary FT�qhte^>B'1 dtuc0.:tar,SilS'l1.rx Pc•�mlt,cr ail new projecLi.M commprcia�requiresmenM musl ment cumpliance
<br /> SIGN PERtdR AtLxb(2)eq;s o!F:rd�neeretl PWns. �
<br /> ""PROPEF{'TY SURVcY rcGutre,d!u ali NC1Y eonsUuctlan.
<br /> ni�uttluns: '
<br /> fiil nut appkcatirrn r.nmplotcly.
<br /> Ormer 8 Gx�lractor styn back of appGcation,nafartroe
<br /> (f ovnr 52500,a Notica of Commenwmunl is requimd. (A�C opgndes over E�500) ,
<br /> " A�ent(!w the contructor)w Pow�er ot Acromsy t(vr tno ownerj m:u�d be scmaone wllh nclsrized letter Irom cvrner ei:thorizing seme I
<br /> OV6R TIfE COUNTER PERMITTiNG {copy of conlrect reqalrecij I
<br /> Rertwfs If�hinc�les Sewors Servica Upgrudes ArC Fencr.s(PIoUSurveylFoota3e)
<br /> Driv6ways�Nnf uv�r C.�iuni6r i!on pUheic tO�d•xAy3..nHt+ds•RuYJ
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