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. Y ? � ...—.... <br /> . . as�-�ao�ooxo Gityr of Zephyrhills Permit Applicatian Fa�r-a�3asaoo2t <br /> Buildirig ne�atm�rc <br /> ` �'� phone Cotrtaet fior / �e�� — �t?�� <br /> o�rs r� �'��G�S /._;t— . � o��r� �S'G`�`—��4?"�%�/ <br /> awners naaras 5�3� Lr3o�z� �R L. owner Pira+e r�umaer 'P� 05�1�+w1�% <br /> Fee simpte�N�ne Cwner P�e buanber <br /> Fre SimpNe'I�mlder Addr�ss <br /> JGAADDRESS � � t ���/� LOT# C�. <br /> SUBDtYiSIQN �� PAFLCEL 11� `� '"`��� G/ �'�� � <br /> �/� (OBTARIEp iROY PROPER7Y TAX NO�iCE) <br /> YYCRK PR+DPOSFA e NEW COMstH +(� ADDlALT �� SIGN [] [� DEMOUSH <br /> INSTALL (_J RFF'AIR <br /> PROPClSE,D{7SE Q SFR Q �CONAA Q OTFlER <br /> TYPE OF CONSTRtiCftON [� BLOCiC �� FRAME Q STEEI Q <br /> DESCR3Fi19N OF WORit ��J` �`75� �I� o��d71? <br /> BttllQtN{i SIZE �!� ffiQ FOQTAGE HEt4NT'�� _ <br /> QBU(LDING I� VALUATIONOFTOTALCONSTRUCT'tON <br /> ��__�_� <br /> Q ELECT'RICAL ($—�� Ai{�SF.RLRCE Q PROGRES3 ENERGY _Q W.REC. <br /> � <br /> (�]PLUNBING !b � , <br /> �� <br /> QAAECW W1GU, S � rj,�, VALUATtON OF MECHANICAL tN5fAl1ATfON <br /> .2�1=� <br /> QtaAS [� ROQFING Q SPEGALTY G� OTHER <br /> FINiSI1ED FtOOIi EifVATiOYVS (..—�"���{ FlOOQ ZONE ARFl� QYES NO <br /> L .r.( <br /> BUIL,DER COMPANY <br /> � � <br /> SIGNATUIiE � RCc-,1sTERED Y.!N FEE CURREn „ Y 7 iV <br /> Aeddress License#i � <br /> ELECiRiCUW � . C06fPANY I <br /> St3NA`NRE � t�cstsrr�t�u /N- �E cuw�n Y/N <br /> Address Licet�se#( � <br /> PLUMBER �� � COMPANY �� � � <br /> SIGNAIURE f � Y J N r�E c�ta� Y 1 N <br /> Address Licerise�#�—.—.!� , <br /> MEGNANICN. ��,;r�r�� ''y��/�c � COiMPAN1( �'7Fl�i'S �'v�V�`'71�t%L✓"ry� <br /> Sit3NAATtiRE ��ti5!^�s !/K'�P/1;.�.� { Rc���D Y t N tEE cuRae� Y/N � <br /> � / 2� �� � � u�#��'��R�� <br /> OTHER � ._•' .—.� COMPANY � <br /> SiGNA`NRE f RESi16TF7tED Y l.N FEE cuRR£h Y 7 N <br /> Jiddre�+-+s Licerese#���—_— I <br /> / 11I / I tIIIi i / I1i Iil"I11lI`Ili.!-.I /-!! it=i"!3-!�tl1l.i! !l11111t.iL!! ! 1 ! 1 !il11 ! ! <br /> ltEs�oE�r�tat. attach(2}atat�ai�s::(2)Eets tiP 8m'td¢g�:(1}'sat of Energy Fams;'R-CT-W Permit far t�ew c�shudion. • <br /> Eufinimum ten{i0)woAdn9 days after subrmtla!tlate. Requined onsite.Ganstrucdori Pian.s:S�Pfans wl SitEFence insta0ed, <br /> � Sanitary Fac�YtitlYes 81 dumpc,ter;Sibe Wa1t Perrtdt for subd�sio�slfat��ajeds <br /> COMM�RCIAL Attach(2)compiebe sefs oi Btn"k6ng Ptans Pi+�a LHe Safet�r Nage;i1j set of Energy Foms.R-tY-W Pe�mit far new c�ucfian. <br /> M6nprru�m ten t18)wotl�nA�aRer subtnittal daie:�R�uired ass�.Cc�on Ptans.Stcros�ater Pl2u�s w/Sift Fer�ce irssta�ed. <br /> Sar�iiary Faatil�s_8�1 dumpster:b�te Wak Permit tor a0 new projeds.Af!«xnmercia!rer�cirements mkst raeei aosnpliance <br /> StGA►PERb![1' Attach{2j ssts�Erguieeied f9at3s: . ' <br /> ""PROPERiY SURVEY repuired for a0 NEW cor�sWt�on. <br /> Direetia�s: , <br /> F{if out applst�tian c�mpteteiy, <br /> c)wrmr&Contractor sign tiadc otapptic�tion,nomrized __,. ' ' <br /> H over 52500,.a Nodlae�of Comn+enarrnmit is required• WC upprades wer iT500) •; . . , . ,. - .. _ I <br /> *' F�ent{tof fhe catdrada�.or I�o�wer of A�OrneY;(fct ttt0 o�vner)�MOUId be sOmeone wfth notaiu9d teftet from ovmer 2uthorivng sam6 . <br /> OYER't'Ef�.GOUNCE.RPERM177iNG (eo�ry,eN�required)` .., . . , -, <br /> Reroots iF shingles' Sewers�.. ,,Servlce UP9�es A!C Fem�s(Plofl8urveYlFoofage) . . • <br /> . y. , , , <br /> Drivew�ays-FioYover Cbunter Jf orr pub!'rc�..�•��. , {y���� ,.., . , <br /> - • * ..n n �,.. ,vw�IaJa..�i��1J�� ", - ,.. .. _. .. _.• _.a 5� <br />