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19-21149
Zephyrhills
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2019
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19-21149
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Last modified
1/7/2020 11:22:57 AM
Creation date
1/7/2020 11:22:56 AM
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Building Department
Company Name
BUTTERFIELD INVESTMENTS INC
Building Department - Doc Type
Permit
Permit #
19-21149
Building Department - Name
BUTTERFIELD INVESTMENTS INC
Address
5010 18TH ST
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PERMIT APPLICATION <br /> UTILITIES LOCATE CONFIRMATION NUMBER: <br /> PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS <br /> APPLICATION. <br /> V <br /> S <br /> 1^0 <br /> `- <br /> ys <br /> t <br /> t��uS�oN So�N-t <br /> c gbTk+ !g!m) <br /> AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing <br /> information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all <br /> approved construction documents,and issuance of this permit is verification that I will notify the property owner of Florida Lien Law <br /> req., F.S.713. <br /> The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed <br /> restrictions may apply to this property. <br /> All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design . <br /> Standards(if applicable). (Public Works Design Manual online link:www.ci.zephyrhills.fl.us/public—works.asp) <br /> APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT <br /> TECHNICIAN OR NOTARY PUBLIC. <br /> NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter/ <br /> interfere with existing stormwater treatment and/or conveyance. <br /> PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure <br /> statement. (please initial) <br /> Le A <br /> Applicant Print Name Applicant ignature Date <br /> Permit Technician Signature (or)Notary Signature#wheP-D-MA^ Date a�"' '�� , <br /> Applicant i$p�personally known to me or produced as identification. ,�`�i``Z`�p�AR y'`� <br /> �� (type of identification) <br /> 5= 41 j <br /> Page 2 of 3 r- <br /> !1u' <br /> u o,.' <br />
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