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813.780.0020 City of Zephyrhills'PermitApplication Fax-813.780-0021
<br /> Building.Department
<br /> E2hone:Contact for:Pertntttin
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<br /> .>�SOW e sNa me: c 6 f i 640 s:V
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<br /> ,Ow ers Address: LU n®r-Phori :�ilmbat�'�(�
<br /> �uulirphon®Ni1r»!i®t `
<br /> 771
<br /> 'J•�OB'rAI�DIfE3S ,:. . . :. ... •S:; - - :;tL
<br /> (SUBDIVISION, P I i�=:•:r ARCEL„D# -
<br /> tOB,TAINtaR011J PROPE[tT�F;tN(ilfgTlj` _ =
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<br /> 014C P,,. P S D::..,. , -:. -.NEW:C.DNS7R;• :'ADD/ALT s:; � EMOL1St =
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<br /> PROPOSRD�USE
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<br /> :TYPE'-O CbNStRU�TION' �'9LOCK - 71 FRAME:^:• ':STEEL''•:=
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<br /> EECRIPTIONOPWIRIG. V ' �Cc Yi •. ;(�ft�f
<br /> BUILDING SIZE :SWOOTAGE HEI.G/
<br /> BUILDING
<br /> . VALUATION L:CONSTRUCTION-"
<br /> " ELECTRICAL.... :$. AMP.',SERVICE DUKE?EfVERGY`: a VC/R;EC:.
<br /> =PLUMBING.. .. V.
<br /> =MECHANICAL $ VALUATION)OF.MECHANIC AL•ANSTALtAT,ION
<br /> =GAS ROOFING.;•�._�, ;;rSPE4IAIT�Y Q OTliEI2:._.
<br /> F.lWHED'FLOOR:ELEVATION5
<br /> BUILDER z� COMPANY:
<br /> SIGNATURE z ti- i.FiEGI$ RE� :`Y'1{d*: >.FfIECUftREfis•t,,:! ;�[s�( N)=r q•'
<br /> Address`
<br /> 'ELECTRICIAN' COMP :,^r
<br /> SIGMAtrURE' REGIST9A9O: Y`/ .=i FEE`,CURRE�;:'" '"' • Y:f/_''N;i:
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<br /> Atldress tiinse'•.#
<br /> PLUMBER' ;COMPANY".
<br /> SIGNATURE. i.: :.�,::••. xx.
<br /> Address: .Li
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<br /> MECHANICAL. ., `COMPANY .:
<br /> ARE";• �REGI3TE_til2D:�� "Yf;:N FEE'CfJRREK'�;� :,. ..Y.:/.N
<br /> may;
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<br /> Address,
<br /> OTHER>; CQAIIPANY:
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<br /> 'j -D` SY i°Dt s FEE'CURREN'• ,"' ,i/iN•.,.e
<br /> SIGNA7'UItE'. RI CSIERE.
<br /> License.# .'�- «..
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<br /> RESInE�IYIAt ' ,., .�. .4!, �r!t!'R1j{
<br /> ..c�t'wt:y" :d?.a W,t 7 i F� ,,'c•1t Yp"' G'3dli� din:.i1.'n,tk,:-:•:u,w4f" liJ' `:�. e,.1.-
<br /> mAll�r1'f(Fiuiftifen{1.0)' orkiigg!days;.afta�stlbil'date::F26�rewnsiC�;;(:onstrGdatt•Paarrs Sorr� aterPrii";ur:Slit=ilcf.frJsfaltsd
<br /> • Sanitary;Facilities°:,8�;;dumpster,,,5ifu.WorkPertnit�r.•subdt�iPston�/I�.Kj��proj�ets
<br /> COMMERCIAL :Attach:.(2)corrtplete:sts:ol;Bu.Iftling Planseptus�iiifef;tyPage,(1)'rsOt°of+Energy,Forms:;R-O W t�ennit forynew�cggOfction.
<br /> n Mlriimil " Italdea ;Rt rmten0wokin!d be f,
<br /> .r+e�' :.n.site;Cchsfructfon;a!f"nsr�S3onnwntrsO4mV' Anwpojecs Alfcmaleet°OmrvuGs{t`niiise:wet/`c:oiYL_tiiplef&nnceaSanitary aClie ine Gil gtalted'
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<br /> SIGN PERMIT AtEacfi'(2)sets;ofngineeedf'IiriS:
<br /> •••`PRbF;GYhSijFVE .`requtfed for'aIrNE'IA/.cctistniction: t',,' -
<br /> Directions'
<br /> :Fill.out application completely.
<br /> Ownof�8s'Co'i�fr ctorsig0**,of��appltcation;notarized . .
<br /> 'If"over.s2W0;,:Notice:of'Corrimencemaht la required:. (A/C upgrades over-$7500)
<br /> •• Agent'.(for•_the.-contractor)'or Power of:,iAttomey;(fbr;the owner):anrduldIie.somAbrre..wlth notarized;letter frdm-6wnet-authdriiing• ame:
<br /> OVER;TME;COUttTERiPERMir—nNG; ..__.. (copy of contr*,required):. . .
<br /> Reroofsafstitngles 'Sewers Servlc�Uprstis' �PtoUSurvey/Footage)
<br /> Driveways-Not over Counter if on public roadways-needs ROW
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