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ea 7aa ao2o City of Zephyrhills PetmitAp C00111 F"3.780�= <br /> Building cle;a Latent (;t <br /> pateRecsived remnsccntacttorPermitti <br /> OtY[ret"8 Name • ownerOtmor Ph0A8 Number <br /> Address we Number <br /> gwner bane Number <br /> I"Simple Titleholder Name <br /> I -- <br /> FeeEi{mpie Ttttohotder Addroas <br /> ,IOBAODRE$$ G LOT$ Ck ..� <br /> _ (O AfNaD pROlt Mel6irrYTrUrrierieR <br /> WORxPROPOSIID NEW CONSTaL AOprAtT Q $1 N L3 EM O oU <br /> INSTALL D REPAIR <br /> PRWPOSED USE [❑ SFR ❑ Comm 0 <br /> Tyn or colslmu w p BLOCK <br /> o»oRtPtioNot=woRlc �c. `�• <br /> BIJi}DINtd BPdE $Q MOTAGE H r"RT <br /> MOULDING ( VALUATION OF TOTAL CONS LIGTION <br /> ©ELEC.TRIM 8 -_•^1 AMP SERVICE I PROGRESS ENERGY [] W.R.E.C. <br /> EePLUMBiNe r Z (' ,.a% Nv*1 <br /> QMECHANICAL t. VALUATION OF MECNANICALI NSTALLATION <br /> peas ❑ ROOFiN3 ❑ 8PEcftTY p a' F <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ❑YES NO <br /> WADER � COMPANY <br /> SIGNATURE 1} ReGISMIN) MEW YIN <br /> Address i3cense i1 E <br /> ELECTRICIAN COMOM .� <br /> SIGNATURE malaTEesc IN mc1��R`RER �I <br /> Address Ucrose#I 1 <br /> PLUMBER _ COMPANY ri M "s. t"* a %'3 <br /> SIGNATURE _.� � RErtfatEHEO t'EEouffigb <br /> 1 ..r. <br /> Address QS5t �' �.. 13tnselF \r7,r �t : <br /> MECHANtCAt �•S COMPANY <br /> '816Nn71JRE RfidiaTEREQ seatwrrno� YJ <br /> Address t3Catta911 <br /> OTM COMPANY <br /> SIGNATURE REGISTERED '�'tOotr ttu` +`—[47�G <br /> Address Ucense# <br /> Ittltt11111111111i111111ilttilllllllllllllilltltlti11111111tltltltl <br /> RESIDENTIAL Aftch(2)Plot Plm,(2)sets of Bviiding Pl m(i)setof Enew Fo W Pemdtformwoanai<uction, <br /> Mudmum ten(1 O)WWMQ days after submittal We.Required onsite,Con on Flails,Starmwatsr Plena wr sawence inswed, <br /> Sanitary FacMDea&1 dumpeter:SRe Work Permit for eubdi*tonanarge p lads <br /> COMMERCIAL Attach(2)complete sate of Building Plans plus a LKe SefetyPege:(1)sot Energy Forms.R-0411 PCnmt for new constnrr um <br /> Minimum ton(10)vm*ing diva aftor uubnittsI data Required onoi% troetion Ptt<no,et0mnvatfr Pius w/BittFena intlatisd, <br /> Saffl"FacHea A 1 dumpatet:Site Wak Permit for all new peolents.All I ammardat tequlnaments must mast compliance <br /> SIGN PERMIT Attach(2)sets of Engbiesmd Piano. <br /> """PROPERTY SURVEY required for ail NEW eonstnwWon. <br /> Dlrectlone: <br /> Fits out application completely. <br /> Owner R Conu for sign bank of application,notedaed <br /> Navor$2600,o NOUco of CommoncemoM io roWrod. (A(C oamdoe over 67600) <br /> ' A�frntQorlhe+c�tntetogozPaweratiVttomsyttotthetirmCr';<Yr6atd>aEF�OmBCnaiNffit tlZtdlattAtttBiTiCirdtar8ffihOi`tt2tigC8rn0 <br /> 0V9R THE COUNTER PERMITTING (copy of eordract required) <br /> Roots It shtnptas Sswem S`Woo Upgrados A/C Ponces 4P1olJ6wrvgylrcote e) <br /> 011"Way&Not aver Counter If an public roadwaya..naeds ROW <br />