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813-780-0020 City of"Zephyrhills Permit Application Fax-e13ae0-0021
<br /> Building.Department.
<br /> J 2 O Phone,Contacttfor'Perm Nttin ��
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<br /> 7 4tWner'dn®�Numbe� 3' ''37 "'; J3.3
<br /> Owner's Address ' .3.7.. :G A�'
<br /> • o e�Numbe►:'
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<br /> ;,SUBDIVISION; PAR
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<br /> (OBTAfNED tRQIV)_,ROPEKTIF rtAXNd;TICE)_
<br /> WOt K• .ROP-.OSEb:+
<br /> .�, R. P NEWI:CON57�It ADD/ALT'��, -- :SIGN""' .- xDEMOLISIi'
<br /> INS 'ALL:. t_IPAIR''
<br /> PROPOS D' '
<br /> OTHER
<br /> TYPE OF CONS7RUCTlON "' y °`
<br /> '
<br /> _ •BLOCK .Q;.,� .FRAME: � 'STEEL'
<br /> ''DESI+RIpT10N=Ot=;W a(G Aw "t D J T' r(p::J2
<br /> I. BLIILDING.SIZE - "SQ-FOOTAGE; HEIGIiF.4 - -
<br /> I.y ... .. - -
<br /> ;=BUILDING'`' VALUAT,ION OF,t=TOTAL CONSTRUCTION
<br /> ELECTRICAL..,. $, .. AMPSBRVICE DUKEENERGY:;- T.
<br /> =PLUMBING
<br /> MECHANICAL $: m VALUATION-OF MECHANICAL•'INSTAL"; N'-
<br /> =GAS Q -ROOFING.;. ..,SPEQ1AL;TY4Q:.: .OTHER-_ „ .
<br /> FINISHED:FLOOR;ELEVATIONS .` .> NO
<br /> BUILDER COMPANY• :'.. : ;'';;..,�.
<br /> SIGNATURE i,"' YLN•r ys
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<br /> Addtess' ense'#;
<br /> ELECTRICIAN -.C.OMPANY:. :,' :,."
<br /> SIGNATURE REGISTt=REt) Y`
<br /> E%N. C,l7RREhti
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<br /> Address'`
<br /> PLUM9ER'" ;COMPANY _ :: '•'
<br /> SIGNATURE ;iEGlsi'RE6, E.euRREk.'
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<br /> Address LloensA.
<br /> MECHANICAL:-. /- 'COMPANY
<br /> 'SIGNATURE"= i�W$,.�-
<br /> Address,:: 'Q, D z . '. ;. !✓, I,Jr'� Io;;;�t'o..S7:�
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<br /> OTHER::•, , ..,.., • ;.,
<br /> COMPANY:
<br /> SIGNATURE:. Rt C�ISfiERED " 'Yx/ N
<br /> ,license,
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<br /> `i' �p '�s'8� � n` rhis�•:R w �c E',IDENTIAI:` .A ��;��•��rs 'aa s�`"� -se(s�'of"�'u Id' t Itir�s'':1- f�of E e. form ,,.R S ,tta,�(.):.1. �, ...� _�: .�. in l .,..,(.) .,, _.� ,.r9Y +�'. r!4'•,�., -
<br /> --s„ n•� ..r�:h. -ir" - :i':�:.. �. .a:� v,.Wte3-.G!'-:'' �:^fit' .a� — ;:y"'e i?:vr>,i:-• :`J'= �Y;'::'�3''
<br /> x(Mint""PFium-ten;(ir0)Worlcirigdays�aftnrsbb"rlti kdate":�t:R$gLiredon to;°'Ciinstriiotion°Plans;Sito"rm %atefPfari 'irir/.; ��cFen0e1160ta_tiec7'-';µ.'
<br /> Sanitary:FBcilities:8;�.�.dumpsterrslfe Work,Periitit`fitie�Wbdi%ii'sibn3/Is_Rje projects`
<br /> COMMERCIAL :Attach(2)complete:sets:of.BuJldLng:Nlans;pl'us;aKLifceiSafefy Page;(:72set`of,Enetgy Forms:R=O=W P.errriit:for'newhrgtistruction, _
<br /> -Mlnlmum'tert(,1:0)workirig�da aftetstidilttiGdie` I;Negtijr d'Qisite;Consfn%ctton�l?,� rtsStornwafe►ltlot�s;w/hilt Fence installed;
<br /> Sanita"ry`FaCilttres&",1;tlunipst r:Sit`e Nork I�ormit f�ora11'new,'proJects:All c_ommerdal;requirements must meet`complfance'.-
<br /> SIGNPERMIT' A6ch'(2)sets..ofEngineeredPlans
<br /> PRO0ERTtYa$,iJR1%EY required for all N9W cofistrueBon.
<br /> Dlrectlons:
<br /> Fill out application completely.
<br /> Owntir;BiConfY gtor-sign;oss.*%pfapplication;notarized
<br /> 'If over,,Wb .a:-Not(Ed ofComtrie nc®ment is-iequlred. (A/C upgrades over$7500)
<br /> Agent:(for:thecontractor)or,;Power:of?Attomey;(for:the-owner):would'-tie`someone..With notafted;letterfrom:owner-authorizing same
<br /> OVER:7yE:000NTER,PERMITiING.;.- .: ,( py;ofeort, wired): -
<br /> Reroofs if siiingles sewers ServideaJpg'rades JQA%C;p "'Eences'(Plot/Survey/Footage)
<br /> Driveways-Not over Counter-ifon.publle"adways,.needdss ROW
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