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813.780.0020 City of Zephyrhills.Permit Application Fax-813-78MO21
<br /> Building.Qepartment -
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<br /> INSTALL :; ;i2) Pgla7.
<br /> .;P.R P D _O OSE :USE :. F_ �;S.R��: . . ;C.OtVillil•�;�-` BOTHER.
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<br /> :'TYPE`--. E.fr` _
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<br /> DESCRIpTICN�OE:.tNb'ttK. Z _
<br /> ,B.UILDING.SIZE SQ,FOOTAGE
<br /> =BUILDING $ .
<br /> VALUATION;OF TOTAL;CONSTRUCTION-rs
<br /> EIECTRICAL.. �`' $, �AMp+SERVICE DUKE ENERGY;:
<br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALtAT,ION-
<br /> =GAS Q ROOFING.,• d,, ,SPE9.
<br /> IALTY„[=:.' .,OTHER::.-
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<br /> FINIS HED.FLbOWELEVATIONS: = r . -4.PLOODkZONE'AREk'
<br /> .BUILDER COMPANY= .::..,,�,::. •:�=: . . ::;';::..; .
<br /> SIGNATURE ;;; .REGISfREps i'Y'/:ay ["' •FFEiCURREKt'•;i`�'LY%:N={ a�•'
<br /> Address"' � .. . .:�.Licei�se#��` _ . `:. •;��' _ �.
<br /> ELECT Ill. " :COMP".
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<br /> SIGNATURE' ar Gis#>1iD. r^Y%%'N='. `�:SEE°.CURREI�_''• r
<br /> „Address. •:,:: . .. L�r;eii's9:�`I;�;n;;•>: - -
<br /> MECHANICAL. 'COMPANY:
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<br /> al Gisrtgso: :Y%>N FEE''.Cf1RREM1 :•` . ,Y7l,.N
<br /> Address,:
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<br /> OTHER:,.• _
<br /> xY :F.EE'CURREt ;'� +
<br /> SIGi�lA7UflE;: =.Rt:c>stElaaD /:�F#;:`_
<br /> License
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<br /> RESIDE�JYIAL' :Atte�r,(�) .; . 1�;:w1 ,-; ,.�-'�� ,,•!;�C�"•M •. Er .t .;ta� :,•• r..CM � ",•it%��>�..s: �s-: : �:i.:
<br /> rNijilliiuiititen' • '0)' iki�ig?days MI.. i�b t l? ,atext°Ft r'e$_or�s�Ct;;;CorlslrLctlbii l i rrs;Sjorn atefPf�ii °vV/ i(I? rjc�ifrfstallsd .: -
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<br /> Sanitary:Feailities:,8�$umpster;SiCe:Wdtie'Permit fOr. bdfinsfon3[Isi�gs°projects;
<br /> COMMERCIAL :AttaCh,.(2)corrlplete;sets:ol.,8ii(fdfn9°:Plansiftlsifefet }Page (1)':seY Of�Eiiergy.°Forms R O=W Permit for,`new�ca4ietr4+ction
<br /> 'Miriir�tiilm teh(1D);w6rlclrng tla,Yy'�s, ffeF rr�Dalrfi�ttal rJ e` F ' f�; ,. to Constiiict on ?'gnstisStormwat8lz jenS w%milt{ en i�lOtall�d;'.:
<br /> Sanitary KaClitites&1.ciui4t�s�ISF:'SiWortc F4mtit,t'6r a`II'neW projects Alf commercial:requir®ments'must ee4`compltance
<br /> SIGN'PERMIT --------------
<br /> •••'PRGP,��;�YHSIJR\/EY`rlqulfed afgr'ali?,d�Vi/.:cofisfnictto .
<br /> Directions:
<br /> .111 out application complelgly.
<br /> Own br�&Co`i1fYctoraPgn;pack:of a�pll,Cafton;,notarized.
<br /> Ifw�rS2��0 aa�oflir®.of`Combtencethent ia"rdpired:--(AIC upgrades over'.$7500)
<br /> •• Agent(forthe:contractor):on.'Power..6fAttbrney;(f6r.theoWner);Would•tit:some6newithnoteHzedletterirbm:owner-auk titrigsame:
<br /> 6f cbhtraet7equtred) .
<br /> Ot/ER:TME_000NTER ARMITTIN I- _•.,,.(cq(!}!;r,......,
<br /> Reroofs ifsfitngles Sewers Service<Upg'rad'es!:A/C`' '`'Fences(ploUSurvey/Footage)
<br /> Drlveways-Not over Counter if on public roadways.-needs ROW
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