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813.780=0020 City ofZephyrhills.Permit Application - Fax-e13a80.0021
<br /> Bullding Department
<br /> a Dale Received` _
<br /> :Phone,.Contact,for Iftinia
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<br /> •'Owner'sNa .- ' -
<br /> „ 'Owner''PlioileNumber.' -
<br /> t,Owner's /� )) !'.. ?•`
<br /> Address : CO V O:: OiNrier PNone.Nl�
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<br /> JOB i4DDREf..
<br /> �� b W 00
<br /> SUBDIVISION. .
<br /> AR
<br /> PCEL ID#:
<br /> c - MsP ERT1F.O ROP' TAXNgTICE)i,—.:I
<br /> - ONS7R " :'ADD/ALT- ;SIGN':::, rDEMOLLSH
<br /> `NEW.C <
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<br /> ET _'.INSTALL:, AIR'. s . . . .
<br /> PR6POSEDrU3E . : • ... SFR:z:::: ::C.OMNI> ..y. OTHERr"
<br /> T'PE.OF CONS RUCTION r BLOGK a' FRAME ''` 'STEEL'
<br /> t :O. ::D [ ..•..:
<br /> 71
<br /> 'DESCRIPTION--OP.WCRK, I,11 5 Lq k AN rl V ac f f
<br /> BVILDING,SIZE S WOOTAGE: _ H1510
<br /> . . _
<br /> '0` ILDING'
<br /> . BU- V ' UAT,I0 N:.OF'�TOTAL,'ONSTRUCTION'4
<br /> ELECTRICAL:,, AMP'SER1/ICE. DUKEENERGY
<br /> `=PLUMBING ., °$• �- . . .. ! . . : - .. . . ,.
<br /> =MECHANICAL $• VALUATION OF MECHANICAL INSTALi:ATION
<br /> 7'F' '.S'. • - .
<br /> =GAS 0 -ROOFING ;._,,,.SPE IAL;TI! Q..: _OTHER
<br /> .FINISHEDFLOOkELEVIONS OODONEA " NO Z A S"
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<br /> BUILDER COMPANY: F _
<br /> 'F CURW_,, Y:''/,N
<br /> SIGNATURE � ,,�REGisYEREo; - �-Y'/ N��:� „ , tE: �.;;.+ c. r .;i• '
<br /> Address' :License71
<br /> '#:.Fz
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<br /> 71 EL I,,CIAN' COMPANY;. :' .:•:>:. e: -,;. .
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<br /> SIGNATURE i;FEE'CURRE�' �Y.7.'N
<br /> address'
<br /> ticlense;#:
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<br /> :PLUMBER :COMPI(NY'
<br /> 'SIGNATURE n..
<br /> R€x 015RE`D: Y:/`'Nt:_ `;':FEE',CURREKi.y:a, s' i R `..
<br /> Address. ...;; r ' lSiLense: ';i-
<br /> MECHANICAL:. :;; ' a "COMPANY' =-
<br /> S1GNA1tiRE+'c :REGISTERED;> YL'N A" ' :TEE-CURREK: !'=s •Y:: j ...:,,..},, r '
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<br /> :Address,:. ttcense-.#; c; ,;, a:•'
<br /> COMP,.ANY 1' :
<br /> SIGNATURE'., .Rle�`,1$tEREO;_ �Y:�%a�N;' ,-FEE,CUR�E�=�?`;'s �aYL.-;N;F=.• _ , -
<br /> .Llc ense:#
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<br /> W P e f cons cNo
<br /> ;e'et�o�'Eti'" ,Fortin§•�,R-O- e' r�n
<br /> t✓•E`1`IAL' .:Attach'? �%p 6tPla 's '�.�§ets•'of:'�`Ildl'""��•i�r�s't;1• .fs a <fo w_.RE§D N r.(�) .I,� .n,.d_�:, u,.,, ��: [,',,.,..(.,) .• ,,,r9y.�y. _.,.:e. ~•.a,.? r!4i-�•,~..,,;,. ��•.,�,:,. ,t;>,:='�.. ` . _'•_' ,
<br /> r u. ,.• Ld 'u � � ,J:r„ 1 ,: a:.�t r:--�,tf 1 �' ra .t',- . "iX"•a ,
<br /> nAllinf�rium'ten.FlOj+lkiorkingadays,aftersUbfiihel':state: R$giiTrtel e�§1teConstfuotton Plans;SlSrm�fi%aEefP..larj§ii�/: IIt Pence;fristallsd`
<br /> - __ SanitaryFBotlities':�.�dumpster,;�Slfe:W6rk'�Per�it�f8r.sulidiiiislcns/Isrge�projects`, . ` ' " :'
<br /> COMMERCIAL Attach(2).completelsets;of;Bu)fding Plans�pllis'a•LifeS„efetyPage•'(1)'set`of:En'ergy;Forens.R=O=W.Pemilt;for;n®w,cdk±struction;
<br /> MlrilmGm-ten 1:0;woitiln- da: "•'a eF"-.brtt ttul� e;;R re pnsite Consfructlon`F'Iyits Stonnvfate]PR.d i"W iSIRM61ceiiilstalted;
<br /> Sanitary Fall(es`81 cluilip:tite orii ermlt:for bum,
<br /> rojects:Alt comriierolel requtreme►its must:meat compliance
<br /> SIGN'PERMIT' Attacti(2)'s@ts<of<Engineer@d 'I
<br /> PROPERTY S,IJff VE'Y required for ail NBW Jcbfistnictton.
<br /> ..... .,
<br /> Directions:
<br /> :Fill out appllcallon comptetply.
<br /> OwnAr,$'Con_; :ctocsign,,', cic:of..,appliCatton;.notarized
<br /> If ovens2�00;a'Notice:of'Commericement Is requUed.' (A/C upgrades.over$7600)
<br /> " .gent•(for.-the.-contractor,)or;Poweubf.Attomey,'(for the-owner)Would�l%e'.someone With notaHtgdzlettei from:'bwner-aiithorizing•same:
<br /> OVER:THE:COUNTER=PERMITTING,-. (copy of con zt required):. .•
<br /> Reroofs'if sliinglas' Sewers Service Upgrades°i0%C Fences'(Plot/SUivey/Footage)
<br /> Driveways-Not over Counter if on,i ublic roadways..needs ROW
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