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813-78MD20 City of Zephyrhills..Permit Application Fax-813.78M21
<br /> Building.Department
<br /> :P..hone,Contatt,for>Pdr.mittln "
<br /> ::Owner's'Nainer �1 - j' _
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<br /> '`SUBDIVISION �',;�..i::•:.:.;.
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<br /> PROPOS D:U E . FIR, .. ::•..;: :C.O NL'' OTHE.
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<br /> AVILDING•SIZE :SG•.FOOTAGEIP
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<br /> BUILDING $:~
<br /> TA VALUATION,OI=xO.. L'C.O,NS7Rl)CfION' ".;.
<br /> $' AMp`.SERVICE. DUKE E G
<br /> ='tcL'EC[RICAL. (JERGY IN ;E:C:.
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<br /> MECHANICAL $ VALUATION-OF MECHANICAL'-INSTAttAT�I'ON v
<br /> -.=GAS 0 'ROOFING.. ,;.,,SPEsr IALT. Y_=.- ..OTHER:.-
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<br /> FINISHED FL•,OOR?.ELEVATIONS :. 'r tPLOO ZONE:`AREA.`'` : YES
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<br /> :BUILDER COM.PANY:,
<br /> SIGNATURE RSGis CtitEo FhE
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<br /> ELECTRICIAN' COMPANY.
<br /> SIGR1AtrUl�t: ;REGi31t;RD' 2 -
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<br /> Address fiict3nse.
<br /> :PLUMBER" - •' �CsOMpi�t,Y:' .. ,.
<br /> 'SIGNATURE Rt�tisi'lRt=b:
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<br /> Address:'
<br /> MECI�ANtcAL -. //
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<br /> SIGNATURE':'' . -
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<br /> OTHER,
<br /> COMPANYI
<br /> SIGNATURE'.
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<br /> ,.::Address.''-; �z.,.,.,, -..,.._.:..:' . �� •1�., :�S:F. .��-�.—•-_---;......�... _
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<br /> Sanitart':Facilities`:,$�.d-umpster�Sitp.,Wove'�PerrilitTOr.si�Ddivfsl0ri?3��Kjo�pto)bts�• . • -'
<br /> late ets'ofBuldl. :Plat;" ?usacl:i.5efo- �Pgge;{1),96`of{Energy.,°,Fo'rrns:,RiO=.WP..enn�t,for1n&w Y trtictlon;.,.,..
<br /> COMMERCIAL :Attach:(2)oonlp. . .rs . ._.,,:,�._ng.. . . p,".? .: _ H,, . ;. ' t E.ertt;eiiil talied`::'
<br /> w`rkln,d0` after dtinN.0 ��e:;.,R rr��''XedL 'nsite Consiri�ictlon '�fiQMoiM_W4,t
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<br /> Sanita,ry:�aClpfies.&1:�urrip5'�f r;::'Si e.�Vor�c•P�rmlt-for a'1hnew�proJectsi Allcommerdal;iAquirenierits;'must;iHee �, mplfanca_•.•. ...: ;
<br /> SIGN'PERMIT' AttacFi'(2sets;ofEagineerretlPlars:--�.;:;:
<br /> ""•`pRdP.i:RT��';�,U`�VEY requited foralt MAW construction:
<br /> Directions:
<br /> :Fill out;application comp-1001Y.
<br /> Owne�**r4fFctorsign; ack:of apgli,Catlon,nptarized
<br /> •s 'If 6v+9iS250Ora''Notice:of troenm®ncen�®n!is iequired: (A/C upgrades over.$7.500)
<br /> • '.'. „T:BSI -,.: �...
<br /> Agent,(for:the=contractor.)oriPower of Attomey(f6r:the-.owner):Wddld°be:5omebne..wlth notaiized-lette"r frrim:ownBP-auth0rtiing:'same:
<br /> OVER,.T,"E:COUNTERiPERMITTING (cQfty,fof con. wired);.
<br /> Reroofs if sliingles Sewers Service Upg'rad 'Fences(P1of/Survey/Footage)
<br /> Driveways=Not over Counter if on public roadWays..needs ROW
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