|
813.780=0020 City of Zephyrhills Permit Application Fax-e.13-7atwo21
<br /> Bulidng.Department-
<br /> :.bono,'Co ,tacEfor:P.errnittIn
<br /> wnsl PlieNambet
<br /> E wner"a ddr �"1
<br /> - assrQ u•, (V�1:I�� -d
<br /> - n'sr.°Plronittnbet`'' 'e'lD:",S 7
<br /> �" !6 �.�. i.�_�{;�J^� dvdhsr:t�h6pej Nif...^ '' - •
<br /> ,'<SUBDIV1510N
<br /> 'PIA
<br /> RCEL I
<br /> D#.
<br /> :WQ K.PROP-.O E S Da• ii''tt :,c'
<br /> iI'itt 'G'ON$it • ;.
<br /> ,R.. . :;��-"':SIG EIVft9tlStt'='.
<br /> INSTALL:•
<br /> . _
<br /> PROPOSED,iUJSE' '! �•
<br /> :,.
<br /> TYPE`:
<br /> Ot='!~btV5'�RUO1'ION'? ;�'� .<.:..;� e•r.P 1`,',
<br /> : '0• ,`.�'„' ', .... '."l'
<br /> DES AIPfION I"�E::1lVbItK: 1^� ' -7 rz 14 ` 9
<br /> DING SIZE �� px S 2 FOOTAGE
<br /> '
<br /> VALUATI6N;0F4O CON1S�"Rl7CTh
<br /> TA> :4.
<br /> 1 L.' 7N ,J 'ti ' '';,.
<br /> .. .. $. AMi SERVICE. QKE`ENERC,Y
<br /> QPLUMBING-.
<br /> QMECHANIGAL b "-"i" VALUATION-OF MECHANICAL�INSfiAt A'I©A1= �`S �
<br /> Qt3AS Q ROOFING ,,•;,$RECIATY,: � OTHER>.
<br /> ;fin. ...-
<br /> ,.INISHED`FLbOR ELEVAT'IONS-' MXO IE^AREAlI@S
<br /> i•i t A•: 'r'i
<br /> BUILDER
<br /> �.
<br /> SIGNATURE �. CQMWY- ` ,,-U.:.. .•. • 1, H �.;.s ::.
<br /> fLECTtRt�CIAN COMP
<br /> 3REGISY�RL'D: .�.� '`Y,i/�;?N,r.`i: <kFEEiCI]RRE�:,,'`'`i�;Y'%••Ni-.
<br /> "Address' .. . . .. -'it.t''•i'#nS@; :f4. -
<br /> PLUMBER" ,"t FOMtANY;.
<br /> SIGNATURE :RGisi 'Iiti.
<br /> _
<br /> - ,
<br /> MECHAt+ftGAl ' COMP _ :.• _' _
<br /> SICit�Al'URE'.. .::t :,.:•:..:: ; ::.:_ REGISTdRED � ,.• �Y r'P
<br /> -i;f:a
<br /> ,. ., - r•• -. ,.
<br /> OTHER:: wcoaeiir >
<br /> ,
<br /> SIGNAI'U�E::, . .Rl�t,,^'fERED``•,.� -, /k:'.t�;5i-. EEE,CORREA:;�,�,.. ,•u�inl,.,
<br /> ..y, „•.t, -F '.n''. ;.3;;:•^,;,,,;, .a, :4. txz
<br /> ,,;;::`�',
<br /> ie
<br /> t RI'=StOEN nA' G`' �n•SAhilatitr'n6 liietha:�iryr�,ir:rF�'ta.t.3ceisl;.fit i�eOsj:,8i'a�4.r
<br /> c't{7cd2ilu7wgns...5l cpsias3trre,s..r^,ti,�.,,5t t5ete.t}er"s:wtt'.Flt"�,i ? suBdlvrsrda n`�f n,o.rrig3�rc:up R:r:+o
<br /> l.6 �� ' fS,t.W�e£�'�»4066,�Pl. hum o Cdk _��e �?�'�' ! �.,( rf o s �S ater.I i-ri 4�tra,i�i.Q ia}.l
<br /> •,4l:Si-
<br /> =i"1E
<br /> '.
<br /> COMMERCIAL :At#ach:{2};+E ptete;sets:c!„8ulldthg Ptans plus �l3 Safe.`=Page.{:}:SLt`of4Er i�rgy.Foitns t2=t =W;i?eirinit:torhetiar Str+�ctlon;,,,. ' '
<br /> p, G,
<br /> Miriirriurii:tem�(1t}};iuorkiniifa 'after"iiti" le'�Regr'ted{insite Gonstn�ctlori �gris�{Storinw@ta�hRlns�wlatE#,'Fenitir�'tatied:;`:
<br /> Sancta..ry;FCflt6®sr&`1''iluiii�s�t'rr'S�i11o" iniltforal'rew;pro)acts:Alf Commerdali?9quirenents'inustiiiieat complfanca
<br /> SIGNPERMIT �gttacti;{2}set&of3ngfeaiettfS:;: _::si : ': ; t,
<br /> ""'PRbP,Ei�Tt1INSt}�tVEY�qutfe`'d forallNEW consttuotign.
<br /> ..,., ,.=
<br /> Directions..
<br /> Ftihout:application:complet®ty.
<br /> Owriar�BCo'i11i Ftocsign;Mack_ofapplica8on;,notatized
<br /> tfilv+tr325tIQ;a:fiftifie:�fSCinmencerrierit:isregetlred. (A/Cuisgf des.over..$7500}
<br /> '• Agent(for:the=contractor)ocPower..:of>Alto►ney,(fbr;the ownq).Wb0 ti:8:somobherwith noterized�fetfer frr��n:dianler-autC�6riitrig's ime
<br /> OVER::Tt'IE_CO.UK T.ER?PE�tMI7TING'._ -_. (cggy'of,,co ? r Nir cf), .
<br /> Reroofis.if shingles Seweis Seriifca;tlpgrades:A/C'. 'Fenbes!iOt6ttSurvey/Footage}
<br /> Drlvews"ot over Counter if on.pubtic roadvMys.-needs ROW
<br />
|