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813-78M020 City of Zephyrhills Permit Application Faz-813-780-0021
<br /> Building.Departmentvid
<br /> Phone,Contactl6r.-Pormittin
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<br /> Oiivn®r'p6one�Number,',`:
<br /> . :arc own "dress r NUinb ori�: er:
<br /> own er:Phote Nuintior.
<br /> trios%acualss; 3.9 �'
<br /> .,LOTI'#'
<br /> SUBDIVISION; ::.
<br /> PARCEL ID# - 43,a;:..:..
<br /> (OB,TAINED; ROAAP,.ROPEKTIF:LAIC',:NgTID )?
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<br /> :CONSTR ADD/A
<br /> '�1EINIrT'a` T771.
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<br /> • :.B',' :INSTAI:L.. ;=�.•r =.i�tEF!AI_R': • - _ - -.- _ .-
<br /> PROPOSED•.USE SFR':._ :,'; OTHER"' 777,77-
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<br /> ' YPE ONS7.OF'CRUCTION"' BLOC ,'
<br /> `:�'�, K .:;�'`� '•FRA
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<br /> '�ESLRIpT10N'OF WORK•. r`
<br /> ;BUILDING,SIZE.I. :-FOOTAGE SQ ;��.-•
<br /> 0 BUILDING''` $: ',, ,, r':
<br /> ! VALUATION;;OF.TOTAL:CONS. UCTIOW .,
<br /> QEtECTRICAL.., $ ::AMP'SERVICE. DUKEENERGYr;.
<br /> ORCUMBING-
<br /> 71 29
<br /> =MECHANICAL $, VALUATION OF MECHANICAL INSTALLATION•
<br /> =GAS ROOFING. . ..,SPECIALTY., [ OTHER_
<br /> .FINISHEDfLOOR,ELEVATIONS r'r s'°; BLOOD ZONE`AREA -:` NO
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<br /> BUILDER COMPANY:
<br /> SIGNATURE � '� ` ,.R Isr R�o; - • :'Y:/ N�::E �FtT„ YI:N:�:
<br /> Address" y . ;License'#;?
<br /> ELE,CTRLCIAN' COMPANY
<br /> SIGNATURE -REGISTt=RIcD= -
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<br /> Address.,
<br /> :PLUMBf=R
<br /> SIGNATURE. `•tte:iiSfl aEo >Y% Ni-", j'°fEE;CURREA>
<br /> Address:
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<br /> L1tense.#
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<br /> MECHANICAL.. `'COMPANY
<br /> SIGNATURE"r REGI§ ERED i; Y-Z`•N"_'
<br /> Address,.• - .e: •„- ;,: � :.
<br /> NY
<br /> OTHE
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<br /> SIGNAT !7 S'ERED: �„, -
<br /> .License# I CC C:tea . ;�'j
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<br /> =W R' W'a ?CGt1S ctlo
<br /> 'R 2. is 'f: ui di :P.iti�s A;set:ofaErie,' orrYis':R:O e` I n w. trJ n„
<br /> RESIDENTIAi` -Attadh;,(�)':1?lot„Plans,,(_y:�e ,6,.� .f, - ,,<l u(,.),_ ,rgY ,�.•.,-., �-;.�;�o,:
<br /> z:.t ..1:.�,. ,.a . .<. ._ .r•,::c "`� t. figs� ti: �.+1�' Mini
<br /> `;;{;a ,>,� t - -
<br /> riiAlnilfium'ten t.0)�leJork+hgarlays,aftersi+brbl 1,bate: R$g3Wire J_Snsite''C.+onstriiotlon•Plans,;S�orm�%atefPieli wr' tlt Fericetiddibllsd'
<br /> SanitaryF9cilities.8 .kdUmpster,`:Site:Wo►k Perrititfi8rsu6divisibn3/Isngerprojects
<br /> COMMERCIAL. Attach(2)-cornpletesetsof;BUffdfng:PlBnsepfusaLifleS„afety{Page;{l:j'set'ofEnergy.Forms.•R-O=WPermit;fortnewcatistrucdon,; .
<br /> Min(m(Im ten'(,1,1)),worktng;cla ra,e�srtifritttel;�laxe l�egjX,eB`cnsite Consfri%coonfPlnrfsEStor(iivi�af$it4�Jane wlailtTFehCe installerd
<br /> Sanitary;FaC�IILes.ii t:tluit�pSf r:.Sine llLorfc hermit fog all new;projects:Alf commerdal requi'rem nts must rrieet`comp,lance':
<br /> SIGN'PERMIT Attaph(2)sets of`Engirteered plans:«:.,:ea.•s .:.;._'
<br /> PFtbPER'fYs$,I RV@Y required for'all NEW±90 stniction.
<br /> ,...:.L,
<br /> Directions:
<br /> -Fill out application'completply.
<br /> OwnA►,&C0i1_."torsign pack'ofappli!ap o ,notarized.
<br /> If over 52500;a Notlee of'Coromen'.ceirient is required. (AM upgredes.over-$7500)
<br /> '• Agent.(for:the:contractor)'orPower:of,Attomey,.for.the oWner)*would''bd''someone YAth notdiited;letter from:owner authorlting`same:
<br /> OVER:T igE C,Q0NTER,P.ERMITTING;, (cgp;tof coht aet;�equired) „_
<br /> Rerod if shingles Sewers '_:,: Seni1w1,wpgradds--°A%C:" Fences'(PIoNSurvey/Footage)
<br /> Driveways=Not over Counter;if on.public,roadways:.neede ROW
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