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813.780-0020 City-'of Zephyrhills Permit Application Fak4l3a80-0021
<br /> Ruildinq Depaftment'
<br /> age. ordol.0d
<br /> :Phone:Corltact;for"Per�nittin i:;'_i
<br /> 'Owner•#;Name.-..,; -? -
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<br /> 0, et's=Address
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<br /> _ �.tSVuiter?PfiorbNumbe't:_
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<br /> UBDI. /VISION',
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<br /> 1I SUILDI,NG.SIZE :SQ,FOOTAGE H ItaH7 ,
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<br /> VALUAtI N' `E.0,.0 17`CTAL;(:ONS7F Ut;'flt�N-
<br /> ELECTRICAL:
<br /> $. 'CCU _=AMp;SERVICE. DWKE ENERCx�fw..
<br /> _•:'•PLUMBING-
<br /> QMECHANICAL $- VALUATION'OF:MECHANIir&-l' SrALtAT,fOw
<br /> OGAS 0' ROOFING.: K�, ;rSPE('IAI}TY; OTHER,.
<br /> FINISHEDfLOORsELEVATIONS "r' FLOOEK`I _.
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<br /> .BUILDER COMPANY;"
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<br /> SIGNATURE RI:GIS Rt Ds• .:;; :'Y'/ N : `.FFSOURREfS
<br /> Addr9'ss` •��Ltcense'#:�?r�°:" - ��
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<br /> ELECTRICIAN:. :COMPANY;. U:
<br /> 51GNATURE- `REGisf�>:o• �� "1!'/:dV-:•'`=,Fr�'�:F•EE;CI{RREk;.°,,.t•`L. s* • ..•{•
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<br /> SIGNATURE Y%' fEE(CURREA=< i SM� .
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<br /> MECHANICAL ;: . -COMPAN3fr:. 5.::
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<br /> Rs�iu€NriAi°` tt��'=��+ t]]f�l'an`s, �7; fa�o.� t i �(.) - •�-:�, 1`V �„�•.<�!...�:�:���_•
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<br /> =xMint►Itoni,feg fl0)' W 0id"o arter�sti"�t�I..�ate: .a r�1reon'site:,Gon§N�cdc�i l�I�rrs;��orii ata�Pr$n'I��iii/'�nFFence,insfaned;
<br /> Sanitary FBdlities 8�:dumpstorwSife W.Otk ?er�itit f8r-5ubdiiiisiZ;i�/l IoprojeEts'. '
<br /> COMMERCIAL Attach.:(2)compiete,;$.W.oft;BG)fdigg:PianS;plLs':ai�la'S'f` 'Paige;(1j'set°ofEliergyForms..'R=O?WPermit,forneweq+structloris,,,
<br /> 4worktn 8a after'° fi tta7:' `r ,
<br /> 'Minimum'teirk(14j�, . , 4 � d, aSr FR�,gs ,1Je , nsite:Constlutiorr�( is�rSfortn�!�atp �!It1s;:wC� ilt,Fen;Cerir�$tall6d.
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<br /> Sanitary Fedliffes B:lIfu > ..SrteIVoarR` brmit At a11,'new?protects:Alf commercial;iequj�enirnts;iiril§f'iiieet;co'mp1«rice;,.;, .
<br /> SIGN'PERMIT AtfecFi(2)-setsrcf�Engeil`Ptri1S:%:•;,'u'•i �r. ; ,: :,,-..•
<br /> •••`PR(rohek Yr$s1�fR Y:`regpli`ed fog a(t NSW ccFi Wodoh
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<br /> Dlre•etions:
<br /> 'Fill.out application completely.
<br /> OwnA►6 Con ctor:$ignpack'oapl(,catiQn notarised.
<br /> If bve =Z�bO;a Nofli a of C omm®ncement.ls'required: °(A/C up& des.ovsr:$?600)
<br /> Agent..(for the wntracto�)orPower;of Attorney f6Rthe-owner)+,wbdl'b.d somebtte with not8rizelii;Ietter froiln:bwaer"aufgoii�t�ig'same
<br /> OVERT E:C QU N.TER=PARMI- TING:. (copy gf�coI%tMtrelquifed)
<br /> Reroofs ifsliingles 'Sewers Seniicetpgra`des A/C`r"'"^Fe�oes(Plol/Survey/Footage)
<br /> Drivoways-Not over ounter if on.publio roadways-needs ROW
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