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813-7804020 City of-Zephyrhills!Permit:Application Fax-e13a80-0021
<br /> Butlding Dapartrnent•
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<br /> p.OP:OSEb..R� .. NEW�CON3T'It ;;. :;AD°/ALT-s::: ;?
<br /> ;DNS;BALL.
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<br /> PROPOSED:USE%`: r$FR':. ��,-•r~' -
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<br /> RU!~TION�� LOCK 4�B ' -
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<br /> VAtUATION��O�?•TOTAL-;CONS1'.I�UiG't'I�N'�
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<br /> tEC. I MPl SERVICE =ENERG,Y
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<br /> =MECHANICAL $ VALifJATION.OF MECHANIdAL'.tNS`:rALIATION'
<br /> -:=GAS Q -ROOFING..: © 4SPECIALTYi,r[ ,: ...OTHER -
<br /> t=1Nl$HEO:F:I:bOR;E,LEVAfIONS'. "r irsLO�1VZONEAREA r•' "`?' _..S YES".:`' ' NO•.f•..i..-)'�is
<br /> .BUILDER COWt,PAIIIY: a. .r....
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<br /> ELECIR,I,CIAN ,.COMPANY..
<br /> SI'GNA�rIIItE`' L '� REGI$1(:kl:'0' ''Y=/.'t!L•;'':' ;.FEE RREt+` ' ?` =:YI7±N;:: -
<br /> °Address itic nse#;
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<br /> PLUMBER COMPANY'' :s '
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<br /> SIGFIAYURE'. REl1�fEREO:. :< ali ,.,. FE CU. Yi i_
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<br /> nnrl7t7rnirri'tart: t.o) orking>eayeftrstirt 'Itlere: :ai _ons9.te:cod°§trii oti_tTair`s;�Sor, atefCiiuf? nFajce=rnstalteFi;�...
<br /> Sanitary:Febilitles':8ifumpstsr�5lto;WONeIP®i�itit7br5�lidiiif>;t3ri§A>i+g�frprcJects `` °
<br /> COMMERCIAL AttAcfi.(2);coiisplete;st}ts;of,Bul(dtpg;Plan> pf�isa�1:i S f Paige:,(1j'tset`of,Energy'Forms;R-O-V Ponriit:for;newlCq±Sf{ud-plc,.
<br /> NllnintilJm'totr(1o):uvdrkrnj as``af;�er efit()tat� e��,F g i'sue::coristn,`tibrrsPlr ils�;Storri, a6) —01a�s wl� iJtf'Feii'ce;rl>¢ianed: .
<br /> Sanitary t=aElllffes:8.:1::tfurttat r..Sine�11lo�rk` rmlt'for all:flew pniJects Air cdiNmerdal'requlremants`iit<'ri%eet.complrncb''.` ..,
<br /> SIGN'PERMIT AttiicFi`(2)'��;33ts�fflE g.�„�,, •%S,.r :,t;. �;z��: :�- .. : ., _
<br /> •'•'PF20P R�: ~i.F�i/,t:Y`, •ut�e'dfo�atr°N�Vf/cotstiuction:,. � .. _.
<br /> Dfrectlons:
<br /> Fill.out appllcatlon completely.
<br /> OwnAnd,CoFib �ctor.§ign: ack of:a�p�lication;-notarized. ,
<br /> Ifbv+�rS25tl0;a:Nott�O•of;Comin®ilcementas required; .(A/C upg►�dee,oyer:$`15110)
<br /> ••" Agent;(fot�he:contractor)?ofPower of#Attomoy�lfbr..the-owner)w6uld�tie:'somebrte;wlth'ndtatite�d lette►•from:bwnar auth—tw tig same;
<br /> OVER:T"E:COUNTER,PERMITsT1NG:-- ._:..(co ytofcotftra requt ed).
<br /> Rerod if.sliinoles Sewers ServicAt pyra`d'es �4/G " ''FehCes.(P1bf/SUtvey/Footage)
<br /> Driveways-;Not over Counter if on.publlo roadways:;needs ROW
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