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813-780-0020 City of Zephyrhills Permit-Application - FaX-813aeD-0021
<br /> Building,Department.
<br /> Dat®'Received � •
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<br /> _ ,Phon®,Confact;forPerm(ttin :'
<br /> Owrner's.Name- • r -G�. Own®r. hdne Numbir `
<br /> "owner's Addre s 'LS.O ., v, _�-:..; /OSD : .
<br /> Owner?Phone Nomba'ri!
<br /> t � �t, �• ��d - Oviiher Phone:Num6®k -- . -
<br /> ` OBYADDRESS; `7 — cJ//lo�'u:r�a ti�.P�t ��fiq� V[.' %'. �
<br /> ,. VISION / �/iis�a-aC7.
<br /> AINEDRGMPROPER71f tAXNOTICI)
<br /> WO PROPOSED- 34E,W:CONS7dt -•/1DD/ALT>z' :=5fGN.:; - ;;;.. :
<br /> L:,• INSTAL
<br /> PAIR'.
<br /> PROPOSED USE,;: SFR GOMM° ` • TH ''
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<br /> - :TYPE'.OF CONSTRU�TI's ''OESCRIPTIGN O INd'RK.. 6c 7r.rcR.1 Sei'd[e,L� ✓" Pr►ell d
<br /> ;BUIL'DING:SIZE •SQ•.FOOTAGE ,
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<br /> ,;=BUILDING" $` VALUAT.ION;OF''�TOTAL".C'ONST.RUCTION
<br /> ELECTRICAL. $, AMP°SERVICE DUKE:ENERGY° WR:E:C:.
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<br /> =PLUMBING
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<br /> =MECHANICAL $• VALUATION OF MECHANICAL,W'S7ALI:ATION vZ10
<br /> .=GAS 0 •ROOFIW.., ;;,SPECIALTY,,, OTHER _ r �
<br /> FINISHED`FLOORsELEVATfONS •(MQOD'�ZONEARE.A-, :'4; '[ YES': NO
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<br /> BUILDER COMPANY, ti:•
<br /> SIGNATURE REG SYERED; Y,'/ N,' ?FEE:CURR
<br /> Addresss :License#;-
<br /> ELECTRICIAN' COMPANY.:.
<br /> .G.
<br /> SIGNATURE REGISTERED' ".Y,%?N:;: ;'FEE:CURREK;
<br /> Address' / ;tict nee:#sC'f^"3eZ�
<br /> :PLUMBER'
<br /> SIGNATURE w.:
<br /> all
<br /> fEE',CURRE�::
<br /> MECI4AfVICAL a `COMPANY' r 2
<br /> SIGf�e4TURE:'. :REGI§SEREDi:. Yt/;i1Jr '1FEE!CU9REK-:.,.
<br /> Address.:. Ucense-#;; ;.. +.;;;..: =-s• )°.;
<br /> OTHER:,,. COMIPANY;. r• '.'; }. ..
<br /> SIGNATURE'. 46 EE;CURRE
<br /> ..:Addrasr: ....:. : .,,.',..' - �; ,.• cans •
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<br /> �L =O-�LU Pe i o" a :cos
<br /> tta�h'='� i?lot'Fla-"s`�:•�.`Sets�of`�aildf :7?�rfs� ,l�setofsEne orr4is;:R f tin w. tru ,.:,:•,`_
<br /> RESIDENTIAL— -A �-., _). n I Y � . -
<br /> riUllnPPhum•ten::Fi:O)4ii11ork�hgidays"afterst�br�iltAl;catetRreJ onsiter'Constottoit Plus;Sormdi�/atefPlarisv�%' iii Feric®GlstalLed='..
<br /> Sanitary':Facilities:8 .dumpstrrr�Sif�:WotkrPermiYfbrswBdiVisionsllogwprojeets
<br /> COMMERCIAL Attacta(2).coritpiete sets of BulldfngPlanseplUs a Life SNafetyP.age;'(f jseF`of}Energy.Forms;R-O=W Remiit:fo'r;newccgti5trucUons_.
<br /> Minimum ten*(10)�vuotkirig,da after s bwtfai;�iate Req,�Ileli Qrisite;•Constructtor t l�nsYStorinv afe%;Plans wi%SilttFence metalled;
<br /> Sanitary F6dIitf`es&1 duntp'sf r Sit`e�IVork Permit t?or all new=pro)ectsi All commerclal:requirenientsmust meet compliance
<br /> SIGN'PERMIT'' Attach'(2)s®ts_cafEngineeredPlans r�
<br /> "•"PROPSRTY,S1lFf�/f=1f•`reguiretl fcr"aItNBW cbfistniction:.
<br /> Directions: •
<br /> :Fill out application.completely.
<br /> Owner,8 Confctor;sign;pack of aplication;.notarized
<br /> •If over s2500;a.Nottce.ofCpmmencement Iis required. (A/C upgrades over$7500)
<br /> Agent(for:the:contfactor.)•or.PowerofAttomeylfor:the-owner):would,b someone:withnotarized--letterfrom:owner'.authdrizirlg"same
<br /> OVER71..-COUNTER;PERMITiING,. _.,.(copygf; contrai;t;•required):.
<br /> Rerods,Ifsfiingles Sewers Servi66,,pgradesWC!` ""Oences'(PIoUSurvey/Footage)
<br /> Driveways-Not over Counter if on.publldroadways..needs ROW "
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