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8t3 78G-0o?fl City of Zephyrhills Permit Application FaX-$t3•?80 4t121 <br /> I3uildng OepeRmant <br /> t5ate R�stvad Poona Contactlor Permittl "1 ' <br /> Owner's Name n2Owner Pbtrne Number <br /> OvmsrPhoneNumber 71 <br /> Owners Address � r <br /> Foe bimpie Tithhotdtr Name �^��—� G►+m!a Phdnt:N�^rtb:t i �—��, <br /> Fee Simple 70hotdir Addraas <br /> i 1 Lars t •tl dl� <br /> JOOADDRESS � ' <br /> SUBDNISION \j.�.� PARCeLICII <br /> J=rAnatDFROM PRCMIY TAX r nee) <br /> WORK PROPOSED `s a NEW COKWFt B ACOrALT L.�_a SIGN ❑ ❑ MMOLISH <br /> INSTALL REPAIR <br /> PROP03EDUSE sFR Q rn5a4s © <br /> TYPE OF CONSTRUO"ON C] BLOCK ❑ FRAME ❑ STEEL ❑( �_..,_`1 <br /> ONSCRIPTIGN OF WORK <br /> •umo)tlll size {�.,. �3Q FOOTAOe H11OHr <br /> �9UILOING 15 VALUATIOP)or-TOTAL OONSTRUCl4ON <br /> ®ELEcrascAt. �� AMP SERVICE [❑ PR(MRESSENERGY 0 W-PEC. <br /> r <br /> LUMSINO , f C <br /> ]tJ kj- <br /> ©MECHANCAL S NALUAMONOF MECKANICAL iNSTALt.ATtON (� <br /> -1 R <br /> QOAS D ROOFING Q SPC-pAl T [Q OTK <br /> FINISHED FLOORELE�ATIONVS FLOOOYONEAREA AYES NO <br /> t3UtLDBR COMPANY I <br /> SIGNATURE N 11 REGISTERED I y I T I FEECnRREN <br /> Addresa <br /> ELECTRICIAN COMPANY <br /> SIGNATURE T R�EG1^5rE—ttED I y1pj FEE CURBEN Y t <br /> Address k _ I Llamas C 1 <br /> WGRATURto ni siERED FEHIxtRREN YrN <br /> Address �. Licensed .��tia�rr -.1 <br /> MECHANICAL COMPANY <br /> SIGNATURE I YINFEECURREr r <br /> Addnea i LlCene®��! <br /> OTHER COMPANY <br /> SIGNATURE ��� �„ REaiSfEREDI YIN I FEECUQR-6N�-� �`� <br /> Address 1 Licensed! <br /> IIIllllltrlttltllflrlfl #Ittlt# 1 #llllttrlt ! !! I ! !! ! tltflt !! ! !!i # lift! <br /> H25WRNTIAL Attach:CU)riot Mena,rG)Sets or 39uiid ftg Mlane;(t)Set or energy PBnnS'k•Wvw Permit tar new constructian, <br /> Nfinimpm ten(So)w oftng days altar oulwal date. Reavjred onarTs,Constriction Plane,Stom aamr Plans wr Silt Fence installed, <br /> sonRary Fae)tttiss 6 t dumpstSr,Site Work Permtt farbdivfStcntrga pfglts <br /> COM1iERC1AL AnaCh%(2)complSle sets of Building Piano pklo a L fe Safety Raga;(t)G@i OrEn9t)jy Penile R�Ct•UV P9rinft foe Raw ConitNCtiDfl. <br /> Mmimtim ten t10}wpflonp days triter submitbsl daM. Requiraraf onsl}o,Conettucten Plano,StarmsYataT PlttRs w9 StR Fence Intltad, <br /> Sent8ly Faeilibes&i dufiptter.Ste Wadi Permit far art new ptejects.All cammer�i requfremonm moat meet�mplient� <br /> SIONPERMIT AttSChiC�1s:toofEngineeredPlans. <br /> PF2I:11PER N&URVEY taquiTed far all tVEW construction. <br /> seta era: <br /> visa ewe mHeften ea4»ptatatr. <br /> Owner 6 Lbnlraclor sign hack of epgliCaslon,rotanaed <br /> If over$2600,a NoOft of Commencemont is required. tAIC uporades over STOOD) <br /> Agent(tor the contraa%r)or Pomr at AGOmey tfoflne owner}ovuid be somacne with notarind lettorfrom owner authorizing same <br /> GVERTHeCOURMRfr4tMITTINt# (copy of contract requited) <br /> Retests if shinplas 9awerr SoMoe Upgrades A/C Fences(PWUSuN2ytFDoteco) <br /> Dfivowsys.Nat ovor Oounter don public madvays..neea ROW <br />