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813.7M0020 City.of Zephyrhills Permit Application Fax-813.78aoo21
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<br /> Wd� .PRGP•.`OSED:, f1VEW-CONSTdt• :�ADG%ALT.. ;SfGN'• _ EI�I S
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<br /> INSTALL:.
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<br /> PROPOS D fiAa•' OTHER. -r,•:... _
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<br /> OCTYPE. P.+ONSfiRUT N MAME`;;•;-$' J;
<br /> �E�CRIPTICN OP:.ti116f3K'.` ` . �Ca/
<br /> BUILDING•SIZE SQ:FOO AG ,, x� :rs .'•.:•-...'.
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<br /> • BUILDING _ •. $°.,... .. `+ •
<br /> �f UVALATION;OF�TOTAt '.C:O.NSTRU CTION
<br /> ELECTRICAL..,,
<br /> E. D.0::AIVIP'SERVICKE'EIERGY
<br /> =PLUMBING
<br /> =MECHANICAL $ VA ION OF.MECHANICAL,.iN�N
<br /> =GAS ROOFING:-. ;�,;, ,,SPE_lIALTY,= OTHER;:._..
<br /> EINI$HED FLbOR ELEVATIONS •';i ::, ' BLOOEnXONE:'AREA ``" :' Y[=S"'';; NO
<br /> .BUILDER COMPANY.: `•:r:.,.;:. •.,. ::.. ,.;>:�;...;.:.;:�. .,:.;:..
<br /> SIGNATURE 'FEEiGURRERr''r' /lc: €LNi iM a¢. '
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<br /> Aildre'ss` Ucense#::c
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<br /> -ELECTRICIAN COMP y ,:>• ,;:~ .,.:....
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<br /> SIIaNA;rIJRE :REGISTI$ D�
<br /> Adtlress'
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<br /> PLUMBEit"
<br /> 'SIGNATURE R�'Gtisir 2i i ^`:Y%-1V:' ?tfEE•CUQREt�'''r1: iala;/J�f `
<br /> Address;• -
<br /> MECHANICAL. ' 'COMPANY-'
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<br /> rNifi t ii r t`n' c0' o`'ikf+°�ifa'sef(er s tii i l ,ate' :fti re��an�sN -Ciins�tt odaii�P..l�irs;S rli it atefP ti3"v/Snt?l=pnc �tnsfaiis7
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<br /> SanitaryFecilldes`: :ftumpstr;a81Ce,Workenri�t for sub'ai,�rsrao?3n . prots.'.
<br /> •Attach Z°com late;sets'o�,Buf(dtp9=Plaiistpf�isa�leife~$afe.• `PagB'(f)•`set°ofiEtrergy.:Fo'rms;A_O:W,Permit:forfiewccgl�5tructlon •:.,._ ;A'
<br /> COMMERCIAL ,,.(..), P a
<br /> Minimum tat(10),wgliingtlsiaft�er�s" titrtittalsre r.F�eaq' if�ed,;Qnslte Constfuct�orr�F;t�hsy�Stocrnwatbira�fejr:;+w/a�ilt�Peneenilelalled,',::
<br /> Sanitary'FaNtlffes&1'ifuijfsta�X'Site'lVork l�errirlt'for aIt riew projects:All oommerctal:raqutrements must riieet'compif8nce
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<br /> SIGN PERMIT Attach`(2)sets ofx�ngii ee
<br /> •••*PitdPPR;,TY S�J �YEY►eQuti`ed foralf;NPW cofistruetion:
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<br /> Directions:
<br /> Fill.out applica Ion:completely.
<br /> owh6it 8.: ,n, .ctor:tign;hacteofwap (Ic dgn�notarized
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<br /> 'If ever S2�d0:a NotiC®of Colnmencerttent.is requirets: (AIC upgra_'des over.$7500)
<br /> •• Agent(for•.the,contractor.)orPower ofAttomey(fbr;the'ownar);woUld b.b.someotie:with notai,ttI lette hom bwner-ailtfi6riiing same::
<br /> -OVER:TF)E:000NTERsPERMITTING. (cgitofcoratra�t;;[equlred), ..
<br /> Reroofslf Ingles Sewers Sanitce Upgradr?s A/C:'' 'FeriCcs'(PIoUSuivey/Footage)
<br /> Drlveways=Not over Counter if on public roadways..needs ROW
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