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813.760;0020 City of Zephyrhills-Perm itApplication Fax-e.1348M21
<br /> Building.Department, -.
<br /> DQe`Rec@Ivied a` -
<br /> Phone.Conta:,ot".for_:P.ermittiri
<br /> '•:Owner' �. -
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<br /> a��1..5 - '<'Ownai�`'pfioi►a�iVumber��-•� ����.• -0.- .
<br /> Owner's
<br /> Address
<br /> ...�: 'ONner-Pkori�.l�umbei�r
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<br /> • �`�- Obiflirhhone�iNi�iriti®!`'�
<br /> -77
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<br /> �o /0 DRESS` 'r':•`
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<br /> PROP;OSED', rlEw: r,•`'
<br /> ., .R .. :CON�TJf :ADD/AhT�'x, SrGN`";.,• =��
<br /> ;:aNS7ALt:... r ;IMPAIR',
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<br /> �DESCt�If�T10N 0P.;,Wb K` ®d�/ � 'eJoa rae�►t.S'� 1.. .��_ �,i'.P„
<br /> :BUILDING•SIZE SQ,FOOTAG6 HEIGki?` ,•<% =:.:, ' '
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<br /> r�- -• IDING
<br /> $
<br /> 9UL
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<br /> ,. ., p(� ,._ .• VALUAT,IONOF�OTAL.':GONSTRUCTION-S ..
<br /> ELECTRICAL...:. :$, AMP§ER% . DUKE ENERGY'ED < : `•iN R;E:C:.
<br /> PLUMBING . .. $� ... ;' ' . :. �✓
<br /> QMECHANICAL $ VALUATION OF MECHANICALINSTALLATIOW
<br /> ,EDGAS ROOFING. .r ,SPEIA4r1!,, OTHER _... /
<br /> FINISHED FLbOR ELEVATIONS <r ��PLOODXONEAREA `"`, =r1fES:^ ' '.NO-
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<br /> 17
<br /> .BUILDER CQRPW,
<br /> 'SIGNATURE :;, RtGisYtREti %Y'/ N'i'� FFE;CURREftr.,i 3i Y''Ni i a3
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<br /> Ad�re'si;
<br /> ELECTRICIAN` _ `;. -COMP.__ANY:. . '
<br /> SIGNAfflI2E Y. Nr,; FEE:'C RRE�:;:
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<br /> aPLUMBER" COMpidNY:`
<br /> :SIGNATURE. r
<br /> RtGisitz!1i ^ ;Y%'N;s. ?'FEE:CURREI� ':r i YA/ei �x:
<br /> Address
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<br /> MECHAN CAI:
<br /> NATURE''4
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<br /> 77
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<br /> OTHERr., COt�ll?AN, -
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<br /> SIGNATURE:'. - - -
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<br /> 'Ch='6 r�t` ,.1� @iA' •� @.t�. ..ln���qq ,(:.) ; r
<br /> RESIDEN'rtAL'• �'Atta �,(.).. y ,�...n, -�.,,, r,�}?'"' +3'� :•x,1'Y"^':✓•^„aia! ao+1. - .u•wit° _ ..a`.• "ra" ri.f:' i
<br /> r.. • ,•.a.:, c: t I'b te:�»R 'Irelans�racConstAicd81?_Ian ;SorYr� atefPfiaiiv�:Sll�?i=ettc �irsCattsd".
<br /> ��n 4hia diffi;ten:�gpvorkln' ',da'ys:af(JF,1s � a.. . . _ ;
<br /> Sanitary..t?8cilities:,8 d�Mpster;Slt WCiic'spermit)Grs tidi fsloh,.0s pro)�cts?:
<br /> COMMERCIAL- Attact�:..(2pEomplete:s�ts;ot Bulldtpg Plansppllis� It��frm"edgh (l j set oftEnergy.Forms:R=O=W P�enriit:foc new�agl fraction.,
<br /> a'."1a er"ti' "`fs`dte,«R re nsite:Coi�stii�,ion �ns�r torinwaf6YlsgwiJt� enoeiiitstalled;;;.
<br /> Minimum'16(W0�.vuorlitng tl.r,rr .: :•:. .<.t ,. .:ls:•:�':,'.;•;..,. r.
<br /> - Santtaryt=aCllities&.1�uf�r: ellloet►riitor_aII_new?pcoJects:All_ceAimerdalr8qui[ements:must_iii®et_colriplian'c .__
<br /> SIGN P.ERWM:- AfteC?i'(2j sets CfjFrngiF*t@ef8f[ IanS r, `"
<br /> ••••PRt9PER,T�Y SlRVI:1f tea�vlfed for ail NSW cbfisMuCdon u
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<br /> Directions: •
<br /> ..Fill out applicatlon'comptet®ly.
<br /> OwA64W� rllrrActor ign; aGc o H�pR�icatlon;notarized.
<br /> If over°a2$$0;a.Noti ';of'Comnier�cet6��en4as r,®qulred: (A/C 4parad6s.over.$7500)
<br /> •• Agent'.(for•,th®;wntfactor.)or.Power..;of:Attomey(fbr the owner)would tie:sombri►5@with note.t@d;lefts/'frefm bvinter-autho"riiing same
<br /> OVER;T"g:COI�.N,TER,P_ERMITTING .._,.,:_(coR�rFofrcontip�required).; „
<br /> Rerodfs if shingles 'Sewers S dd;.`W#Pa'des!:`ft'�"-.f.'Fenees,(ploUSurvey/Footage)
<br /> Driveways-Not over Counter if on-public'roadways.:needs ROW
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