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81:34,9 o02o City:ofxZephyrhills�;Permit�Applibatiorn Fax-813-780 0021:,
<br /> BulldingµDepartment=
<br /> Date Received Phone Contact for Permitting .� 7 —
<br /> /7 Owner's>Name,,R .$ t`� 1 JL bei
<br /> Owrier•P!i'opa Num
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<br /> f Ow er.Rhone:Nutriben, %3
<br /> Ownees Addressi ;7 • f,�7.' It
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<br /> Fee Simple TitleholderlName Owiieepfi, l eNumtier
<br /> _Y ar. ...-.. 1.
<br /> Fee Simple"TitlefjolderAddiess�''.f `^' '' &,v, a �
<br /> JOB ADDREW,; 7: K�C.�J:G7. `,t:r _ ; LOT#. ;a..
<br /> SUBDIVISION ...r, '` . .PARCEL`ID#'
<br /> WORK PROPpSEQ ; 'NEUII'CONSTR" ::`.ADD/ALl ' ���:' 'SIGN,- DEMOLISH •-
<br /> �' srle`'.c' INSTALL''•.:F,B" . REPAIR' ..
<br /> . 6
<br /> PROPOSED USE':'._t r., i'a t SFRI COMM... .. OTHER; _
<br /> o a .. :, :rt
<br /> TYPE OF>CONSTRygTI01,1:� , BLOCK a a; ,FRAME"„
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<br /> _ ...:,r y
<br /> DESCRIPTION'�OF WORK'^' `" -SGias �ll�u�'' , .� / F..
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<br /> BUILDING SIZE SC1 FOOTAGE° � HEIG'H7
<br /> OBUILDING $ ✓ 40 VALUATION OF TOTAL CONSTRUCTION
<br /> QELECTRICAL�= $ Et::.`77 �1 ;,AMi?,SSRVICI=; ._ROGRESS;ENERGY,(;,Q. W.R.E.C.
<br /> 0'.
<br /> 1:21PLUMBING
<br /> =MECHANICAL =$ VALUATION OF MECHANICAL'IKSTALL,ATION
<br /> { .t w 4d
<br /> :RQOFINGf�-Q „SPECIALTY . ;OTHER_.._
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES�: : No
<br /> ■ r ■ ■ ■ • ■ r .rr, n■�i■.,■ri:■,.Ir..�;.r: .r.r..■,:■'r .■.■•... .■, r:.r.r 'r. ■, r.■ ■- r ■ r
<br /> BUILDER ..:.. : sr,+::=COMPANlf3 ir7WA
<br /> .5
<br /> SIGNATURE' ,, ` %!, `1 ,'! '1' � REGISTERED.; - to,.rlY./'Nv,:. FEE,C.URREM..
<br /> Address ._ License# ( _
<br /> ELECTRICIAN' ;4 .�,.r COMPANY e.
<br /> SIGNATURE fiEdisrEriEn Y/"N" FEE`cl1RREn
<br /> Addhiss
<br /> PLUMBER COMPANY Woo&1it
<br /> SIGNATURE ?.Yr '+ •REGISTERED,..= 1(/_.N. . FEE CURREP- Y/N
<br /> Address
<br /> Llcerise'#`'' �i�.'��/, ''�y/ `b i.'
<br /> MECHANICAL COMPANY
<br /> SIGNATURE , tREGISfEREP., Y-/.N ,:•`FEE-CURRE�;
<br /> Address _ _,4lc9r1SA#4
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN
<br /> Addres's _,,> , :: ,c:a r,, ,a License#f .,
<br /> 1 �:�::'t,i !yl /:1?f-� -1`t,-1:t uAl i t 1.1,-1 �.�. -� 1 1 I I I I 1 , ! 1 1('11.,,�af.e1..,(
<br /> RESIDENTIAL /attach('2f ill6i Plans;(2)sets of Building,Plans;(1)set of Energy Forms;W04fPermit for new-construction,
<br /> 111'lirilinum,,ten(10)worklrig days after_submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed,
<br /> -Sanitary Facilities&1:dumpster,Sste:Wi3ticPermit far:subdW6lansAarge prdject
<br /> COMMERCIAL Attach(2Nffpletw-sets'of Building Plans plus a Life Safety Page;(1)set of Eri, rgy Forms:R-O-W Permit for new construatlon.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plaiis,'StorfriwaterPlans w/,Silt Fence installed,
<br /> sanitary Facilities&1 dumoster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance
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