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�4t <br /> B'a'nD9°7° City of Zephyrhills Permit Application Tnval'sI n002t <br /> war R.�.ur..a <br /> ••r•e e•• .,. �"� r'radnr CYrn»et farm <br /> Duan <br /> omersrums SusanElizorTdo ownefPnensHumtxr 5t)r692-331T <br /> Ownrh Addrau 5350 lath shoot Zephyrhilrs.FL 33542 D,,,.,w Pnom Numtw <br /> Far 5rmpta TUMAordsi Nrn. OsnwT Pr+re�w Nutnthr �� <br /> t'ar Srmpes Ttrrrrnorder Address <br /> JOB ADDRESS 5350 81h street 2ephyrhilts.FL 33542 LOT s 19 8r a0 x <br /> SUvOrA3ION pARcELIos 11-26-21-0010-13500-0190 - <br /> RMT111"Zo mm MenRry rye rrr+cT1 <br /> WORK PROPOSED ® MWCONSTr® ALUALT Q SIGN Q Q DCttr]tISII <br /> INSTALL REPAIR <br /> PROPOSED USE Q STR COMM [� OTIrER <br /> TYPE OF CONSTRUCTION Q 13LOCK 0 rnAmr. Q STEEL Q <br /> OESCRIPTIONOFWORK RRe�move and replace(1)2.5 Rheem system i1() f &j <br /> EILKI)1NG SIZE l SOFOOTAGE MEIGKT <br /> �DTrlZTc�cG tZlZRi!'!!!!!!1!!!!l"j&1LT!!!i!i!l4lItItSa 4l6tCSR�tSSCtISStit <br /> VALUATIONOF TOTAL CONSTRUCTION <br /> QELCCTRICAL AMP SERVICE Q PROGRESS ENERGY W R.E.C. <br /> QpLLrM9tNG <br /> COuECNAracAL =5641.00 VALUATION OF MECNArnCAL INSTALLATION <br /> QGRS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA MYFS NO <br /> BUILDER COMPANY <br /> SIGNATURE t rrccr.-s�Epm � M w(x"'p�r:» Y!N <br /> Address — Uunrna s` 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RMWILRED I YIN fEEaURREN`YIIN <br /> Address tICtTT34 T t <br /> PLUMBER COMPANY <br /> SIGNATURE REGMTEREo I YIN FEECURREN Y I N <br /> Addren Licenses l— <br /> MECHANICAL COMPANY- Airstfihe Heating&Cooling <br /> SIGNATURE r REMSTtY" I YIN FEE Cm"M LILN <br /> p <br /> Address tV, t ? �D UcetLsa.1L <br /> OTHERF COMPANY I i <br /> SIGNATURE REosrifEafn YIN FEECURREN L.ILN <br /> Address I Ljce e s 1— <br /> sisilslssstssiseolllslst/Illsllslsls Islet sseelaattolattslls not Isaias <br /> RESIDENTIAL Attach(2)Plot pions;(2)seis of Budding Plans.(1)sea of Energy Forty.R•4W Peewit for new Corabsreiion. <br /> Kniff tan ten(10)working Clays alter submitle)dale.Required onsile,Con&%Ktion Plans,5toffmaler Plans wI Shc Faft Installed. <br /> Sanitary Facilities 61 dwnpsw Sde Wmk Permit for subdrvWonsilama projects <br /> COMMERCIAL tdtaM(2)Complete Sala of Building Plan pho a Life Safely Page.(1)sal of Energy Fomis,R-O-W Permit for new wstrutbon. <br /> Minimum can(10)workbV days alter submMtat delo.Required onsite.Construction Plans,Stmvrwater Plans vd Sal!Fe=installed, <br /> Sarutary Facilities 8 1 dumpsiar.Silo Wank PemTil[or all new proleds.At mratemal Mqu"aements must meet Comphanco <br /> SIGN PERMIT Attach(2)eels of Enginew8d Pun. <br /> —PROPERTY SURVEY italubod Tar oil NEW Con56ucdan. <br /> QlrocUons: ' <br /> fdl out application rornplelaly. <br /> Owner a Contactor sign beck of applIcatlon,notaf)ted <br /> If over$250,s Notice of Commencement Is required.(AIG uppfsdre owr$160) <br /> Agent(lot the contrwor)or Power of Attomcy(lot the owrrar)waldd be SaMeMO Willi notorUod letlef from QWM 01171o06110 SUM <br /> OVER THE COUNTER PERMITTING (copy of Corllrod required) <br /> Reroots d shingles Swears Service Upgrades AIC pollee(PluitSurvoylfoobago) <br /> Orivewap-Nol over Counler If on public roadw ap.,needs ROW <br />