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813-780.0 -
<br /> City of Zephyrl�ills Permit ApplieatiOrt Fax-s��-7$o-aa2t-
<br /> Building.Depariritent . NU, �•a
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<br /> Data-koce VedAPhone.Contaot for,Perinittin
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<br /> Owners Na`rrte:7` ;�1��4� 5 ,0• �.. t � fie., �'�`:.•, ':X�:Owner�Ptione,Nuntil�t,-:;' ..�?:;�.r:� ..
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<br /> Fee'$imple�:Titteh'oldef�Aditress -
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<br /> ;t, =(OBTAINED`.FRQM;PROPERI i�TAX,NOTICE ;J
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<br /> PROPOSED.USE-: -. F �'�.. r- ':.S R:s ..�'�•. 'f,•.OIfAMe'.,:,.. e..•A'1'IER';'�x t-, 7 t?`:�z?.?; tt: yzaj...•s •:�i.a 3 ..
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<br /> TYPE`OF.CONSTRUCTiON° BI:OGi<' F�R7l S`fEEL;
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<br /> `DRI', J S P�ON O��t�'JCRK' t�
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<br /> L CT iCA ,AMP�'�ER1"/:I E,�..$'%' �,:� S C :=:PRQGRESS.ENERGY�';
<br /> =PLUM$ING'' $
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<br /> :QMECHANICAL r:. VALUATION:O M ' ,..
<br /> $• ,F` ECHANIC;AL1fST►L1iATION
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<br /> =GAS ROOFING
<br /> FINlSHEt)'FGOOR:Et:EVA°fiIONS " " ";'�;' FLOtOt�ZONE-i412i4' , _ YE ``' `':NO' '
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<br /> BUILDER �Y��. � COMPANY L mot: t 4Gc��zz 7 `5
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<br /> SIGNATURE ;ft 11 GfstEriED.15 ` ;:Y/ N 1.a=d F EE'CURREttr,'
<br /> Address: - ;. nee`
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<br /> ELECTRICIAN r:. ?' �'.COMt?'ANY;:;'•`: i'.,'}.' #rt.. ':: a:;:,:N
<br /> SIGNATURE r:, :i•,,`; ' : ;'REGISTEI�tEDi':,.'`: ~'?= '4Y'I.iN:;�?!aa'::?aFEet:tiRrtEi�Yi'; Y.7;N<'
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<br /> PLUMBER; COMPANY..=
<br /> 16NATURE:>'• REG�s7Eiiia
<br /> Address.:. Lice
<br /> MEC.ANiC H. ALt:
<br /> SIGiVAT;t3RE;; FiEGSTEREp,; `Yl=N : .{ `FEE`Gttt2itEt�{t., •:y'/:l�I:'< '*;'=
<br /> Address
<br /> QTHER COMPANY':"'
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<br /> SIGNATURE: Eli-: _Y• IV'}:i?srER is f cuRtien-p:-°
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<br /> `Ad`dress�.
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<br /> RESIDENTIAL Attach:2'``Piotilans }'sets'.of,8u�ldn''a4%iafis'Y sEt,tifi3tiebltii°., , �P� itffbrnsu�,cons
<br /> Minimum-ten(40}:viaiking flays after safsmittaE:date:=Recjuired:o site;Ct�nstnictlbn"Puns Stomiavater.PlarEs i�iil.Sllt nce itMalleit
<br /> Sanitary Fadllddt&i dumpster•,:Site.:Work:Permi►,fpr gdbdixlsldr sAargo,pecjects ..
<br /> COMMERCIAL Attach-(2)+ca.!ry!{�piete sets<of.Bullding,PCans''plus'a-C�f�#S' fety Page,(1);setoftnergy Forrns,••R I.W Permit-for,new eiitistniction'
<br /> Minimum ten.(1t)}'iivorkiri ilays'.after siiTarnitat:rirlid:RGTie2J>ohsite.;Constnictiori Pinhs,;lSfctfirit�vate ?as'wJ:Slt? etitstBlCed:'.::,"
<br /> =Sanitary',;FaGIP es umpsteri SitellVorkPerm)t(oalt;hew;proJects All comiYlercialgahem'ent$�ir�ust,Riesticompllafice
<br /> SIGN PERMIT Attach(2}n',"' taEiigineered Plans:
<br /> '"**PROPERTY.SGRVEY reijnlreci:forfall NE1N=Ganst�iicflon. , -
<br /> blreCtions:'
<br /> Fill out'epp!icadan camp!etely..
<br /> Owner&.Contractor:sloh,pack"of application;notarized•` "
<br /> ifover$40Q aN6#ce:of Commencomoots„requFred:;(AfC.:ypgrades.ovet-$750a)- „
<br /> •• Agent(for the contractor)or Power of Attorney"(for-the'owner):wobld be'someone with'.notarized leiter from owner:authorwhg.same
<br /> OVER?HE COUN'Cik PERMITTING (tx0y;of coritlai t required)•.:, _
<br /> Rerodfs`if shingles Sdwers Service Upgrades A/C Fences(PioI/Survey/Footage)
<br /> Driveways-Nat over.Countecif.on;publtc.roddWays.nepds,'ROW
<br /> - b: :t :• ' _- -. �,_ ,put i`... ,.. '
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