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<br />07/25/2008 15:48 <br /> <br />813-78~020 <br /> <br />8137831374 BAHR'S PROPANE GAS <br />City of Zephyrhills Permit Application <br />Buiking Oeplll1ll1enl <br /> <br />PAGE 01/01 <br /> <br />'~~'>'~~'8 ( I ~ <br /> <br />D'" ReceIVed <br /> <br /> <br />:J .1+eJ) <br />me.du:~l . eetJler Ak. Owner PhoneNumblIr I <br /> <br />I Owner Pholl8 Number I <br /> <br />Owner". NllftIe <br /> <br />Ownefs Add..... 'I <br />Fee Slmpla liU.holder NlIII1el <br /> <br />I <br />I <br /> <br /> <br />Fu Simple Tidehold~r AcIdmIs,l <br /> <br />I 3319't? /f)edld,;r/~lerf}tJe " , I ,Lou'l', ',I <br />. I PARCEL aMI 35' ::15 ~I ' Oti 7b ~ 'a15Z> I <br />, (OIlTAlNEDFROIoI PROPlERTYTAXfoIOTlCEI, . <br />rvf ADD/ALT 0 SIGN 0 MOve 0 ,DEMOl.lSH <br />CJ REPAIR <br />D. COMM D <br />o FRAM= 0 <br /> <br />OJ,~'"5E!-'' ll.:t <br /> <br />I SQ FOOTAGE I ' <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />o <br />I*/d <br /> <br />, NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />, OTHER I <br />STEEL 0 <br /> <br />WORK PROP08ED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />.. <br /> <br />... <br /> <br />T....llr1 .... "rrrTl ...fllrT.... II.... <br /> <br />.... <br /> <br />. .. <br /> <br />.. <br /> <br />.... <br /> <br />.... <br /> <br />... <br /> <br />1$ I <br />1$ I <br />IS I <br />1$ I <br /> <br />o GAS 0, ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONii A~ dYES DNO <br /> <br />1111111111111111111111111111I111111111 11111111111111111 UIlIIlIIIlIlIlIIIIIIIlIIIIlIIIIIi'" 1111111111 n 1111111111" 1 i 1111111111111111111' 11111 lit <br /> <br />:''::~:RE I I ~=~ I Y I N FEE~ENT UL!U 'I <br /> <br />Addle" I License # I <br /> <br />ELECTRiCIAN I' COMPANY I, ~ I <br />8IGNA TlJRE . R1iGlSTEAED Y I N FEll CURRENT ' L.Y.llLJ <br /> <br />Addrus J Ucense 11- I <br /> <br />~~:~ I I ~c:= Y I N FEECURREIIT LYl1LJ I <br /> <br />-.. ~ . .: Ucense. I. I <br />MECHANICAL, '~' , " ' " ~ 'COMPANY I~rs: ~ @L ~.2AI<l <br />SIGNATURE =:::==:=:::::== ~ f\eGlS11:RED -..:!! N I ,FEE CIJRREloIT ' Y / N <br />Add,... EM) - Z-i,,/1s g , Ucense1l- tfla64S 9LfK I <br /> <br />OTHER I I ~~~~ I <br />SIGNATURE . ,~v_.~,,~ Y / N FeECURRiHT LrL!LJ ' <br /> <br />AddRlll8 I Ucensd Ie . ~.11 ,. fItCl' I <br /> <br />111111111111111 II 11111/ J' 111111111111 III 1111111111111111111111111111111111111111111111111111 11111 I 11111'1111 11111111I1111111111111111111 II Ii 111111 <br />RESIDENTIAL Altach (2) Plot ,"Jans; (2) sets of Building' PIBIIS; (1) 'set of Energy Fortns;' R-O-W Permit for 11_ alnstlUction. <br />Minimum t8I1 (10) WOrl<Jng days after submlll8l dale, Requited 0118118, ConslruCtionPlans, Stonnwalllr Plans wi Sill Fence installed. <br />Senllaly Facilities lie 1 dumpster; Site WOfk Pennlt for llubdivlalorllll1arge proJecls '. <br />COMMERCIAL, ' AltIJoh (3) sets of Building PIlII\I; (1) .et of Energy' Fonns. R-O-W Permit for new construction. <br />MlnimlBll ten (10) worIcinglle)'$ after submitl8l date. Required onslte, eon.tniotillf1 Plans, Stonnwater PI....s w/SiJt Fence InstaNed, <br />Sanitary FlICINties lie 1 dumptter. Site, Work P8Il\111 for all new projects. All almmerCial requirements must meet compliance ' , <br />A1tach (21 seta of EngInMr8d Plans. ' <br />'--PROPERTY SURVEY requlrad for all NEW conslruCtion, <br /> <br />D <br />D <br />o <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVIce <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.c. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SIGN PERMIT <br /> <br />Di~~~~':""~".'..".'.'....".'" ... .... ... a.. ... .......... <br /> <br />Fill out application completely. <br />OWner & COnlraetor 5ign back of application, notartzed <br />If owr $2500. . Notice of CClmmencement Is required, (Ale upgnd8$ cMor $5000) <br /> <br />.. Agent (for the con\nlcliDr) Dr Power of AtlOMlIY (fOr Ihe own...) would be 6OmllDl1e wilh nol8rized letI8r from owner authorizing same <br /> <br />OVER THe COUNTER PeRMITTING (Fronl of Applicetton Only) <br />Rer0af8 S_ Service Upgrades AIC <br /> <br />... <br /> <br />... ............................... <br /> <br />............, ... <br /> <br />Fences (plot/SUlVeyIFootage) <br /> <br />Driv8wa~ over Count... If on public roadwaya..neede ROW <br />