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JUL-16-2012 01:49 P.Oli01 <br /> 813-�8b002U City of 2ephyrhills Permit ApplicaUOn FAx�91y780.0021 <br /> BYMtltrlp D6paNnBM <br /> Oato RecNved `�— � ��e��, � ,$'J,3 „ 2$S" <br /> ow11or5 wm. f' oM„��ahon�N�mhc. <br /> OwnN'e AAdroea Ovmar Phaw Nurt�b�r <br /> Fae SYnple TitlaNOWarlMms � Owner�haw NumMr � <br /> Fw Slmple 7nlehoWar Add»as <br /> JOB ADDRE55 �o S� I `LJ. l0T* � <br /> SU8DIV1510N PARCBL 10� <br /> IOBTAINED FROM�ROPlRfT TA7t NDTICE� <br /> WORK PROPOSED e NEW CONSTR � ApWAI.7 O SIGN O MOVE Q DEMOUSH <br /> INSTALL REPNR <br /> PROPO6E0 USE Q SFR � C,QMM � pTNER <br /> 1'YPE OF OONSTRUCTION Q BLOCK Q FRAME � STEEL Q pTNER <br /> DESCRIPTION Of WORK O� h � ~ °L r ('�T O F i"h D V�,1 C. <br /> BUILDING S17F �" SG FOOTAG6 HEIGEI7' � <br /> �] BU�LDING S VACUATION OF 707AL CONSTRUCTION <br /> [�EI.ECTRICAI S/ p� AMP SERVICE Q PROGRESS ENERGY �] W,R,E.C, <br /> �DOp. <br /> � PWMBN�G S ��� <br /> Q �ECWWI� $ VALIlATION OF MECWWICAL INSTAI.LATION �( � <br /> � GAS p RppFING Q SPH(',IAL1Y, Q OTMER <br /> FINISHED FLOOR ELEVATIONS F100D ZONE ARF.A QYES QNO <br /> BWLDER COA�ANY -� <br /> ���� �tEUS�frLfA Y/N �E CuR��rt Y/N <br /> AtltlraSS �jp�,�� C <br /> fLECTRIGIAN ���� r COMPANY � "���A �I��R�G <br /> 816NATURE / a�ist�o N F�curt�r Y!N <br /> a�,� o�s�y�t� r« . o - �« � c a FU 3390�»: �3oo�sa��l <br /> PLUMBER coMPaNr <br /> S�GaqrURE nFGiETEREC Y/N FEE CuQqENT Y/N <br /> Addrosz lisnse f <br /> MECHA►�HCAI� COMPANY <br /> SIGNATURE RC6iSTCRED Y 1 N a�C{IRRD�► Y!N <br /> �� Licsnw i <br /> OTHER � COIMPANY <br /> s��►T�� �aara�o Y� N FEE CURREM Y/N <br /> ^�� uoe�e r <br /> RESIDEN7IAL �aam{z�aa�a�ru;(2)eeb M BuNanp Plons;(7)sel af Ens�gy Pomx:R�o-w vermrt ror nsw ooncn�awn, <br /> AM�imum/en(70)wakinp days aRer suOnibl aek. Requirotl ens�e.CanNUdbn Plans,5�PIanS wl Sdt FenCE insLttleQ. <br /> Sarwtary FaciYtics d 1 duripster,Site Wpk perrtM(or abdivisipisAarpe piojats <br /> COMMERCIAL Atledl(3]aompNl9 isis Of 9Ylk�lp PI�t15 pNrs i UfN SlhQr PB�B;f 1)wt d Ens�pY Farms.RA-W Pa�rit fa nsw canwuaion. <br /> Mewmum kn��o)war�rq asys an.r warrnai aw.aaqmroa onuoe.Cooewcubn aiene,S�omavetx v�one vw Sx�Fence meunea, <br /> Sanqary FiRilities d 1�nps0er�S�EC Wo�k Perinit kt tdl new p�ojc�is.A1 Conrr�fC►yl rlquiYemlMs must n�Cl tdmpianae <br /> SIGN PERMIT Ntech(?a iMS of Enpif�id Pla�. <br /> "^"PROPERTY SURVEY raquNSO Por tl NEW aompuctlai. <br /> D+�cctiens: <br /> Fil out appicaadon compbtcq, <br /> Ov�niar 6 Conaacoor slpn back of applk.atbn.noarized <br /> n ovsr t25DO.�Notfe�oT Comm�nartwnt is nqW na. (IUC upqnoe6 owr S50oo) <br /> "" 1�ent(for Ine contrsatoh a Power or AManay(tor u�s ownar)woWa De aomaona wnn nomil�tl lener hom ov�ner auVannrp eame <br /> OVER TFIE COUNTER PER6tlTfING (FroN oi App11C9UOn dUy) <br /> Remofs Sewer. Servim Upgrades AIC Fenoe:�(PbH$unrey/Feelage) <br /> Drlvawaysl�bt arer Counter If on D�Ic roeWwys..neetls 120W <br /> TOTAL P.O1 <br />