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03/26/2013 TUE 14: 50 FAX $13 SOUTHERN EQUIPMENT �001/001 <br /> - 813•780•0020 City of Zephyrhills Permii Application Fwhe»-�eo-0oz+ <br /> BWidinp oepanr�M <br /> Date RecoWed 2 ,. ��7�-� Pharte Contaetlor P�rmlain � 2 ,Z'c� _ {�� �U � ZC.T'�� �J �J'L d��'Il�.Q. <br /> OwnePsName 1., �.�. ��i. � (r•p,,,� r�honeNum`par ` <br /> Owner's Mdress�, q� ��O! .5��✓�'�{'l.N�-+ 4�� r -'j <br /> �+.Iy-i- one Number � 3 <br /> Fce Slmpla Tllleholdor Name �' p�er Phw�e Number D�1' L.S�' g� f.� ��� 'j <br /> FeeSimpl�TiUeholderAddrmas - i ' � <br /> Y <br /> JOB AODRESS .3 � '4�1 M R R�L£�T F��►A R.'� LOT/! � <br /> SUBDiVI&ION �i PARCE�tbAt O�L^�.�0`�.�' O(�{O�OL(O O O'D O '0 <br /> (OBTANJED FROM PROPBRTYTA7f NOifc,� <br /> WORK PROPOSBp NtW CoNSTR ADD/AL7 � SIGN Q � DEMOLISH <br /> IlJSTALL � REPAlR <br /> PROAOSEO USE Q SfR COMM � OTHER <br /> IYPE qF CO►i37RUCTtON � BLOCK FRAME � STEEL Q <br /> �^� ) p� �_ .r�;/ <br /> AESCRIPTiON OF WORK �..V 1d SZ'�.�C.'T �4 S Hy 1�L� S'L o 1L ��A+JS��� �O �.�C 1S'�1��0 �V l\. , [.�r� l:� i� '••"_ <br /> 6UILDING tZE StiN��.� S'C• gQFOOTAG� V�� �,I� ��'�( <br /> kE1GH7 ����r <br /> t <br /> BUILDINCs S �1�$�00 Q �'VALUATION OF 7pTAL CONSTRUC7iON � ` �,��x <br /> '�T"' Tl�4t,.� <br /> �ELGCTRICAI S �� AMP SERVICEIp�t� � PROGRESS ENERGY � W.R.E.C. <br /> [VJPLUMB�NG <br /> a €� A o � 3 .�,�-: � �c�s _ �� i ,s:�.i <br /> , <br /> MECHANICAL �� o� • VALUATtON OF MECHANICAI INSTALlAT10N ` �`!��,� ��C V <br /> O�S � ROOFING [� SPECIALTY 4/ � �I ��• I/�C+"�✓'� i/1 �j I Gt.I�Y�.IK e. <br /> [—� OTHER • V <br /> FINISIiBD fLOOR EIEVAT10NS � p FLO00 ZONE AREq x QYE8 NO � - -��L� ��� 'J� <br /> � � J �5![..�'- (,y�� •S�/-�. � <br /> �y�,��,�ir-��awt� <br /> BUILDER � �f���`� �i��s � � <br /> SI(3NATURE ��.-- COMPANY �, �{_'� <br /> r+�s r E r t e o Y/N f�e c t r a rt En Y/N ��:.�-��,y�I�Z L�V� <br /> .____. Address y .S� . .�,. �T'(�, S . �.'f'E +�1.����� « �CyC O'�'u���1y <br /> ����. J!�"1'I, ELECTRIC{AN � COMPANY <br /> ��� SIGNA7lfRE RE61$TERf� Y/N �ctxtR�. Y/N <br /> ' � F�� Add�.ss <br /> .y -7�a_c;�".� <br /> PLUMBER / /�, � �� �)� COMPANY O.i.4 <br /> SIONAri1RE � r�/ v""`��C G7� 1,Reds�n�o �cuars�n �.< <br /> Adaress ' ' <br /> f r.- _ Lkense�tl <br /> �+Z ��(,�� �MECHANICAL � ���^ <br /> � �1 �7J.��� SIGNAY.uF2E COMPANY C�. �I�A�N ' <br /> .� �}A!'/J�.� RE6ISTERED Y N fEE CUItREA Y/N <br /> L i S,-������sy� Adarose Ucense# � <br /> O7H8R COMPANY <br /> S!(iNATURE REGfBTEREO Y/N gEE cu�uten /N . <br /> Address License p � � <br /> RESIDENt1At Attach(�Pbt Plans:(2)sets M BWIOinp Plans:(1)set ot Energy Fom1s;R-p-W pe�pil for ne�ycon5lNpipn, <br /> MiMrtwm len(t0)watcing days aryer wbmlltal date. Rgquired onsfte.Conefructlon Pkns.Stormwaler p�yr/Sfll Fence instaUecf, <br /> COMMERCIAL Attaoh(3)s�ete eeta o/Bull�ng PIenB piVS a L�¢rSof@ly�P9g@$(1�gEt of Ettergy F01m6.R-O-W Petnlll iw tIBW Cp1161Ndi0�. <br /> Minimum uo(70)workhp days atler supmltta�dato_ Required o�s1�e,Consuvction pla�s,8tormwaler Plnns wl SUt Fence Instalkd, <br /> Sanilary Fadqdes 6 1 dumpsler.Site WoAC pemi(�/or all new projOCts.All comrrlBrqW requiremeMS muat meet complisnce <br /> 816N PERMI7 Altadi(2)sets of Enginaered Plais. <br /> ""PROPERTY SURVEY requ(retl for eN NEW cansWClion. <br /> � it � � i � iii � � � � � � i � � � � � � i � � � � � i � ei � � i � ei � t � i � � i � � � � i � � irii � ti � � iii � � <br /> DtrpctFOns: <br /> FSIf oul npplicelicn¢pmpi0leiy. <br /> Owner&ConGactw sign badc W appllcetion,notarized <br /> It over S260D,a Notice of Commencomont is required. (qIC upgndes over 5T600� <br /> •• A9en1(ta Ihe corniapor)or Power ol Atlomey(for Ifie owner)woultl be sameorte with nola�iutl leper!rom owner eulMrizing samo <br /> OVHR FHE COUNTER PERMITTING (Froni of Applicatton Ony) <br /> Roroofs it ehingles Sew,ors Senrire Upgmtles A/C Fencea(P1ovSurvey/Footage) <br /> Driveways-NO1 over Countar i!on puMic roadways„neeCS ROW <br /> l00/l00'd 5�Z# ZI�ZI £lOZI9Z1£0 :aoa,� <br />