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i <br />' 07/10/2014 23:27 8139687921 ISE GUYS PLUMBING PAGE 04/04 <br /> B73•780-9020 Ciiy of Zephyrhills Pe it Application • Fax a��.rao-DO2� <br /> � ' , Buildi�o DcDa snt <br /> Daf�Recelvetl Ahone ContectTOr Permi n 3 b� �5 7 <br /> �T7T'1"1'TT �y <br /> Owners Nam¢ � �. Owner Phcnc Num6er S � � <br /> Owners Addrese �� E. �� Ownar Phone Number <br /> I Fee Slmple Titieholder Name OWqel'Phone Numbcr <br /> Fee 3lmpie�7nenotder Aadress <br /> JOBADqRE55 ' I �' jS�+ �/D �— • LoT�K �� <br /> sueoiwsioN �/,5' p�c�.�o� j ' �� 61� Q� ��Q <br /> '� • (OBTAINWFROMPI�ODERNTAXND�CL'� ' <br /> WORK PRpP08ED e NEW CONSTR B AD➢IA1.T SION Q � ' OENJOLlSH <br /> INS7ALL REPAIR <br /> PROPOS�D UBE Q sFR 0 COMM a7HER [, <br /> • Tl'PE OF CONSTRUCTION Q BLOCK � FRAME 37EE� Q <br /> DE3CRIP710N OF WORK ,T�U� �L.{� 7` ..J �}A 7�2-. 7—' ' ' <br /> BUILOtN09lZE SQFOOTAO�� HEIGIIT � ��� <br /> �BUlLbINd � VAI„UATION OF 70T CONSTRUCTION ;I�i�� <br /> r <br /> �ELECTRICAL S AMP SERVICE [� PROGR�SS ENERGY � UV.k.E.C. . <br /> ' �PLUMBINO S �A ' <br /> �MECHAtdICAL 5 VALUATION OF MEC ICAL INS7AL�A71pN � �`-'�/1 D'"''� � <br /> ��,.�yn/�n/ � \J/�� � � <br /> OGA5 Q ROOFING Q Sp�CIAL'fY OTHER ' r , �1���" � <br /> F1N15HED FLOOR ELEVATIQNS � FLOOD ZONE A, QYES NO <br /> BUOLDER COMPANY <br /> �IOAIA7URE pEdIBTFAEO Y/N FEECURREA Y/IV <br /> addreae u��z�o <br /> ELEC7TtICIqN COMPW�IY <br /> SIGtdA7URE R�G�STEJtEO YI M FEECURREA 'Y/N <br /> +�d�g Llaenae# <br /> PLUMBER � COMPANY Wi.� U S 'I��-(IYA�IIUC <br /> StONA7URE REOISTERED Y J N r�e curwen Y�N <br /> rwarees a �3� �;���:�;� � <br /> 6AECHqNICA� � COMPANY <br /> S1GNA7URE REO)STERED Y/ N F6@ cURRM Y 1 N <br /> ' Qtltlrees Lloenae� <br /> oni� coMpANY • <br /> SIGNq7URE RCGIsTF1tEO Y/N F�BeuRhl� Y/N <br /> AAtlre69 LICenB9? ' <br /> �� � ii � � � � � � � i � ii � ii � � � � ii � i � � � � � iitiii � i � � � i � i � t� f � r� � � � � � � � � i � i � i � . <br /> RESIAENiIAI. Anach(2)Plot Ptans;(2)sels of Bw1d'u�g plans;(1)set ot Ene�gy orcns;R-0•w Pormil tor new conawcuon, <br /> Nllntmum ten(10)wo�king days a(�er submiltel date� Requlretl on le,Con:ln,ctinn Plans,Stortnwater Plena w/51Q Fenrt inMalled, <br /> 6enlmry Fetllltles&t dumpskr;Si�e Work Permfl rar eubaMelone Iarpe pmjecL- <br /> COMMERCIAL Atleoh(3)complete sets of Bu��np Plaas v�us e Llte 9etery Page;(1)�et o►Encrgy Forma.R-O-W PertnttTOr nex+construelion. <br /> Mlnlmum ten(10)working days after submlttel Cete. Requlretl on e,Canstruclion Plena,Stormvster Plens w!Silt Fence i�stall�d, <br /> 5enitery Fecilities 81 dumPStsr.81te Work Perm3t tor eti new proj :,A11 wmmerclel reputremeMe must meel complian�e <br /> SION pERMIT AttacJt(2)xlf ot En9ineStBd Pldne. <br /> "�"PRQPERTY SURVEY reqWretl ior el!HEW construction, <br /> Dif¢dions: <br /> FiU out apD�tcatlon completey. <br /> Owner�Cant�ector algn bedc oFappfioiion,nolarized <br /> Iraver 3�00,a fJOUee oiCemmen�cmcntfs roqulred. (A1C upgredes over 7600) <br /> " ADarri(forthe oontracWq or Powre�af pttamry(ior Ihe owneq vroutd he sorneone with no�rced►eHsrfrom owner euthoezing esme <br /> OVER THE COl1MER PBRMITTINO (FroM of Appf�lion Only) <br /> Reroaf:dshingt�s Senera Serv�e tlpgrades A✓C Fencas(PIoUSurv lFOMeye) <br /> ' �r�ver,ays.NO1 ovar Coumer Ir on pubpe roativmys..needs RqW • <br /> L— <br />