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<br /> e� 780-0020 City of Zephyrhills_Permit Application Fax-813,T80-0021 •
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<br /> Owner's Ad resa_ lOr'J�j�j: No.t��Ce� �• _ 11�i1\S�F�.-3� �wnor-Bfio�ie Number � _ y
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<br /> W�RK PRQ .OSED . � NEW'CONSTR: ADCf/AL�I'• . � S10N:;�;``[� " �-0 ' `DEMO�(S�I: . ' �
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<br /> TYPE OF C N8TRU�TIOIiF: °`., , �BLOCK` '' FRAME S1 E�L �
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<br /> FINISHED FLOOR EIEVATIONS FLOOD ZQNE AREA YES. NO �
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<br /> SIGNATUR
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<br /> C,OIWMERC Attach(3j�eomplete"��e�-of�uildfn"g'Plens plua a.L"1fe S$fety.Page;(1)s�t o�Energy Forms.R-0-W Permit for new constnictton: -
<br /> Minlmum ten(10)working days after�submittel date. Requlred onsl�e,�CorlsUuctlon Plans,Stormwatar Plans w/SIIt.Fena Installed:..
<br /> SaniteryFadiides_��,1_dymRster.;Site:lAlork=Pertn(t:for�ll�nei+V:proj�cts:All'cbmmerolaloequl�ements=mu8t;meet:compilance� -
<br /> $IaN-PE Attacfi"(2)sets ofEngineer�d�iatNs��� ��'=y':�'.`:.���; `- - -
<br /> � ••••PROAER7Y SURVEY.requlne�i�o�1�IF�1�W��p�shucBo�r -
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<br /> Directlons: I ;�::>:�.r.�,=:-:�..:�::..,.,.�,.:.:,. __. _. _.. _ ._.. . . . -.. ..... - _ �. - .
<br /> FIII out applPcatlon�mpletely.
<br /> Owner Contractor.sign.back�ot�appl(catlon,norddzed
<br /> If ovar�2500:a_l+toHca of Commen�ment ls roqulrad.,,(AIC up��des ovar s7500� • F _ � . . _,
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<br /> " Agent( r tfie cent�Cto[?pt P6Vu�r of'Attomey(fo�#fie owner)would be someone with ncta[ized letter from owner euthoriztng same
<br /> 'OVER'TH� OUN7�R.$ER(iAlaT1NG:.`., ,{�ronf�l�Pppcadon`Only)'� - , ._. � � ` - .
<br /> Reraofs if ehi gles _`.Sewera s , Service Upgradee A/G Fences..(PloUSunrey,/Footage)- _ - + - ^
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