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<br /> � , . 813-780-0020 City of Zephy�hills Permit Applicatfon Fax-813-780-0021
<br /> � . Bullding Deparlmenl
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<br /> Oale Flebaived _ .. .
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<br /> owner's Ne�ne. d. ,_,�. .Lr . e�I C�� , , SA.GL�/ , Owner Phona N er
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<br /> OVvnOi'9 AdBre'ss`� _._ 1l/�3..O�. ... L ../K.ts�!!�.� OVvd"ei�'fione Numb�r
<br /> Fee 9lmple TlUeholder Neme ....___.... .. . . ....:. ........._ _.. ,.... .. bwnet hNone NumNmr -- -.. .., .. ._.._.. ....__.. -
<br /> Fee 5lmplh TlQeholder Addrees .. .... .. .. ........ .....� .._.. _. ...:. __ . .........._._....._ _.__.....__._.._...._.__.
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<br /> JOBAD[SRE88 � .. ... - . : �., fh1.I_�. _ ,__. . ... .. ___ _ LOTp �
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<br /> .SUBDIVISION . .. .... .. . .. . . . . . PARCELIDR J.� pC.l.'"' ' "Q9 ' .-
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<br /> (OBiA1NED FROM PRUpERTY TA)I NOTICE) �
<br /> . WORK PROPQ9ED NEVV coNSTR ADDIALT � SIGN Q Q DEMOLISH
<br /> e INBTALL e REpAIR
<br /> PROPOSED USE Q SFR Q • COMM
<br /> '" OTHER . ._ . . . ...
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<br /> TYPE OF.CONSTRUCTION Q BLOCK Q FRAM� L� STEEL Q ; ,' ' ' ' -
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<br /> DESCRIPTION OF WORK G. - '- ..
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<br /> BUILDINO SIZE . .._ .!.:- SQ FOOTAGE , .�,....
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<br /> ... ._. . .�'}T7�IT1.'., • .. . _. , . .Tr'I�1�tR'1.'�1'7�":.._.�...........: .
<br /> L�BUILDINa �� VALUATION OF TOTAL CONSTRUGTION
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<br /> QELECTRICAL $ � AMP SERVICE
<br /> � PROGRESS ENERGY Q W.k.E.C.
<br /> QPLUM9ING $ '�� .: : � � �/_ �
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<br /> �.�MECHANICAL $''•.' " ' ' VALUFlTION OF fv1ECNAKlICAL INSTALLATION
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<br /> GAS OFINO � SPECIALIY Q OTHER
<br /> FINISHED FLClOR EL�VATIONB FLOOD ZONE AREA QYES NO
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<br /> BUILDER COMPANY .. .. . . ._.._ ..__.. _.__..
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<br /> 510NATURE . . . .. ........ ..... ...... ..... a�oisTeqEo - .Y.f.N�. Feecuaa6n ' .Y.l.N: .
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<br /> Addreee "' -
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<br /> ELECTRICIAN �COMPANY �
<br /> 31(3NATURE REOISTER�D � Y I N . FEE CURREA� �Y I N � ��
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<br /> Addresa . . Llcense#
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<br /> � . PLUMBER , COMPANY .. . . . .. ........_ _.,-
<br /> SIONATURE� � . _ _ REGI6TERED � ,Y/ N.: ��� FEE CURRE� � ��Y/N.. �
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<br /> Address .c.. . . . . ...... .. .. ...... ....... ......_ .. .. License# .. . ._ .... ...._. .
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<br /> MECHANIGAL � GUMP.AN`! f�2��I.�(lr�� O� ��U
<br /> SIGNATURE __ .4., REGISTEftED � _Y.I=.N._ FE�CURREA _Y.IN.. �
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<br /> _ Addre9s ,3. � . r 1�"p.�- i � Llcense# �. •
<br /> OTHER � COMRANY ... . .. _. ....... .. .. . ._ . :.__.._..._. ._.
<br /> SIGNATURE � deoisreaeo Y'/ N' FEE cuak�n'�' Y(N ' '
<br /> Address Llcense# .
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<br /> RESIDENTIAL Allach(2)Pl9l Plans;(2)sels ot Bullding Pleh�;(1)set pt Eriergy Foirns;R-b-W Permll lor new con'slruallan,
<br /> Mlnlmum�ert(10)working days'efler Su6mltlai tlele..Requl�ed onsfle,Coh'sliucllbn Plens;"Slormwaler Plens w/SIII Fenca Insl'atled,
<br /> Sanitery Fecllltles 8 1 dumpsle�;Sfle YVork Permlt for subdl'vislon"sllerge Piojecls
<br /> COMMERCIAL Allech(2)camplele sels of Bullding Plans plu's e LIf9 Sefely Pege;(1)'se(of Eneigy Fomis.R-O-W Perrtill fo�new conslrucllon.
<br /> Mlnlmum len(70)working days afler submlllel dele. Requlred onslle,Conslructlon Plaris,Stortiiweler Plans wl Slll Fence Instelied,
<br /> Senllery.Facllllles 8 1 d'umpsler.Slle Wbrk Perrtill for ell nevi PFoJeols.All tommerclel requlreinenls rtiu'st meel comPllance
<br /> SIGN PEfiM1T All"ech(2)sels bt Englneered Pla�s:
<br /> ""PROPERTY BURVEY requlred lar ell NEW donsliucllon:
<br /> +,.�'�'.`'���1={�{a��..�+�"��'�"�'-''�.��.�.,.y .�^�,.�.��..�'�"-.-.�'0'�'."=��{={=F�=�1�'.'�.�.-�':.-S"'-^'''�rT.�.-�.�'' � � •.�_._... �.� i-.:�-.-..�
<br /> •. Dlrecllohs:
<br /> FIII out aPpllcallon comptelely
<br /> Owner&Conlreclor'slgn tieck of eppllcellon,nolerlied
<br /> If over iz600;a Notloe of.Cbmmencemenl le raqulred: (A/C upgredes ovet 57600)
<br /> " Age�l(lor Ihe conlieclor)ot Power ol Allorney((or lhe owner)would be someone wllh nolerlied leller from owner euthorizing seme
<br /> OVER THE COUNTER P�RMI'fTING (copy of donliecl r�qulred) �
<br /> . Reroois It shingles Sewers Servlce Upgredes AfC Fences(PIoUSurveylFootege) -
<br /> , Drlveweys-Nol over Counler If on publlc roadweys..needs ROW
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