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<br /> � si3-iso-aozo� City of ZephyPhills Perinit Applicetion Fax-813-780-0021 �
<br /> Bullding Deperlmenl '
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<br /> Uate Fieceived .._ p��one Corilact tor P`emilftin' ^
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<br /> ' Owner''s Name . , ,, ��'�/�
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<br /> Owner Phone NUmder �.�3,^� . �
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<br /> � Owner'a Addre'sb' .. . . Ownei phitrle Numbet :. ,.
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<br /> Fee elmple Tllleholder Neme ._.. .. .. ,,..,._. ..,,._�._ .. .. . .. bviner�'fioiie Numlter [-_.-_ .-� '
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<br /> Fee 51mp16 TlUaholder Addrasa ...�.. .... . .. ........... .. ...:....... ........ ,..,..............._ .,..
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<br /> JOB ADDRE9& ._,'�. .(D' .. � ... . . . Z Il I.S .... ..__3. � LUT R C�
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<br /> SUBDIVISION . .. ... . .. . . _...... . ... . PARCE610H . . . ..................... ... .
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<br /> (OBTAINED FROM PROpERTY TAl(NOTICE)
<br /> WORK PROP03ED e NEW coNSTR B ADD/ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REpAIR
<br /> PROPOSEO USE Q SFR Q COMM � �
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<br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAM� ' STEEL ""� •
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<br /> DESCRIPTION OF WORK �.. . ' ' �. :. ...... : . . . ..�.... . . . _. ........... ..-..... .
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<br /> 6UILDIN6 81ZE .... ... �.. ..._... SQ FOOTAGE�� HEIOHT �� -
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<br /> r TITT�.'.. � .. . ..... . .. .. ..�'f'f�l'?�T�1T'"TTi'1'T'r'.Tt`7T . 1'TP
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<br /> 08UILDINO $ � VALUATION OF TOTAL CONSTRUGTION ,
<br /> ��ELECTRICAL $ " ' ' ' AMP SERVICE � PROGFiESS ENERGY Q W.p.E.C.
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<br /> QPLUM9ING $' ' � '
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<br /> [�MECHANICAL $ t��'.[) ' VALUATION OF MECHANICA!INSTALLATION
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<br /> []OA8 Q _ ROOFING �] SPECIALTY 0 OTHEf2 J � rr '�
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<br /> FINISHED FLOOR ELEVATIONS FLOOD ZO,NE AF2EA CJYES NO
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<br /> �1=1-6-1�H={-H-f=1.:1-4J�H=�'++=�C:.:=Hy-. - - - - - L'�4-�"..+=''.-�.-''-F-1-
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<br /> "1:=6-1={=L-{=i-4'p=+=".-C�-�L: - - -
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<br /> I BUILUEft COMPANY _.. .........._.._........ - -
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<br /> 510NA7URE .............. ..... . ... rieaisTeaeo .Y.'f.N_.: Fe6 cuaae� .Y L N_.
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<br />' Addrese ; _ � "
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<br /> ,.. . . . .........._....... _. � Llaensefl .. .... ._..
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<br /> ELECTRICtAN �COMPANY '
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<br /> 31GNATURE RE(315iER�D ' � Y I�N .. F,EE CURREA' �Y G N �
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<br /> AddfOSe . _. . . ... . LlbenSe#
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<br /> PLUMBER COMPANY
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<br /> SI(3NATUflE� . ._ ... . . __ RE616TERED .Y/ N_: FEECURREA " "Y/N.. �
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<br />� Addreas _ .._ ... Llcanse# .
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<br /> MECHANIGAL COMPANY �\rTCGl� //1 (fr �A$ .
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<br /> SIGNATURE ._.:. ,.. ...,,._.... ;_.�., . . . . ._._. REOISTERED .Y.I=N._. FE�CURREI. � _Y.IN._ '
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<br /> Address 7�p. ,3..� r- _. .il�$_ . . .,�,3 Lidense l� ' \
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<br /> OTHER CONIFANY '
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<br /> SI(3NATURE ' . .., .�... . �R6OISTERED Y'/.N' kEe burtpen ' Y!N ' '
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<br /> RE6IDENTIAL Altech(2)Plol Plans;(2)sels ot Buildlrig Plans�;(�)sel of Energy Foirns;R-b-W Perrnil(or nedv con'slrucllon,
<br /> Minlinum�en(10)viorking days Afler'su6mitlal dele. Requlied onsile,Consliuction Plens;'Slormwaler Plahs wl Slll Fence Inslelled,
<br /> Sanitery Fecllilles 8 1 dumpster,Slle 1Nark.Peririlt tor subdlvislonsllerge pioJedl's
<br /> COMMERCIAL Allech(2)complele Bels o(Bulldlrig Plens plus a Life Safety Page;(1j'se�of Energy Fomis.R-O-W Permil fo�new eonslnic(Ion.
<br /> Mlnimum len(10)workin'g days after submlllal dele. Requlied orisile,Conslructiori Fleris,Sl'ortnweter Plens w/Sill Fence In'slalled,
<br /> ' Sen�tery.Fecililles 8 1 d'umpsler.Sil"e Wbrk Peirrill f6r el1 ne�i proJeals.All commercial reyulreinenls rtiusl rimeel Compllartce
<br /> SIGN PERMIT Allech(2)sels b(En9lneered Plans:
<br /> ""PFtOPERTY BURVEY recjuired lor ell NEW consliuctlon:
<br /> �I-C-Pi�p'��H�+�'.-:�.��I�L=".-::�:a�� '..,-�.�.�1-4�{�{c1:1�".-r.�-.�-.�k�L� ■-� �...._..� • � ' �-��_...�
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<br /> • Dlrectiohs:
<br /> FIII oul appllcallon d"omptelely
<br /> Owner 8 Conlreclar sign tieck df applicallon,nolarlied
<br /> 1/over EZ600;a Nollca of.Commencamanl le required: (A/C upgrede's ovei 57600)
<br /> " Agenl(for Ihe conlreclor)qr Power ol Allorney(for the owner)would be someone w8h noledied leller Irom owner authodzing seme
<br /> OVER 7HE COUNTER PHRMITfING (copy of donliecl requlred) �
<br /> Reroots If shingles Sewers Service Upgrades AIC Fenaes(PIoUSurveylFaolege) _
<br /> „ Driveways-Nol over Counler if on public roadweys..needs RDW
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