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aisasaoozo City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Dapa�tment � �
<br /> Date Recelved � �_ � .' .. '. . ` �-
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<br /> Owner'�[��me ����'9 ���^�+���^��'��'.""'� Owner�hone NumberF '
<br /> Owner's Address �a � `=C: Owner Phone Number �� �
<br /> Fee Slmple rTltfehold�r Name Owner Phone Number �� �
<br /> Fee 3lmple�Titleholder Addresa
<br /> J08 ADDRESS � �(,,,, , �� LOT# � 1
<br /> SUBDlViSIt3N '�� � ;(x.'� �, P.ARCEt,iD# , t-,�t•E10 • ; '1}�'�t o j
<br /> . , (OBTAINED FR4h9,PROPERTY TAX NOTICE)
<br /> 1NORK PRO,POSED- � NEW CONSTR ADDlA�:T � SIGN'� Q Q pEMO1.iSH
<br /> ` -.e. INSTALI. 8 ;. .REPQIR
<br /> PROP03ED=USE Q SFR- Q �COMNI � pTHER � +' ' .� -
<br /> TYPE OF CONSTRUG170N = Q� ��BLOCK " Q FRAME � STEEG �Q ,
<br /> DESCRIPTION OF WORK , %' �� ',
<br /> BUI�DING'$!ZE � -SQ'FQCiTAGE ' , , . ,,HEIGFIT". . ,.
<br /> �����'���C' � VAk.UAT10iU�'C?F`TO'TAL CONSTRt1GTION T{, ', . �
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<br /> QEI.ECTRIGAL .C. � '� A�IP SERVICE Q 'PROGF2ESS ENEFtGY Q W:R.E.C.
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<br /> �PLUMBiNG - $�'� � .
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<br /> QMEGHANICA� ($- �� VAIUATtOtd qP:MECHANiC,AL ENSTALLAT!{aN �.�'(y��l��
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<br /> QGAS � EtOQFIPlG Q SP�CIAL`I"Y �� C1THEi2 � �d' �
<br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA [�YES ,�'j�0� ,
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<br /> SUEF.DER � C' ,` � � COMPAFlY- '`r`�Z ���
<br /> tGNATURE � ,r� /� REGISTERED Y/ N 'FEE CUR E� Y/N
<br /> Address !. �' . llcense# ����.��� �,�,� � �
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<br /> E�ECTRtCG�l�. • � . GOMPAFlY
<br /> SIGNATURE �` REGISTERED Y/ N FEE CURREK"' 'Y/N �i
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<br /> Addre�s ' , - , t � , License# � �
<br /> PLUMBEl� `; � � GOMPANY - :, . � . - �
<br /> SIGNATURE' � „ �REGISTERED . Y./-.N�: , �;,_FEE CURRE� ` Y�/N. ":�_, �
<br /> Addres$ ' � � � � license#, � . ` ��_,
<br /> MECHAt�tlGAl: ` " ` C.QMPANY � �
<br /> SIGNATURE� " � ` REG�STERED Y./ N . , - FEE,CURREn= Y+/=Id = , �
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<br /> OTklER ,' � �� - � � � �. `;�COMPANY' . � � _�
<br /> SIGNATURE ;�: ' �' �' �� � ` ` " � " REGISTERED` � ' ' Y/ N_•,-. �FEE CURRE� Y/N
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<br /> Addre�s� " " z x� . �. ' Cic�rise# ('` � .
<br /> RESlpEPiTlAL; �.Attac�S"{2}�Ptot�P.taris;{2•}sets=of:BiiltBirig�'Plait`s;'{1}sefdfi=Eneigy�Fosrrms;F2=Q-W'�Peris%it#ornew�auns#ruction, ' �
<br /> ;',�;�r Mtnimum�,.ten�(:1Q);wo,ricing�days�_after,;subin{ttal`date.,,Ftequir"ed onsife;°Constr
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