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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-81 ~-7I:JU-UU,n
<br />
<br />
<br />Date Received
<br />
<br />"Owner's Name
<br />
<br />/". Owner's Address
<br />
<br />Fee Simple Titleholder NamJ
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />I 5 14m FE
<br />laru\'\J
<br />
<br />./ JOB ADDRESS
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<br />LOT i#
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<br />Hon-zo}...J
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<br />I
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<br />D NEW CONSTR ~' ADD/ALT D
<br />D INSTALL CJ REPAIR
<br />PROPOSED USE D SFR 0 COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
<br />
<br />./ DESCRIPTION OF WORK l:r n .s+a I" :2 se r e e IV U/ Cl , Is
<br />
<br />~UILDlNG SIZE I/~ r)(' J~/ I SQ FOOTAGE I a5:1 I HEIGHT IS" I
<br />
<br />, , , .. , , . , , , , , . , , , , .. , .. .. .. , , , , , . , , .. , .. , , . : , .. .. , .. . .. ~ ' , .. .. .. , , .. . .. .. . .. , .. . .. .. . .. , .. . .. .. , , .. , .. , .. .. , , .. , .. , , . , , .. , . , .. .. , .. .. , , . .. . , , .. , , ,
<br />
<br />BUILDING / 1$ J? {)o . 00 I
<br />
<br />1$ 1
<br />1$ I
<br />1$ I
<br />
<br />D ROOFING D
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
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<br />o
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<br />
<br />D
<br />D
<br />D
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<br />D
<br />
<br />ELECTRICAL
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />GAS
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />./
<br />
<br />
<br />Add ss
<br />
<br />ELECTRICIAN I,
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />PARCELID#I J-};).S3 7/-d/76CJc.:J()CJC1 :;tcfGlcJ
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
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<br />DEMOLIsH
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<br />1
<br />I'
<br />I
<br />
<br />OTHER 1
<br />STEEL D
<br />
<br />OTHER 1 5 c r~ eN
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />t=J
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<br />
<br />W.R.E.C.
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<br />PROGRESS ENERGY
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />I Y I N I FEE CURREN
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<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Address
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<br />MECHANICAL I
<br />SIGNATURE .
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<br />Address I
<br />~'~':,~;"RE gy Iv
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<br />License #
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<br />REGISTERED
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<br />Y/N
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<br />YI N
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<br />FEE CURRENT
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />I YI N I
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />FEE CURRENT
<br />
<br />Driveways
<br />
<br />Fences (PloUSurvey/Footage)
<br />
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