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<br />813-780-0020
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<br />City of Zephyrnms J-'ermll J-\\J\JlllidLlUII
<br />Building Department
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<br />Owner's Address
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<br />Fee Simple Titleholder Nam~
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<br />F.. 51mplo TItloholdo, Add.... [ !
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<br />I 1-/ '6:L q i=t ~ .ft1?/ ,(ilVAtv('~ I LOT. I b+ 7 I
<br />I (YJoo(is hVS+ f-lJil PARCELlOO[ I /..f - .;;L& -.;;LI - 00 10- 6/ '--105- (J 00,0 I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />o SIGN 0 MOVE 0
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<br />o
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<br />..)
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<br />Owner phone Number
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<br />Owner phone Number I
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<br />Owner phone Numb~r l
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<br />Date Received
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<br />Owner's Name
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />DEMOLIsH
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<br />DESCRIPTION OF WORK ! \1\/1 hdo'J) ~_p-lacevn;'?J7+
<br />BUILDING SIZE I~, SQ FOOTAGE I') HEIGHT I
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<br />l' , . . I I . I I . , . . . . I . . I . I . I . . I . , . , , . . . " . , . . .. ,. I . ~ . . , . , . " . , . I ., . I . I . I , . , . . . . I , . I . I . . . . . . . . . . , . I . , . I I , I I . . , . , I , . I , . I , . , . . , . , I I . . , . . , , . I , I . . . , , . I I . . I
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<br />o BUILDING 1$ 3Cf50 ~ I VALUATION OF TOTAL CONSTRUCTION
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<br />o ELECTRICAL 1$ I AMP 5ERVlCE t::J PROGRE55 ENERGY 0
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<br />o PLUMBING 1$ I ,JOC-
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<br />o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
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<br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />" , , . . I I I I I . I . . I . , . . , I I I , , I . , . I . I ~ . I , . · ' , ' . . . , . , . , , , . . , . . , , . . . , " . , , ';~.~' , , , , , , , , I , , . , , . , , , , , , , , , , , , I , , , . , . ; , I . . I . . I . . , . , I . , . . , . I I I . I I I , I I I . . . I , i
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<br />~~~~~RE I ~ ~'l 'i.: ~::rrn () TOlIN I I
<br />36Lf~ I
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<br />MECHANICAL I COMPANY ['
<br />SIGNATURE i REGISTERED Y I N FEE CURRENT Y I N
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<br />Address Ucense # I
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<br />OTHER I COMPANY I
<br />SIGNATURE i REGI"""D Y I N FE'CURRENT Y IN
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<br />I'" ,~~~~::, """" """ I'" """ """ """"," '" II" """," II'" , ""!",, II""" II"" I~:':'.':~~ ~"'! "'" II" 1'1'" 'I'" I" IIII""!
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onslle. Construction Plans. Sanitary Facilities & 1 dumpster
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for ali NEW construction,
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<br />Directions:
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />8
<br />o
<br />o
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />OTHER I
<br />STEEL 0
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<br />OTHER I
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<br />I
<br />r
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<br />WORK PROPOSED
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<br />W.R.E.C.
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<br />Address
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<br />
<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY [
<br />REGISTERED
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<br />YI N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY ,I
<br />REGISTERED
<br />
<br />License #
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<br />PLUMBER
<br />SIGNATURE
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<br />Y/N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />License #
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Fill out application completely.
<br />Owner & Contractor sign back of application. notarized
<br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
<br />.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone With notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
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