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<br />~14/2006/THU 01:26 PM
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<br />, 813--780.0020
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<br />ZEPHYRHILLS BUILDING
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<br />FAX No. 813-780-0021
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<br />p, 001
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<br />" .' City of Zephyrhllls Permit Applie;atlon '
<br />., ' " Building Department
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<br />FaX-813-780-0021 '
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<br />~:'.:~5L\.?-
<br />
<br />.1
<br />I
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<br />OWner Phone Number
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<br />~nerPhone Num~r,1
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<br />OWner Phone ~u.mber 1
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<br />. ~:t.J,.,~
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<br />2cph (hIlL:). fe
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<br />. I '. 'P~RCEL ID#I
<br />(Q8TAlt,IED FROM PROPERTY TAX NOTICE)
<br />. n . NEWCONSTR D,' AODfALT 0 SIGN D 'MOVE 0
<br />D INSTALL' . CJ REPAIR
<br />PROPOSED USE 0 SPR D COMM . D.
<br />lYPE OF CONSTRUCTION' '0.' BLOCK D FRAME D
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<br />
<br />. /;~~;;;:~~.l~....~....5:i,\~:.~~~..,~..~.~~...~~~~r~;r.,.,,:!.:E.........:~:~
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<br />d BUILDING 1$ , ' " :,l . . VALUATION OF TOTAL CONSTRUCTION
<br />1jQ, ELECTRICAL 'I$ 'IJ tJ J)'~ 1 ,AMP SERVICE, ~'PROGRESS EN:~~Y ,0
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<br />J D. PLUMBIN~ '1$' -,.I.:" ' /'. ,{ I
<br />1$, ,A, oi? () I, . VALUATION OF MECHANICAL INSTAllATIO( ,.. J & 1;-
<br />D ,ROOFING 0 SPECIAUY D, OTHER ~_
<br />FIN~S~ED FLOOR ELEVA~IONS : I . 0 ,l FLOOD ZONE AREA DYES DN<? ' .
<br />~ II111111 ( I J I J I I III I 11I1I I III I I 111111111111 I I i II i 111I I I I 11III I I I II I 1111 I 1111 I III I I I 1111111 I I I I 111111 J I I 11III I I I I I i 11111 I I 11I11I I I I Ii 111111111 I I IIf
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<br />:ro~~RE I . . ..,. .'1... ~= I YI"! _OJAR'NT YI. I
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<br />Address I "ucense # I. . ,.
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<br />. v/ELEC.TRlCIAN I'Qt, j\'Qt' ], COMPANY1 (:\0((.1 7c~~...e! 0 h1J~1
<br />SIGNAroRE . _ ReGI51'EREO. I Y I N FEE CURRe~ LY f N
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<br />. Addre&~ I I, , L1cense# .I J
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<br />PLl.!MB-ER '. 'I,' ,,]. CQMPANY' L . I
<br />SIGNATURE . _ ". REGISTERED . I Y I N FeE CURRENT I. Y f N
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<br />. Addre&s I I : . License. # I, I
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<br />~ECHANIC~ I ,CL' 't ~ .J, COMPANY vi . ~~c) (() 7 e'f-cJ '-JC? I ~~ J
<br />. ,SI~NATURE '. , RCGIs:n;RED _ I N I FEe CUAAENT , .1 Y IlL-, '
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<br />, , . .Addr!!$s I oj license # L. I
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<br />':TU.RE .1 == I' YI. !, ....CURRENT Y/N J
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<br />. Address l I License #. r I
<br />~ 11111111'11 I 11I1I J II 11111 I I Jill' ll.l 'I! I I II I i 1\11 I I It 1I1I11 n I 1'11111111 J I I IIII 1111.1 J I I I III I 1111\11111111 I III r 11\11.11111111111 I i 1II1I111II1111 r I I 1\
<br />RESIDENTIAL Atta~ (2) f:7lot Plans; (2) 6'ts l?f Building Plans; (1) sel''or Energy Forms . '. . . . .
<br />, Minimum ten (10) worklng ~ays after submittal date. Required onsite, Construction Plans, siIfl!tary F.aciliUes & 1 dumpster
<br />COMMERCIAL Atla.en (3)'5els of BUilding Plans; (1) liet of Energy Fonns. '.' .' .
<br />MInimum ten (10) WOrk'ng days after submittal date. Required onslle, Coll&tructlon.Plarn;, 'San!tary Facilities & 1 dumpster
<br />'. All commercial r'!CIulrements mu&\ meet Compliance. '
<br />SIGN PERMIT Attach (2) liets 9f Engineered Plans. . ". ... " ,
<br />. , .......PROPERTY SURVEY r~ulred for aU NEW construction', ' .
<br />Hi' , r . . . . , T IIII J II j J I J II . . , T I rill r 11111 T , . . f J r II J J i Jill. . IT' III1II i 111 . , , I , I r lilli' , , '1111 I rill T T 1 I II J 11111 I . . , T II [ II 1111 , J 11111111 . t t . I J , , I11III ,
<br />rectlons: , ' .
<br />FlII.~ut appllcallon completely, ' , "
<br />, OWner & Contractor sign back or 8PpllcaUon; notarf~ed
<br />If ~ver $250~, ~ Notice of Commencement Is required. (AlC upgnsde5 over '5000) , .
<br />"* , Agent (for the. c~ntraator) or ~ower of Attorney (for the pwner) wOul!l be so'."eori~ with notarl;zeclletter from owner aUlhO~ng liam,Cl :
<br />OV~R THE ~OUNTER PE:RMITTIN~ (Front of Application Only)
<br />Reroof6 Sewers S~lce Upgrades' NC
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<br />Date RctcelvEld t2.116/2tX~'
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<br />IOwner's Name '(0 ,tErcd\Jel'.
<br />~Owne"9 Address . L . ~f{{, .' " ~ /~ 51- . ?~i>h~ ~ h 16
<br />. Fee Sil'n~loe ~ltIeholder ~~eL
<br />. '~ee SI~P;~ ~t1eh~lder Add~s. L
<br />/JOBADDRE'SS ,...~.?,' \rth, <},
<br />V VVv 0../, , V ' .
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<br />
<br />")w' ,t.=.
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<br />-z,?) 542
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<br />LOT #I r-
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<br />. SUBDIVISION'
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<br />.1 .
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<br />WORK PRC?POSED .
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<br />DEMOLISH
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<br />OTHER I
<br />STEEL 0
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<br />OTHER r-
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<br />.1
<br />~
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<br />W.R,E.C
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<br />
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<br />Driveways
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<br />Fiances (PloIlSl,lIvey/Foolagli!)
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