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<br />,
<br />Owner's Name \ f\\) \ cl "1, r\) \
<br />Owner's Address 11.,(JD l.t R ,c)~e.W~'f Olt \'v ~
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<br />Fee Simple Titleholder ~amel
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<br />Fee Simple Titleholder Address 'I
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<br />
<br />Fax-81.-7.....21 ~i~~
<br />, f~
<br />
<br />Date Received
<br />
<br />
<br />~eJ'l
<br />
<br />City of Zephyrhills Permit Applic,ation
<br />Building Department
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<br />,813-780.0020
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<br />Owner Phone Number ~ 1'3 - a(, .~- 30 'I
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<br />Owner Phone Number I --
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<br />Owner Phone Number I
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<br />JOB ADDRESS
<br />
<br />
<br />LOT # I s '-
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<br />
<br />WORK PROPOSED
<br />
<br />2-cV"~R ,
<br />
<br />fi3
<br />
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION 0
<br />
<br />,
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />B
<br />D
<br />D
<br />
<br />PARCEL 10# I) - '-(. - ~ (Q I 0 - 00000 ~ OS-
<br />(QBTAINED ~7PERTYTAX N~
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<br />ADD/ALT SIGN MOVE ~- --DEMOLISH
<br />REPAIR
<br />
<br />COMM
<br />
<br />FRAME
<br />
<br />
<br />OTHER
<br />STEEL
<br />
<br />, ,'. I
<br />I ~'b t)u ~ (;rcu.Al d I~ PoOh
<br />D OTHER I ,I
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<br />/.. -.rtlIlOU~' c.J:"'''t:> 7J
<br />DC _ ,'" ",,,CL
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<br />SUBDIVISION
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<br />DESCRIPTION OF WORK ~ /'01 > /10 II 15" I IJ ~"..- ~/'t;9 ~N'
<br />
<br />BUILDING SIZE SQ FOOTAGE I HEIGHT I ~<l/(
<br />
<br />I ~ . " . , , . . . . , . , , , . . , , . . , . . . ,. , I , , . , , , , . . , , . ; , , , . , . . . , ' . , , , , . , . , . . , . . . , , , . . . . , I . . , , , , , . . . , , . . . , , . . . , , . . . . , . , . , , , I ' . , , , , I . , . , , . . , . . . , , , , , , , , , . . . , . . I I
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<br />o BUILDING 1$ ~ 3 00, t) c)
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<br />D ELECTRICAL 1$
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<br />o PLUMBING 1$
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<br />D MECHANICAL 1$
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<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
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<br />FINISHED FLOOR ELEVATIONS I ~ FLOOD ZONE AREA DYES ~NO
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<br />11111111111111111111111111111111111111111111111111111111111111111111 , 111111111111111111111111111111111111111111111 i 111111 i i I j i i III : I : I : 11111111111-
<br />
<br />COMPANY I ~ ~) kmJ.\4~ b6,::.<'..1
<br />REGISTERED L.6f m f FE!: CURRENT Es y r Y I N I
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<br />License # I
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />o
<br />
<br />W.R.E.C
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SIGN PERMIT
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />ME,CHANICAL I COMPANY I
<br />SIGNATURE , REGISTERED Y I N FEE CURRENT Y IN
<br />
<br />Address I License # I
<br />
<br />OTHER I COMPANY I
<br />SIGNATURE . REGISTERED I Y I N FEE CURRENT Y I N
<br />
<br />Address I I LIcense # I I
<br />11111111111111111111111111111111111111 , 1111111111111111111111111111111111111111 i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ 111111111111111
<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 submlltal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />Attach (2) sels of Engineered Plans.
<br />""PROPERTY SURVEY required for all NEW construcllon.
<br />1111111111111111111111111111111111111111111 J 111111 J I111111 J II J 1111111111111111111111111111111111 J 11111 J 11111 J 1111 J 1111111 J 1111111111111111 1111111
<br />Directions: ' '
<br />Fill out applicallon completely.
<br />Owner & Conlrador sign back of appllcallon, notarized
<br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
<br />
<br />.., Agenlt (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing
<br />
<br />OVER THE COUNTER PERMITTING (Front of Appllcallon OnM
<br />, Reroofs Sewers Service Upgrades AlC
<br />
<br />:~~~~~RE ~~ y~
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<br />Address 1~t'Li p,.cl<f~(,JP.i [)I<I'~ - 2.;./1,'//.5
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<br />~~=~N~HJ
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<br />
<br />'.rress ~_
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<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />FEE CURRENT
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<br />'2.-- .::>~
<br />..-// ....
<br />Y/N I
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<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
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<br />FEE CURRENT
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<br />YIN
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<br />License #
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<br />COMMERCIAL
<br />
<br />Driveways
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<br />Fences
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