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<br />813-780-0020
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<br />City of Zephyrhills Permit Applic,ation
<br />Building Department
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<br />Fax-813-780-0021
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<br />Owner's Address
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<br />Fee Simple Titleholder ~ame[
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<br />Owner Phone Number
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<br />Owner phone Number t
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<br />Owner Phone Number i
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<br />Date Received
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<br />Owner's Name
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<br />s~ ~. Z~f.yIL11~ls
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<br />s~u. ;z'r.,dYILlu" s~1 ( LOT #
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<br />I PARCELID#f II-~(.-.a'. DO'O . ",'''CO... ~/gl
<br />(qST AINED FROM PROPERTY TAX NOnC,E)
<br />D NEW CONSTR 0 ADD/All D SIGN D MOVE 0 DEMOLISH
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR 0 COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION 00 BLOCK 0 FRAME 0 STEEL D
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<br />DESCRIPTION OF WORK lc. IDS f.. -1'; C7Ist'n; f e.H..Q..1' "J)cr1I.... OfiUJ' IU~
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<br />~U1lDlNG SIZE I I sa FOOTAGE I I HEIGHT I I
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<br />.. . .. . .. . . . . . . . . , . . . . . . . , . . . , , . . . , . . . . , , . . . , . , . . . . , . . . , . . . . , , . , . . . . . . .. . . .. . . . . , . . . . . . : , . . .. . . . .. .. . . .. .. .. , . . . . .. . .. . . . . . . . . . . . .. .. . . . . . . .. .. . .. I
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<br />o BUILDING 1$ eX, tJ at). tfV 1 VALUATION OF TOTAL CONSTRUCTION
<br />o ELECTRICAL 1$ , }oJ/'(+- I AMP SERVICE 0 PROGRESS ENERGY
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<br />o PLUMBING 1$)/1;9 I
<br />o MECHANICAL 1$ AI II? I
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<br />o GAS 0 ROOFING 0
<br />FINISHED FLOOR ELEVATIONS I I
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<br />Fee Simple Titleholder Address 'I
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<br />1$5011
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />OTHER L
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<br />. I
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<br />o
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<br />W.R.E.C
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY 0
<br />FLOOD ZONE AREA
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<br />OTHER
<br />DYES
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<br />DNO
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<br />:::l~~~RE b ,7 ::.-= 16'T6':'f9~~""~',j I
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<br />Address I /dlf:A F-t: X, ~'J/2.J. .:DAde Q. 11-,-\ License # I Coile. (J <15/,33 I
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<br />ELE.. CTRI~ I A J ~ COIIPANY I
<br />SIGNATURE . ' v.o N E: X : I REGISTERED Y IN. FEE CURRENT Y , N
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<br />Address I License #1 I
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<br />PLUMBER I COMPANY I
<br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N
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<br />,Address I License # I
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<br />MECHANICAL I COMPANY I
<br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y IN
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<br />Address I LIcense # I
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<br />OTHER I COMPANY I
<br />SIGNATURE REGISTERED I' Y I N FEE CURRENT Y I N
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<br />Address I I License # I I
<br />11111 1I111 11111 11111 11111 11111 11111 III! 1111I11111111111111111111I11111111111111 i 11I11111111111111111111111111111111111111111111111 J 111111111111111
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sl;lts of Building Plans; (1) set of Energy Forms . ,
<br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary FacUlties & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submiltal date. Required onslle, Construction Plans, Sanitary FacUlties & 1 dumpster
<br />All commercial requirements must meet compliance. s;f-e /2-t1l.~ Q.tLo€.lL OiU\ .
<br />SIGN PERMIT Attach (2) sets of Engineered Plans. ' (J L1. ,. "::Jj./ v/tV~ :)A~
<br />, ....PROPERTY SURVEY required for all NEW construction. IItJr+-o FJ-e- dfZ<d.! as. / 7~
<br />H,~~~~I~~~t:' 1111111111111111111 till t 1I1111 t 11111111 t II t 1I1I II 1111111111111111111111 II II II II 111.1 lit IIIR~II ~1I1111 II 1 II
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<br />Fill out application completely. . ~j;~ t!'
<br />Owner & Contractor sign back of application. notarized ' . 7v I
<br />If over $2500, a Notice of Commencement Is required. (Ale upgrades over $5000)
<br />.., Agent (for the 'r6~, ~ would be someone with no~~~~ I'i'~t~r fr~m owner authorizing salT!e
<br />OVER THE COUNT PJ5RI,tIVjIMJ '.. (fGont of Appl!~ 0 ) i ~
<br />Reroofs ltWi3~ " '. ,. ,Sen.lIr.4i/. Upgrades " AI Driveways Fences (PlotlSurveylFoola9
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