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<br />APR/06/20Cl7/FRI 09: 35 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021
<br />R13-7S'.....;. 20 City of Zephyrhills Permit AppllcallOlI
<br />Building Department .
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<br />p, 002/002
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<br />Owner's Name,
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<br />l.' LOT# L' ]
<br />PARCELID#r3c5.....z5....2-l-tolO-loSc>()- ()D()O J
<br />'. (OBTAINED FROM PROPERTY' TAX NOl'ICE) .
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<br />..' ~ . NEweONSTR. CJ ADD/AL T 0 SIGN 0 MOVE D DEMOLISH
<br />U INSTALL CI REPAIR
<br />PROPOSED USE 0 SFR '0 COMM 0 OTHER ~ ~
<br />TYPE OF CONSTRUCTION D BLOCK CJ FRAME: 0 STEEL . OT~e,R I I
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<br />DESCRI.nONOf WORK I Auj\ L-ANr;ry 7b No;tr1:l <Sl~F eN'Er I'J':: ~">-1 ml- . :
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<br />BUILDING SIZE . L 1 5Q FOOTAGE ~ I HEIGHT L ~ m_
<br />UI'" 11111111' "111'1"" I' I'" Ill"') I" 11111' 11'111' I'~ 11111" I"'."" 11111'" III; 1111" 1'1111' '-;:-11111' 11111111111" II: '11.11.1111111111' lilT'"
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<br />D eU~LDING 1$ 2-Do, OTJ1J 'l' VALlJATIDN OF TOTAL CONSTRUCTION
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<br />D ELECTR.ICAL 1$ fD,~D I AMPSERV''''' D ..""ORESSENERGY. O. W.R.E,C]
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<br />'D PLUMBING ~ ~ tJDO ]. t:JCX-~ D('''\~-Pe:\rnr\'
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<br />o MECHANICAL [$ N/4 I
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<br />o GAS ~ ROOFING D.
<br />FINISHED FL.OOR ELEVATIONS I I
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<br />Date Received
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<br />/31-,// J) .
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<br />Owner phone Number
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<br />o~ner phone ~urnb~r I
<br />oWner phone Nllmb~r I
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<br />sUBDIVISION
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<br />WORK PROPOSED
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<br />VALUATION.OF MECHANICAL INSTALLAT.ION
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<br />SPECIAL TV D
<br />FLOOD ZONE AREA'
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<br />OTHER
<br />DYES
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<br />LJNO ~11t"~ ,~~€d ~~
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<br />571.S-D'
<br />BUILDER
<br />SIGNATURE
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<br />Address z..
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<br />8IGNATUR.E: _
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<br />"b7 License, # L
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<br />COMPANY . ~ E. Lt::;ZA--p..,,1 ("
<br />REGISTERED ~N. I. FEE C!JRRENT
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<br />License # l
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<br />Addre$s
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<br />MECHANICAL I
<br />SIGNATURE .
<br />Address r
<br />OTHER I. CO"~ANY L ., ~
<br />SIGNATURE . RE:GI9TERED L Y I N J FEe CURRENT Y f N
<br />Address [ . J . License ~ .' L l
<br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 111111111111111111111111111111
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<br />Address
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<br />SIGNATURE!
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<br />COMPANY
<br />ReGISTERED
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<br />License #
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<br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms;' R-Q-W Permit for new construction,
<br />Minimum ten (10) working days after submittal date. Required .onslle. Construcllon Plans. Stormwater Plans wi Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site work Permit for subdivisions/large projecls
<br />Attach (3) eets of Building Plans; (1) set of Energy FormS. R-O.W Permit for new construction.
<br />Minimum ten (10) workinQ days after &ubmlttal date, Required onsile, ConstNctlon Plans, Stormwater Plans wI Sill Fence Installed,
<br />Sanitary Facilities & 1 dumpster. Site Work P'ermit for all new projects, All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans. . '
<br />....PROPERTY SURVEY required for ell NEW construcllon.
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<br />RI:!SIDENTIAL
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<br />SIGN PERMIT
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<br />I I I I I r , , , I I . I I . " . I . I I I . . I . I I , , . . . I . . . 1 t , I . I . I I I I I , , I , I . . . I I I , I I I . . . I , ' , , I . . I ~ ~ . r I , , . I I I I I I . .. . I I I , , I . . . . I . 'r , , . I . I I I I , , . . . I . 1 , j I I . I . I , , I . . I . I I I I II L.L ..
<br />DirectionS: ". .' .' . .
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<br />Fill out application completely- .
<br />Owner & Contractor sIgn back of application. notarized
<br />If over $2500, a Notice of Comm8n~ement 18 required, (AlC upgrad!!5 over $5000). . . ,
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<br />Agent (for the contractor)' or Power of Attom~y (tOr the owner) would be someone with nolarlzed letter .from ow~er autho~zlng same .
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<br />'OVER, THE! COUNTER PERMllTlNG (Front of Application Only)
<br />Reroofs . Sewers Service UPw~des Ale
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