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<br />ZEPHYRHILLS BUILDING
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<br />-C!C21
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<br />613'780-002(;
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<br />City of Zephyr hills Permit Application
<br />SUlldlng Department
<br />
<br />Date Recel,ved,
<br />
<br />Fee Simple Titleholder Name
<br />
<br />OWn..,- Phon'e Number
<br />
<br />Owner Phone Number !e)ll. t t 7
<br />
<br />owner~ ,Number LIoIO ~ (P&iF Ofi7t
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<br />OwnBr'~ Nelne
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<br />, Ownor'a Addre=a
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<br />BLVT)
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<br />J
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<br />LOT# I
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<br />JOB ADDReSS
<br />
<br />SUB,DIVISION
<br />
<br />(OBTAINED 'ROM PROP~RTY'TAX NOTICE)
<br />SIGN ~ MOVE 0
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I
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<br />, l -4 A ~ PF:lL
<br />~FAcE ,H~N ~,t 6N.' - "Z..€>A '
<br />, frPP ~ V!tL ..
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<br />BUILDING SIZE
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<br />r
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<br />r II .. "'11
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<br />"'11"
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<br />"IT
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<br />CJ
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<br />BUILDING
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<br />VAlUATION OF TOTAl. CONSTRUCTION
<br />
<br />ELECTRICAL'
<br />
<br />o
<br />
<br />PROGRESS ENERGY
<br />
<br />,0
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<br />W,RE,C,
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<br />, MECHANICAL.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />NCC- _
<br />C 0-0\ <2. ~S
<br />S~~R(('('l~
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<br />PLUMBING
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<br />~&i-
<br />lPC
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<br />OTHER
<br />SI,GNATURE R1!GISTBU'D , F~ CURREN'!' , 'J',"'''- N:::>
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<br />" Addrm' 31 ' F--O lA-'t~ :' UlC-Tflc IT't'lI. . 2S f ' ., License 1#' I ' , ' 'I ' I '") ~
<br />
<br />lit 1I1111111111111111111111111111l1111111111111111llJ 111111111111111111111111111111111111 iJ1111I1111111l111I1 i 11.111111111111'; 11111111111.111111 II
<br />RE&IDENTIAL Allach(21PIQIPlane: (2) sct:;orBl1ldlng PI"ns; (1) set of Energy Fofflle '-',' ' - , " " ,
<br />Minimum ...n (10) worillng daYllllfter submltllll dale. ReqUired 00811.., ConaUllollon Plans, SanItary Fsclllijee .!o 1 dumps\!lf
<br />COMMERCIAL AnaCh (3) 5"1ll 01 Building Pllln.: (1) set 01 eneroy Forms,' , " ," , "
<br />Minimum tan (10) worillng days aftsr submlllal, dale. Required onslle. Conswollcn Plans, S""ltary FaclllUee & 1d,.mp.'er
<br />A!I comme",I..', rcqultements m",,1 meet compll"nca ' , '
<br />SIGN PERMIT AlTaoh (2) seta of EnQlno..r'e(! Plans., , ' "
<br />" ..~ROPERTY SURVEY required for all NEW aonstruCllon., , "
<br />II H 111111 , I U 111111111 , 1111111111111111111' 111111111111111111111111111111111111111111111111 i I i 111111111111111111111111 i 111'11" J : 1111 Iii 1111111 J I11I
<br />Dlreotlon8:' " ,
<br />Fill aUI appllcaUun',c,ompletdv. ' \L I '\ n ^ -I,I "
<br />Owner I!. Conl",otor sign back or llppllcaUon. no\a~2ed 7' f'.J ""-"- c.,I'..O ,
<br />If over ~25DD. "N"Il". of r;;;omm""".m&nlls roquircd. (NC "pg""des o....r $5000)'
<br />Agent (for the COnlr&clor)' 0' Power of ,AttDnll'y (for tile aWf'~r) would be ~omeone with not3J1zed latter from owner au~orlzlng ~ame
<br />OVER THE COUNTER r''!:RMITTING (Front of Appll...~anOnly)
<br />Reroofs Sawers Servics Upgradee NC Fence. (PloIISurveyfFQottlge)
<br />
<br />Drivewsys-Not "ve' Counter If on public roadw.oys"needs ROW
<br />
<br />8'~a.Q
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