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<br />Owner's Address ,J 9' yO Cf (p TH fl-ve 2 c: It! 1f't2 Iff {,t.. fL
<br />Fee Simple Titleholder NamelLiJ E [,. L:5 Fr:tu. 0
<br />Fee Simple Titleholder Address [PO bof- I Lf Lf ((
<br />139 yo I (oTH Itve 2 ~
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<br />813-780-0020
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<br />
<br />Date Received
<br />
<br />Owner's Name
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<br />City of Zephyrhills Permit Application
<br />Building Department
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<br />Fax-813-780-0021
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<br />
<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Number I
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<br />I
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<br />NEW CONSTR J,
<br />INSTALL 0
<br />PROPOSED USE C]/ SFR D'"
<br />TYPE OF CONSTRUCTION 0 BLOCK ~ FRAME
<br />
<br />DESCRIPTION OF WORK I Q.o ~~~ ~ T ~ fuX\..-J'J d.. l{ fJ.- \.( 5 1f1::>~
<br />
<br />~ I(?h I sa FOOTAGE 7 Db .s .
<br />
<br />1$ .2- ;5 D-o
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<br />-'
<br />
<br />1$ ~ -366
<br />1$ 1J! It
<br />
<br />
<br />~< ROOFING
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />I
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<br />D
<br />lJ- ~ ~h P;+4
<br />
<br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111
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<br />:~~~~~RE ~~q~U~E~1N
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<br />License # I
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<br />\\-t>)'V\..e '0 ~~
<br />Y I N I FEE CURRENT I Y I N
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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 />EJ
<br />
<br />BUILDING SIZE
<br />
<br />BUILDING
<br />
<br />~
<br />
<br />ELECTRICAL
<br />
<br />D
<br />
<br />PLUMBING
<br />
<br />D
<br />
<br />MECHANICAL
<br />
<br />D
<br />
<br />GAS
<br />
<br />Address
<br />
<br />
<br />ELECTRICIAN
<br />SIGNATURE
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<br />f) e-S ;U. -0+ Iv c.2.5 ;lA-
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<br />~ t-I lftl If TLU t-L
<br />
<br />PARCELID#I f)-2b- Z1-02-9d-OCXXXJ .--00\0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />LOT #
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />
<br />D
<br />
<br />DEMOLISH
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<br />~/
<br />
<br />~
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<br />OTHER
<br />STEEL
<br />
<br />OTHER I
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<br />
<br />
<br />Fr <J<.~ {t'
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
<br />
<br />D
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />PROGRESS ENERGY
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
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<br />~
<br />
<br />DYES
<br />
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
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<br />Di~~~ti~~~': . . . . . . , , , , , , , . , , , , , , , . . . , , . . . . , , , , . , , , , , , , , . , , . , , , , , , , , , , , , . . , . , . , , . , , , , . . , , , , , , , , , , . , , , , , , , , , , , , , , . , , , , , , , . , . . , , , . , , , , , , , . , , , , , , . , , , , ,
<br />
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
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<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadwaysooneeds ROW
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