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<br />813-780-0020
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<br />
<br />ZEPHYRHILLS BUILDING FAX No. 813-780-0021
<br />
<br />City of zephyrhmsF";' . dr B vc/f
<br />. . Permit Applicatlol'\
<br />,... pho~Contactfor Permit,
<br />
<br />P. 002
<br />
<br />JUN/10/2007/SUN 03:45 PM
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<br />, Fax-81S.78a-0021
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<br />. .!f::
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<br />Data Received
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<br />""-. ~.
<br />OWner's Phone Number
<br />
<br />OWner's Nama
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<br />Job )\ddrElss .'
<br />
<br />7IP31.'
<br />
<br />Parcel #
<br />
<br />ILl
<br />.... - .' (~..
<br />
<br />I-01l0';':OoOo,O:':COIO
<br />
<br />Owner's Addres$
<br />
<br />Fee Simple "Titleholder Name
<br />Fee Simple "Titleholder Address
<br />
<br />Sub Division
<br />
<br />.,0
<br />"8'
<br />, .
<br />
<br />
<br />8'
<br />D
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<br />.0 '.. EiI,o~e~I'dVw'EleteStorage-AN~OAL.' .. ". .:0. FU?,lg~ti~nTeni' i', . , .
<br />. 0, .; c.mm "'0';;' KIlo""""""""",, '. ....0 .......... ........, (TOel'." RQF"",~).~_AL ,
<br />D' . Controlled Bum ' . '0 H~ocii~a~llatlon'.',' . ,,'
<br />D.' :. .....,."" Geno- < 30 kw.. ,0 <LPI,;,;;;,;.,.G.....,.;i~iJon
<br />D 'l;:rnergenOy,Generator' 3~ kw.. .:' '.: D LP/Natural Gas-ANNU~L; ~..le.
<br />D' . Flreprotaction MeintSnanee ~ ANNI:'AL' . ,.:', D' Places of t-s~mbIY~AN~UAL '
<br />: ,'." '~~~..n ~' . . .
<br />Spr1l'lkler : ' .. 0 !:J' . 0 .. D. ~. D RecreaUonaIBurt..,'.
<br />Flre~~':"l:",:D:D:'" ,0" '0: D":.Dsparl<lerS, '
<br />HOO~ Clean~ng' . 0 '0 :' p'O '., r:=I . ~ ' . Sprinkie! Syetem' l~stallatl~M' . '
<br />.' Hood supp,resslon.: ." 0 O. D." 6 r=J ' 0 Standplpea (5pr1n~er SY$) " .
<br />Are Alarm }"lItellatlon .. , 0 Torch RoofingITlIr Kettle . ..
<br />~Ire PUJ:llP5 " ;. . D . Waste Jire Storage ANNUA~ '
<br />Fir1l Works ' .'
<br />Flam.m~ble Appl!cetiO".~NNUAL
<br />Fuel TenkB
<br />Other:
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<br />..., ,
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<br />'.-...; ...
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<br />.. .'
<br />, , .
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<br />. , . ~ ..
<br />
<br />tjtjqb (" 00
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<br />
<br />.'
<br />'l Valuation of Pr?j"ct
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<br />",
<br />
<br />.~=. ~~~I...~ ~p-~"c
<br />
<br />hicel'lse# lES51;/OOO 117''i~ ...J
<br />
<br />J ":'::;:'. r YIN I F"CUnenlL Y/NF
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<br />~;:::i=- Y I N I ..."",... I Y I N \
<br />. J .' ~'":.I y IN F';'C~", =Cv I ti.r ·
<br />J >~lceriB8#"'C- ,. . '1
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<br />j .... .... ~-:=.~ I N.J F.. C"~t IY I N I
<br />~J~l~ I Llc~nlle # '!....., ,~ ~:.."' ~, '"". ~..;.." .~:-:--:-~.
<br />
<br />1
<br />
<br />Contractor
<br />Slgnatur1I
<br />Addre55 [3 7
<br />,E~ECTR1C1AN. . .
<br />
<br />SI~na~~reBS -Ii:'
<br />
<br />PLUM13ER
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<br />s\gna:d:re5s"i' .
<br />
<br />, MECHAN1~AL ,
<br />
<br />s,gnEl~:raSs'L i
<br />
<br />OTHER ....
<br />Signature'..,. .. ..
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<br />,:, I". ~ddre5:~._."""':'~,_ =-~- .,,:-:~..; :....-,. ~.:", -- .
<br />, Dlrl!lctlone: ., .. '., ,"'. ...
<br />Fill out application "Completely, . . .' . .. ..:.' . . . '
<br />: . 'Owner & Contractor sign beck of application: notarized (Or, copy of -,Igoad contrac::twlth owner)
<br />If over $2500, a Notice of Commencement Is raquited.{MechBnicel ,""om civer $5000) .:
<br />, SUpply two (2) sets of draWlng~ With applicable documentation, . . . .' ..' . "
<br />Allow 10-14 days for review after submittal date~ " P8rt:el.*,-obtaln~ from Property Tax Notice ,{http://!'F.Prei&Sf,paScQgov :~om)',.
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<br />1
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<br />u
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<br />8136620080
<br />
<br />
<br />#7353-002
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<br />.. ,
<br />RECEIVED FROH:
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<br />. .....~' ,;~. ... -~ '. .:....,....,_..._'.~'.--...:~
<br />8137800021 ,---
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