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13-7a0.c024 City of Zephyrhills Permit Appricatica._ Fax-,31:3-75o0021
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<br /> &dieing Department ,....-----
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<br /> Date Received 3 I 3 - i 0
<br /> i Phone Contact for PiiThittang i 1JL „ , • .... , ... 1 (,... J,....1:-..,,, .„ , : ' -
<br /> Owner's Narne ' ..,•.1. ; : ,11,1 , ' ..” ',.......,,, I '1.. 1._ t . v' , -,-' Owner Phone Number, ....,,f -,.^,;., '1' - ••-" -1 1 ' ," , " ,„' ,'
<br /> Owner's AddreSS I I..b"C1',.., i ! '-L„ -- t it .-.. ' '` r,14 , " '; '' ..1. : ,, -- ,i I 11 - r <- ' - Own. , Phone Number
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<br /> Fee Simple Titleholder Name! I Owner none Number 1
<br /> otar_ Sample Titleholder Add
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<br /> JOB ADDRESS
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<br /> SUBDIVISION
<br /> )FAD FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED R ,siE0i CONST R M ADCVALT = SIGN 1 1 MOVE r DEMOLISH
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<br /> PROPOSED USE = SFR CCMV1 OTHER r C' tn '
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<br /> TYPE OF CONSTRUCTION ni BLOCK ri FRAME 1 1 STEEL n OTHER1 I ,.
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<br /> DESCRIPTION OF WORK '1, '''::j -' '`'•,.."" '•.' ',....___, • 1 .. " '
<br /> BUILDING SIZE SC FOOTAGE t 1 HEIGHT 1 ,.
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<br /> I I BUILDING /S
<br /> 1 VALUATION "OF TCTAL CONSTRUCTION
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<br /> , ‘74 ELECTRICAL $ <1; .•'1, . ':, 1 '' -' '''-'-' F1 PROGRESS ENERGY I 1 W.R.E.0
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<br /> 1 I PLUMSNG
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<br /> L MECHANICAL S 1 VALUAPON OF MECHANICAL INSTALLATION
<br /> = GAS = ROOFING f1 ow f ---- i OTHER
<br /> RNISHED FLOOR ELEVATIONS 1 ;Lr-i3O1.:`, ZONE ARE,A 1 1YES I IN0
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERES 1 Y ' N 1 FEE CUERO:SE L J.: .
<br /> Address License e 1 I
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<br /> ELECTRICIAN i COMPANY
<br /> SIGNATURE —f - REGG Y i N FEE (=RENT RIM
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<br /> Address I License 5
<br /> PLUMBER COMPANY I
<br /> SIGNATURE REG:STEREO 1 Y i II 1 FAX aiRP ENT 1
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<br /> Address I 1 Laren.. 5
<br /> MECHANICAL COMPANY -
<br /> SIGNATURE
<br /> 1_` 9' _i_ FAX CURRENT '41_:221_1
<br /> Address 1 / 1 / 1 1111/110 1 Pr i li - License 5
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<br /> OTHER dilh 1,.. p-,.. , , ,' i - - i, 4-1; 1 e. ii.--, -,
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<br /> SIGNATURE a 41. REM:STEREO, I .... , 2 . H . _ , L j FEE CURRENT L y,:l,I 1
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<br /> Address 1 / '4 r 1-' .• . ,..... , .., • (-,... ...:-: -,-, 0 ,-: . i . i •,•; .. !. ' I ,.'„- ,.., ; 2 j -,.,..) (• -, -, • : 1 :
<br /> RESIDENTIAL A1:, (2 Plat Pels; (2) se4 of Building PIans, (1) set of Energy Forms; R-O-W Permit for new constructn,
<br /> Minicriorn ten (10) iniorking days after subrruttal date Required ore. de, Comarruction Plans, &tom:water Plans ire Silt Ferce nstalled.
<br /> Sanitary Padlities & 1 durripstar: Site 4.44 Perm: for subdir eionsdasge proje,ces
<br /> COMMERCIAL Attach (3) domptete set$ of Buieirc Plaits passe Life Safety Bags. (11 set of Emeray Ferns. R-0 iW Permit for new construction.
<br /> Minimum ten (10) working days utter ubrrattal date Required ens Genstrutticar Rams, Stormwater Pars =a Sit Fence irste4"ed
<br /> Sanitary Faciiities & 1 dumpstel .nte 'A/c-' Permit for al new P7C4ectz Ali commercial requirerrenls mbst meet cometiarce
<br /> SIGN PERMIT Atrach (2) sets ot Engineered Pens
<br /> "PROPERTY SUR :ego:Seri for aii NEW construction
<br /> Fill out applicator, malpiete) y
<br /> Omer & Contractor sign back of appitretidn, notanzed
<br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over $50
<br /> ".• Agent (fef the con/m.pto)) or Rowe 4 Attenney fl 7 /15 (_ be spmenrne with notarized letter from owner authorizing sane
<br /> OVER THE COUNTER PERMITTING (Front of ApoltIon Only)
<br /> Remota Sewers SeiYide Jogrades NC Fences i,Pfi;uiruey/Foctage
<br /> Driveways-Nol over C.";.,xpiter ,1 cm pc roaci,ays..r.eas 508/
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