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<br />/' <br />,- <br /> <br />.... <br /> <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />5335 8th Street tif!" <br />Zephyrhills, Florida 33540 /)!iA. '.." I.. <br />1-813-788-6611 c.... ~~.v,_6 <br /> <br />Date ~~::~~ . <br />Name Am,_ - Ld,<{Jlf 7J;, (e~7f~-p-jz;;) <br />Address ~7/f / ~7.;<1 0~zL<:J {~<-~eb..-/ <br />I <br />r- 1/ ..,/ 4 -;> ~ . I ......1 "... -'""" <br />Legal Description /~-:J -..2(p" ~ -.,::1- - ..2U - 2. (0 T.:orL / <br /> <br />Building Perm. /I /& /;1..6-.6 Fee 0,2tJ I ~ <br />'J //';--jU j"~ <br />Plumbing Perm. /I / L'" /f-~ - Fee . 0/) . <br />" <br />Electrical Perm. /I / t:;..(5;=- Fee / / ~ ~ <br /> <br />Mechnl. Perm. /I /" "/.~ J1tL Fee R /) , . ~ <br /> <br />--<". <br />'I .,,--.~ <br />No. of Sewer Conn. ~..;X .,~ .' tJ. t{, <br />~ <br />No. of Water Conn. (;;2.." '"71) i) . <br />. . <br /> <br />No. of Water Meters t~ - .;j; d ,,-$.:;'D' l~ <br />Transportation Impact Fee '1J7IJ6f' A€' PD '?RIt.;;2-C;-t.) (~,O.../..-~bHP!E <br /> <br />Zone <br /> <br />+ 1% <br /> <br />c;.------ <br /> <br />ti <br />Ou _~/;... <br />~ .:S"I% if? <br />- I, ~ ~j . ~, () <br />Total .::< J t (;~.. .;;.R <br /> <br />M;SC.~..6n~.; ..:; !f.'ffJ-f1 <br /> <br /> <br /> <br />~ <br /> <br />- <br /> <br />/- IT .P Ii-E ..:5 EtJ,!;'l 1't) 9. .~ <br />/1 hJ;4r7Z . o,a <br />j !; <J5J1 <br /> <br /> <br />Q tl ~Y1, 'Bkl''-''-^- <br />Signature <br /> <br />(/~~22 /,~ <br /> <br />WHIT~g. Dept. <br />YELLOW: Utilities Dept. <br />PINK: Customer <br />