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<br />Date Received <br /> <br />Coil &'/0 (0 <br /> <br />Owner's Name 13 r~ YJ .~ r I'l. ~ #... <br />Owner'sAddress I sed! doltsI' ~P~!'1h://ifFf.J5S'1J.1 <br /> <br />Fee Simple Titleholder Namel I <br /> <br /> <br /> <br />Fax-813-780.0021 <br />'R .!tr...."-t <br />C:;P5 <br /> <br />813-780.0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Owner Phone Number ).... e l"/ - ~(; J. j 1./1/ J <br /> <br />Owner Phone Number I <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />5'~;).1 ~<Jtk 5"f- 2<::::ph0j Jtr"!& ,F1 S35Lf.).. LOT# I <br /> <br />I PARCELlD#llf -d.G.-2( - 00/0 ~ 07700 ~ W~( <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR D ADD/ALT D SIGN D MOVE D <br />D INSTALL ~ REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br /> <br />DESCRIPTION OF WORK I k~lo-c.{'\A.C\ [fir ~~A.. f.A)I~tl. eXaLt <br /> <br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I <br />11111'1111111111111111'11111111111111"..111111""111IIIIrllllll,IIIIIIIIIII'IIII,,1111111111111111111111111IIIIIIIIIIIIt'tlllll,.,rlllllll"1111 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />~ MECHANICAL <br /> <br />I <br />I <br />1$ I <br />1$ ~ 6~(; .C>~ I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111I1111I11111111111111111111111111I11111I1I11111111111111 <br /> <br />1$ <br />1$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />@N <br /> <br />FEE CURRENT <br /> <br />I Y IN I <br />DC()5~J2 \) <br /> <br />~~ <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />