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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />'if V p sTE (,k> <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />'-(1)5/ <br /> <br />L-fcr3 <br /> <br />I b '-fC; !)-(- <br /> <br />PARCEL ID~~) 14 - 2{p - 2./ -01> 10 - ol(1)D -" DOZb <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I <br /> <br />BUILDING SIZE I t.{0 l ,D SQ FOOTAGE I 2 ( 7 q HEIGHT I s- ,::... r <br />,.,IIIIIIIIIIIIIIIIIIIIIIIIII""I'III"I"I,r,tllll'l""'11111111111111111111111111111'1"11111111111111111111111111111111"11111111"1111"1'11 <br />1$ ~ I <br />. /r 000 -~ <br />1$ 1 <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECiALTY D OTHER <br />FiNISHED fLOOR ELEVATiONS I I FLOOD ZONE AREA DYES DNO (j{f) <br /> <br />I111I1111I1111111111111111111111111111111111111111111111I11111111111111111111111111111111111III111111II1111111111I11111111111111111I11111111111111 <br /> <br />s:iJ <br /> <br />_/- <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />LOT # <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />D <br /> <br />D <br />D <br />D <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />I~~.~~ <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br /> <br />t/t1/ (' J-U41Vt1fh--v'p <br />I Y / N '1 FEE CURRENT <br /> <br />License # I <br /> <br />J~G <br />I Y /N I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plol/Survey/Footage) <br />