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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date'Received Owner Phone Number Owner Phone Number I OWner Phone Number I Owner's Name 10~ Owner's Address Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I l30SO't I c. t\--A,v L-~ Y ~ A-a -z4h t.,L YLI PARCEL ID#I/6 - '2~ - J~ - 001 D - OftEoD - 0000 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D LOT # I E3 NEW CONSTR c:J ADD/ALT D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I l/J~A-u.~~ oF- ~fL11VILLW ~kC~ BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I 1111111111111111111111111111111111111'1.""111111111111111111111111111,1"111111'11"11111'11"111111111111III1I1IIIIIII1I11111111111111111111111 SUBDIVISION DEMOLISH WORK PROPOSED DESCRIPTION OF WORK 1$ I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111II1111111111111111I11111I1111111111 D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D WR.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # ELECTRICIAN I SIGNATURE COMPANY REGISTERED Address Y/N FEE CURRENT Y/N License # ;Jf;~ ~~0t)~f G, . License # I W ~ 0 ~ PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW