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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 />Date Received <br /> <br />rl- J7 ,O~ <br /> <br /> <br />Owner Phone NU~6 <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name IOVIe 1ST CLUe 13o..r\oo.-rd.,. Lad 1 ?("~ s. <br /> <br /> <br />Owner's Address I 5;t. He 7ft--- Sf-. <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />5;tlLR <br /> <br />7 f"I.-. st-. <br /> <br />Ze-ph,,/y-hills, Fl. 3'35L{~ LOT # <br /> <br />I PARCELlD#1 i \ -2tD - 2l- 0010..- \ ~7oo - 0\ ~O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />c=J ADD/AL T ~ SIGN D MOVE D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />K'eYlOva..-+ID"'- D~ elec..t-nc.L::.J <br />SQ FOOTAGE I <br /> <br />a~ W1ec-h.c:z",,'~ F~,c+-,-<-....~s <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />11111111111'IIIIIIllr,lllllllllllr",'IIIIII".'Irl'll111111111"'1'...'1111111111111111111111111111111"1111'1111111111"1'11111111111111111111'1 <br /> <br />D BUILDING 1$ <br />0 ELECTRICAL 1$ 3'5Do. 00 <br />D PLUMBING 1$ <br />~ MECHANICAL 1$ 35 DO. 00 <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br /> <br />(;J~~d~~'\';(~jS~ ~ <br />dO ~ ~ - ~~~r~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA <br /> <br />Address <br /> <br />~- <br /> <br />~~~ <br /> <br /> <br />Q <br />COMPANY <br />REGISTERED <br /> <br /> <br />DNO <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ka.r+-l~ Ele'c..f,~l ~ <br />I @ N I FEE CURRENT <br /> <br />IQN <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 />MECHANICAL ~ ~ ~ <br />SIGNATURE <br /> <br />License # <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />P ('0 pc<:"'-<- <br />FEE CURRENT <br /> <br />Address <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />