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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 /> <br />Owner's Name S / W <br />Owner's Address 11..1'7/ 0 € ((/; IV tftJu/~ IX. $ J.. JlIJ ~, IJ <br />Fee Simple Titleholder Namel C ,tv () F 1- c Prl,/ If 17 I L [,. .) <br /> <br />Fee Simple Titleholder Address 15 J3S <br /> <br /> <br /> <br />K?~' I <br />I <br /> <br />Owner Phone Number :? /3. <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />f{l.1:....5T <br /> <br />JOB ADDRESS <br /> <br />13~i22.. HlEtvify <br />I T '1 S t> IV S'C/ 8 <br /> <br />f),f' <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />I <br /> <br /> <br />D NEWCONSTR c=J ADD/ALT D <br />D2r INSTALL D REPAIR <br /> <br />PROPOSED USE D SFR D COMM D OTHER I <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I <br /> <br /> <br />DESCRIPTION OF WORK II tV Sf Rl1. It' j),t: ~;;t.. (') IV c'f.l <. n IV 6- PAn 1fT c'J./ r'/I Jl,6... {C>/"Iltk k It:/t-ru.4-f """MtvEe I <br /> <br />BUILDING SIZE IIV 11+ I SQ FOOTAGE I IV lit HEIGHT I lv/It 1 <br />'1'1'1'111111111"'1"""1111111""11111111"1"'111111111111'1"1'11111111111111111111'1111111111111111"11111'111111111111"""11"'111111111 <br /> <br />1$ I <br />1$ I <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 CJNO <br /> <br />I111I111111111111111111I1111111I111111111111I111111111111111111111111111111111111111111111111111111111111111111II11I111111111111111I11111111111111 <br /> <br />i 5'71.~ <br /> <br />WORK PROPOSED <br /> <br />tJ l..~;l t, - .2. t ~(Jo8f) - otJl1c)O- 0010 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />D <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION -1/ /.~ attJ" 7 <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE 2- (}c) <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />,,; od <br />A '" ~h . <br />'61~ _ Pd0~ \u..- <br />(\ ~\-~).. -\-0 <br />,f\SJ..jJ. r.t~ . <br /> <br />PLUMBING <br /> <br />BUILDER <br />.1lGNATURE <br /> <br /> <br />III <br /> <br />( <br />\tLECTRICIAN <br />SIGNATURE <br /> <br /> <br />,tc I wj,~I5.LG.'6 ~GJ{frct'.$ jNC, <br />I Y / N J FEE CURRENT _ Y / N I <br /> <br />License # I(t..::" S"~t, I q't <br /> <br />Address <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 />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 />MECHANICAL <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 />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <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 />