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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-t~v""'''' <e. <; : <br />/ Owner'sAddress I ',~7"f'2.. ?"'a-t"'~~'""" <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Way <br /> <br />tt Fee Simple Titleholder Address <br /> <br />/' JOB ADDRESS I ~~74~ <br /> <br />I <br /> <br />WORK PROPOSED . <br /> <br />EJ <br />D <br />D <br /> <br />I (....",,,,,- <br /> <br />FC...-tt..L~;",> Ln7 ~ LOT # <br /> I PARCEL 10#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />SFR D COMM D OTHER I <br />BLOCK D FRAME D STEEL D OTHER I <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />/ DESCRIPTION OF WORK <br /> <br />I <br /> <br />1111111111111""1'1"..11111111111111"."11111111111111""'1111111111111111111111,1111111111111111111111'1111111111111111111"111111"111".1'1 <br /> <br />;;r,~..+;.;.--.. -n, '-Ir'h",.. <br /> <br />SQ FOOTAGE I <br /> <br />""""l~-te..- <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />~ PLUMBING <br />0 MECHANICAL <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 />s~ <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <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 />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 />