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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 />0(0 <br />ftJOARrS <br />~~E5f Lru <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />15cr 3B <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />(;;~51l.JhV~ <br /> <br />I PARCEL ID#lI /t)-2f., -),} f9//0-1JOI';r;yO-CX!J3D <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />c=J ADD/ALT D SIGN D MOVE D <br />D REPAIR <br />D COMM D <br />D FRAME 0 <br /> <br />e>lft1J~~-()U/ <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I <br />11111,1"1111"11111111""'111"1111111111111"1111'111,1 1"11'1111'111111111'111,111111111111111111111'111'1111111'111,1111111111111111111'1111 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />El <br />o <br />o <br />LA I L!-- <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DESCRIPTION OF WORK <br /> <br />LOT # <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # I <br /> <br />IbJL1lA'Ovli1lA/ilft ~j(}/AJ1()f tJJ5; <br />-. -I Y / N ) -, FEE CURRENT I Y / N I <br /> <br />License # IM/JI//3!ld:j <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # I <br /> <br />1~~tlV7Jh'" (~1U17<II-67ZJI<S <br />Y / N FEE CURRENT I Y / N I <br /> <br />License # t14-t- I rt/ If tj '72.. <br /> <br />Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />