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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 Rece\ved <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I Owner's Name <br /> <br />/ Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />5. <br /> <br />Fee Simple Titleholder Address <br /> <br />EJ <br /> <br />PROPOSED USE D SFR <br />TYPE OF CONSTRUCTION D BLOCK <br /> <br />I DESCRIPTION OF WORK 9 ;:P N:;.h; /1 <br /> <br />I I <br /> <br />11111111'1111""'111'111'1"'1111111111111111'11111","'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'.IIII...llllr,,"'1111111111111111111111111111111111111 <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />S f1r, S .fM-er <br />I <br /> <br />B <br />D <br />D <br /> <br />- <br />;:p Wi Bit 1) D tv <br /> <br />LOT # <br /> <br />/ JOB ADDRESS <br /> <br />S~ll <br /> <br />PARCEL 10#1 <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br /> <br />D <br /> <br />D <br />FRAME D STEEL D OTHER I <br />sVC;~ @.J .:PtJ,,>k([:J/-PS~~~ <br /> <br />I HEIGHT I I <br /> <br />OTHER <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />/0 PLUMBING 1$ ){;60 - I <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />/ SIGNATURE <br /> <br /> <br />License # <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />