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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application Fax-813-780-0021 <br />Building Department (AJ'-- 70.-7 -5~<o Cf~;:cA <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />OWn,(s Add.... I 377'1'7 17" ~ ~ ~Yr /,I,,fs <br /> <br />Fee Simple Titleholder Namel 11- <br /> <br />Fee Simple Titleholder Address I <br /> <br />,;V J!!-- <br /> <br />-z ~.P~ y/ /(, /~ "11 .3 3SYc I LOT # I 2./ <br />, / ,/ <br />PARCELID#I ',D-;21.o -Q)\ _ OloOO. Ocx::::.oo - O~D <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />I ~3 /'7,/7 ) Y# /pe- <br />I {JJ.uJ JA /I.Ic/;A7rvU <br /> <br />I <br /> <br />EJ NEWCONSTR c=l ADD/ALT ~ SIGN <br />INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I Mj~ <br /> <br />DESCRIPTION OF WORK I C?/95"5 .., XJlUff1 S'UAJ e t'XJ?'t. ~ -btS~..J bQ..6~ ;lock ~ <br /> <br />BUILDING SIZE I. /7 ( y'" if I I SQ FOOTAGE I I HEIGHT I If I <br /> <br />~ '~~,;;;;~~"""'" i~';" ;~' ~'~ ~" ';'" i"'" ~~~;~:~~ '~~ ~~~: '~~~';;.~~~,~~"""""""""""""""""""'" , <br /> <br /> <br />~. ELECTRICAL <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />D <br /> <br />MOVE <br /> <br />D <br /> <br />DEMOLISH <br /> <br />ROOFING <br /> <br />1 <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE IJQ:] PROGRESS ENERGY ~ W.R.E.C, <br /> <br />fL:>:\) ~l!fR'l~~{;"lflI&;-c..~. ~ <br />uJr,\.l ~C:- aFw,;q;D ~ C~(' ~ <br />VALUATION OF ME~H~6AL INSTALLATION 1<. ~ ~ <br /> <br />1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />f/tJ P t# <br /> <br />;V. A- <br />,</4- <br /> <br />Address <br /> <br /> <br />SPECIALTY D OTHER / <br />FLOOD ZONE AREA GZ]YES <br />_i <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />f.?- <br /> <br />.~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />.. <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />-",,/"'''''- <br />// <br />/ <br /> <br />/ <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 />''')t over Counter if on public roadways..needs ROW <br />