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<br />. Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />55-,3 L/ <br /> <br />Gq//~/i <br /> <br />~ <br />D <br />D <br /> <br />E3 <br />D <br />D <br />I ~d{1>h un <br />I <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BLOCK <br /> <br />o ~ n" LA... H - () t..{.,:\--la... -\s I <br />SQ FOOTAGE 1/110 () <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />D <br />D <br />D <br /> <br />LOT # <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />'5lJ...J '\ -\- C. h <br />HEIGHT I <br /> <br />~u.1o p~ Y'\QQ <br /> <br />I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W,R.E.C, <br /> <br />F/rn -/ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Y I N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />