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<br />DIU Mcelved <br /> <br /> <br />ZEPHYRHILLS BUILDING FAX No. 813-780-0021 ~~02 <br />City of Zephyrhllls Permit Application ~ ;'\ ( ~-81~7ao-0021 <br />Building Department ~'-\) '((0 -l311 <br /><tV'Y' <br />_ ' 10 ~ <br /> <br />AUG/18/2006/FRI 11 :21 AM <br /> <br />813-7lJO-OO20 <br /> <br />OWn.,.. Nalt1ll <br /> <br />Ownl!f"s Add"," 177 7 1),,:::> A ~ S+ ~.K'\~ oWner Phone Number I <br />PH &Imple Tilleholcler Namel I Owner PhOl1ll.Nuinber I <br /> <br />I <br />I <br />I <br />. , ~JLoul I <br />PARCEL JDIlIUI... 'J.-(p.. "Z.. t .... 0 00 lJ .- 01 l.(ct) ....a.xJ4 <br />(OBTNNI:D FROM PIIllPERTYTAX l1011Ct!j , <br />ADD/ALl D SIGN 0 MailE D oE:MoUSH <br />REPAIR <br />D OTHER I <br />D STEEL D OTHER c:= <br /> <br />Fee SImple lltleholdef Add_ I <br /> <br />I '5'~~ ~/X.~ <br />, " I <br /> <br />B NEW CONSTR c::::J <br />INSTAll . D <br />PROPOS&D USE D SFR D <br />TYPE OF CONSTRUCTION 0 BlOCK 0 <br /> <br />k?~( YUO--~ (/")'ve <br /> <br />I 8Q FOOTACOE I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROf'08I!D <br /> <br />COMM <br />FRAME <br /> <br />DE$CRPT1ON OF WORK <br /> <br />BUlLDlHGlSlZE <br /> <br />I <br /> <br />HmHT I <br /> <br />BUILDING <br /> <br />VAlUATlONOFTOTAlCONSTRUC'110N N ~_ i ~r:::./m v' '1/516,"", <br />AMP SERVICE D PROORES~~ .R-E.C. L <br />~t.u -,r it ~ .. \t;>C-- y::--- <br />LlJI"I~~ \5 c' r--' <br />VALUATION OF MECHANICAlINSTAlLATJON 4 :.c:J,p <br />~ ,lX1Ol,- ~OK C1'l~ <br />DNO (>1Or.\J'Y\-V\"\~ ~l- <br /> <br /> <br /> <br />Add_ <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />I>f.UM81!R <br />SIGNA11JRE <br /> <br />COMPANY <br />REGISTERED <br /> <br />LY1!LI <br /> <br />VI N <br /> <br />FEE cuRilENr <br /> <br />COMPANY <br />_STElIED <br /> <br />L'!l.lLJ <br /> <br />_ CI.INa!NT <br /> <br />LWU <br /> <br /> <br />Uoense t1 <br /> <br />COMNI!!RClAL <br /> <br />SIGN PERMIT <br /> <br />0./ <br /> <br />Prl~ot over CoIa1ter If on pubic roadwaysnnlleds ROW <br />