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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br /> <br /><-3 ed. <br /> <br /> <br />Phone Contact for Permittin <br />rC (', f<~ owne~~~;N;)mb; /3 .- <br />r~'-LSCV\ -I <br />Owner Phone Number '$ J ~ -- <br />Owner Phone Number I <br /> <br /> <br />/ Owner's Name ()i(.. <br /> <br />/ Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />/ JOB ADDRESS <br /> <br />~ ? AfYl -c. <br /> <br />LOT # <br /> <br />I <br /> <br />D NEW CONSTR D ADD/ALT D <br />D INSTALL D REPAIR <br />D SFR D COMM D <br />D BLOCK D FRAME D <br /> <br />fiC../ vciec>L !-L)c>tJa! ~u C~ <br />G/ I I <br />I SQ FOOTAGE I <br /> <br />PARCELlD#lll-:;zk- 2{ - 0010- D9 boD - 0136 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />/ DESCRIPTION OF WORK <br /> <br />I <br /> <br />'1"'1""1111111111111111111111111111111"111111111111"1111'11111"'111111111111111111111111111111111111""'11"""1".'.'11111111111111111111 <br /> <br />OTHER I <br />STEEL D <br /> <br />?-fao rf- <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />1$ 50D,Qb I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111I11111I11111111111111I11III111I111I1111111I1111111111I111111111111111111111111111111111111111111I1111111I111111111111111111I11111111111I111 <br /> <br />... BUILDER IT /,).-~ COMPANY -I ~><"\'''' ~J Yo 9 . <br />/1 SIGNATUREW~ L/~~!tti:i9-t.>f)--t:-lt2.....~ REGISTERED I Y / N 1 FEE CURRENT Y / N <br /> <br />License # I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />ELECTRICIAN <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 />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 />Address <br />111111111111111 <br />RESIDENTIAL <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 />