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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />fi:l~-O I,\J"".'':I..Y:-~U' I <br /> <br /> <br />Date Received <br /> <br />Slo{X- Dvjv~ <br />, . <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />Av-e.... <br /> <br />PARCELID#154- 25 - 'J,1-O/70-00cxx) -25100 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />ADD/AL T 0 SIGN 0 MOVE 0 DEMOLISH <br />REPAIR <br />COMM 0 <br />FRAME 0 <br /> <br />lOTN <br /> <br />I <br />I <br />12.31.0 : <br />I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />B <br />D <br />D <br />DESCRIPTION OF WORK I mobi! L h oYY\i- ') e f - it P <br />BUILDING SIZE 152 X 4 () ISQ FOOTAGE I '10 8 () I HEIGHT I . I <br /> <br />I"'I"II"'II"IIII'~~"II'I""II"IIIII"I'I"I"'I....,.:...-:-.11..:......,..,............1111......"111....1111....'11'111111'.111.11.111. <br /> <br />D BUILDING 1$ g 5, DOO. ('J () I VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL 1$ i 5(){). 00 I AMP SERVICE D PROGRESS ENERGY D <br /> <br />D pLUMBING 1$ '-/(;6, 0 D I >f rJ -'-" elL- ~ S,~ <br />~DC ,~6) . <br />D MECHANICAL 1$ /50 D. ~ ('I I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS 0 ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />WORK PROPOSED <br /> <br />OTHER I MOb) 1(" <br />STEEL 0 OTHER I <br /> <br />W.R.E.C <br /> <br />SPECIALTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />",11111"111""""'111'111"'1",1'11",'1'111"'"11,111'1'11""""'11"1'111111"'1"'11,"'1,1""1.i..,.,...".,.-.'.'.""".."'.."--' <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br /> <br />COMPANY I Bb-f-f~~rdd /~I) J-! 5 <br />REGISTERED I Y I N FEE CURRENT Y/N <br /> License # I <br />COMPANY I~(p <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # I <br /> ~h-Hc./'fiJd fVltlJ Y/N <br /> Y I N I FEE CURRENT I <br /> License # I <br />COMPANY IAf~N <br />REGISTERED FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> <br />:~:;~:. ~~~ <br /> <br /> <br />ELECTRICIAN~ <br />SIGNATURE _ - _ -- <br /> <br />Address <br /> <br />)8) C A/I ~ <br />:~~~~I~:.LI.~~~ <br /> <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />Address <br /> <br />COMMERCIAL <br /> <br />SIGfi PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />