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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />i;:,~5S7 <br /> <br />Date Received <br /> <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 />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />Ilt~L\1 Slydl~ La.n~ <br /> <br />I I PARCEL 10#1 <br /> <br />D NEW CONSTR c=J ADD/ALT D <br />D 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 I <br /> <br />DESCRIPTION OF WORK ~SUbf>a.ne.!@,lo.u~ t"bt)N'\ l2.0h'io\1. 12.5Art..p ~ I('\~ia.tllc,)~ ~2D\l R\1 ~ <br /> <br />I SQ FOOTAGE I I HEIGHT I I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />I <br /> <br />111'11111111111111111111111111",,"'111"'1""1111111IIIIIIIIII""'11111111111111"lln"'"IIIIIII"'"r'""'"'1111111111111111111111111111111111 <br /> <br />BUILDING SIZE <br /> <br />1$ I <br />1$ '5Scx> c& I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1I111I111I11111111111111111111111111111111111111111111I111111111I1111111111111111111111111111111111111111111111I111111111I1111I1II1I11I1I1I1111111 <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN l J /., . I .. ~ . ti'l I <br />SIGNATURE ~'-'\<-^-- <br />Address fP 0 - 6i)\j... ~loJ... 2.ephl-ith,lb,- Fe ~?>S~'1-b~~ <br />PLUMBER I I <br />S~NMU~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />I ~ 8€L--r-ncuJ <br />I Y I N I FEE CURRENT I <br />License # I /4Lf ~ <br /> <br />~ <br />J...nL . <br />Y/N I <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />