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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 />Date Received <br /> <br /> <br /> <br />Owner Phone Number <(1 J ) <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address 0 ("), <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS S So 0., <br /> <br />I <br /> <br />Ef NEW CONSTR B <br />INSTALL <br />PROPOSED USE ~ SFR [=::J <br />TYPE OF CONSTRUCTION D BLOCK [=::J <br /> <br />DESCRIPTION OF WORK ~t A-J P L "'~~ :'II." "'.I ( , ; <br /> <br />BUILDING SIZE I ===:JJSQ FOOTAGE HEIGHT <br /> <br />C97" '~~,~~,'~~"""" 'I';'~; :~.~"."""'" i"" .~~~~~~~ ~~.~~~:;' ~~~:~~~~;~~"".."""""..""""".".,..."'" , <br /> <br />'l~{cf S~ <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#/ )'1 - :}& - ~ ' (!)CJ;2. A .. ()OGOC>-- ~ I 0 <br />(OBT AIHED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />o <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />1<iS" q <br /> <br />0 ELECTRICAL 1$ I AMP SERVICE [=::J W.R.E.C. <br />0 PLUMBING 1$ I <br />0 MECHANICAL ~- ROOFING I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [=:JNO <br /> <br /> <br />II' I I' , 1 II ' , , III' " I' II' I 111111 " , , I , II , .. , , I " IP I " I II' I " I ' II " " I I " I " " " " II ' IP " " I " , " ' , II " , " 1111 " III " . I " " ' , IIII' I " " II " 1111111 " <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> <br />Y/N <br /> <br />Addre55 <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />Y/N <br /> <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />