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<br />I <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br /> <br /> <br />I <br />11- 9:;-QLi? <br />--n: <br /> <br />Owner's Name <br /> <br />f.-J.6LD <br />I \{g4 ~ <br /> <br />5 U 2- b tv f--.Jc 'S t \<.-E...e:..:r- <br /> <br />Owner's Address <br /> <br />Fee Simple Titleho'der Namel <br /> <br />Owner Phone Number '8f.3) ~ - -33> '2 <br /> <br />I "60~ <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Fee Simple TitlehO~der Address I <br /> <br />, I U f!) U3 S U Z61V 1....)(3- ST{2tc:r:/ c - f-\-i Ll.$ ) f'L ~ 3 s-Y'2..., I LOT # I <br />JOB ADDRESS . lOT . <br /> <br />SUBDIVISION II.\.n~TEt.s 1-{. HI' Th~'<.1 PARCELlD#llV- 2(;-2/-0000 --OO2.00~OOre <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />I <br />WORK PROPOSE~I ~ NEW CONSTR <br />D INSTALL <br />PROPOSED USE I CJ SFR <br />TYPE OF CONST~CTION CJ BLOCK <br /> <br />DESCRIPTIONOF~ORK I S~f~" (?./V"'^ <br /> <br />BUILDING SIZE 11.2- Y I 'I.. q:-' g I( <br /> <br />B <br />D <br />~ <br /> <br />SQ FOOTAGE <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />d <br /> <br />$~d) <br />c <br />t2 7:>'2.. <br /> <br />D <br />CJ <br />CJ <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />HEIGHT I "=l.J C:. \ \ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />.3(...... --:>'. <br />.). <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />~0L~ <br /> <br />0") I' :/ <br />?u---PL ;>'J '. <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMMERCIAL <br /> <br />Driveways-N t over Counter if on public roadways..needs ROW <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />OW)..Q r <br />I YI N I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y I N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />OtUM/'" <br />I Y I N I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Fences (PloUSurvey/Footage) <br />