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<br />Date Received <br /> <br />Owner's Name <br /> <br />I I <br />813-780-00120 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />I <br />I <br />I <br />/l/2/.s /J.. ouLf I LOT # I I <br />PARCEL 10#1 ~ J(- tX j- dl./ - wEe; - O~ - 0080 I <br />~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />fII"\ SIGN D MOVE D DEMOLISH <br /> <br />Owner's Address <br /> <br /> <br />Fee Simple Titlehol~er Namel <br /> <br />Fee Simple Titlehol~er Address <br /> <br />I ...J7g.3i/ PI4d/(!.I~L <br />I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />o <br /> <br />o <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMMERCIAL <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />PLUMBINp <br />I <br />MECHANkAL <br /> <br />GAS <br /> <br />OfFF.tUL <br />OTHER I <br /> <br /> <br />~ <br /> <br /> <br />;~::= I rlaS: ~ ~~7; J~~.7i<e fJ <br />License # ILCC~6~b I <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />CU11I 4J/Vfm-~ rervrJU?J~ <br />I (!) N I FEE CURRENT ~ I C!JI N I ...,...-~ <br /> <br />License # .2 i <br /> <br /> <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Fences (Plot/Survey/Footage) <br />