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<br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br /> <br />813-780.0020 <br /> <br />City of Zephyrhills Permit Applic,atlon <br />Building Department <br /> <br />Fee Simple Titleholder t4ame <br /> <br />Fee Simple Titleholder Address <br /> <br />S"""e..- <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIG,NA TURE <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 />SIGN PERMIT <br /> <br />Owner Phone Number <br /> <br />Owner Phone Nu;tr <br /> <br />Owner Phone Number I <br /> <br />LOT# I <br /> <br />, <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br /> <br />PARCEL 10#1 3 S - ~5 - ;;, -' ()050 - O()()(jO - Od 10 <br />(qBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />o <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL I.;:loc;: I <br /> <br />I <br />I <br />I <br /> <br />OTHER I a 1Vrt\. r'\Urv\ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />D <br /> <br />W.R.E.C <br /> <br />pROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Driveways <br /> <br />Y/N <br /> <br />Y1N <br /> <br />FEE CURRENT <br /> <br />LIcense # <br /> <br />YI N <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 />License # <br /> <br />I YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br /> <br />Fences (PlotlSulVey/Foo~ <br />