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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 />LP'ol <br />~ \ 0I..\(e.. i <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />S.t<. '54 W <br />I <br />E3 <br />D <br />D <br />k>d:t.r- ~ d-- <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />'3 ~ '8' 'd-D <br /> <br />SUBDIVISION <br /> <br />PARCELlD# I <br /> <br />DESCRIPTION OF WORK <br /> <br />E3 <br />D <br />D <br />I Tt'\S\~ <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />15 -.:2./i -2..1-0030 ~ 002.-00- 0010 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE 1 <br /> <br />D <br /> <br />D <br />D <br />/woK'? V p <br /> <br />I HEIGHT I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />FtJ r ~;",k <br /> <br />OTHER I <br /> <br />1$ I <br />1$ I <br />1$ 400 f~ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111I11111111111111I1111111111111111111111111111111111111111111111111111111111111111111I1111111111111111I111I111111111111 <br />I <br />I <br />I <br />I <br /> <br />D <br />D <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <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 />License # <br /> <br />ELECTRICIAN <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 />FEE CURRENT <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />all II~s <br /> <br />PLUMBER 1/ JJ-I} J "".. _11--1 11__ <br />SIGNATURE "-~~~~ <br /> <br />Address <br /> <br />License # <br /> <br />I eFe.1 if ~ S~ O;;l <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />