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<br />813-780-0020 <br /> <br />f I <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />f'''lDf:> Fax-813-780-0021 <br /> <br /> <br />Dale Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />~~, <br /> <br />Fee Simple Titleholder Address I <br /> <br />138'436' ,[; t;t ~., Z~;y~.;J,i. LOT # I <br />I I PARCELlD#1 iI-~h-;:J-I- OfJlO -lie 7dD - ()-() ~:; <br />(OBTAINED FROU PROPERTY TAX NOTICE) <br />D NEWCONSTR ~ AD~ 0 SIGN D MOVE 0 DEMOLISH <br />UINSTALL .0 REPW <br />PROPOSED USE 0 SFR D COMM 0 OTHER I. I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL 0 OTHER I . I <br /> <br />DESCRIPTlONOFWORK J:9~~'::--;;5~~-I\ ~~ ~1~ 1;:;,,~ <br /> <br />BUILDING SIZE I ' I sa FOOTAGE I . I HEIGHT 1 I <br /> <br />~"~~,~;~~""" "'j; """ ';'~;;~~{;:i' ""~~~~~::'~~ ~:: :~~~~~~,:;:;'" ""'" ."""""" """""""'" , <br />1$ I <br />1$ tfO'D<D 0 I <br />1$1 <br />. ~ OOO,D&) . <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111'111111111111111111111111111111111111I111I11I11111111111111111I1111111111 <br /> <br />~;";;~ff1.,~~'{~ <br />License # I~ Icl~091r./ I <br />I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />o <br />cz( <br />~ <br /> <br />ELECTRICAL <br /> <br />AY( ~E.R RVVICI~E <br />~n <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />AJ00 <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />COMPANY I' <br />REGISTERED <br /> <br /> <br />PLUMBER <br />SIGNA TUR <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E,C. <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />License # <br /> <br />~ trD( {J </6/ <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />