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<br />~J <br /> <br />q~ q OJ 'l <br /> <br />Prf#'L.~6ATt <br />N/A <br />r <br /> <br />'"DeL. <br /> <br />OWner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />FaX-813-780000, t /\ <br /> <br />,( <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Da~e Received <br /> <br /> <br />_ ,.,,,.,, "r~,?n~. s:?.!!~c.t,,~?,r,,~~.f!" ~~~~~i!I!!l.~~l1z..""l'llll~' <br /> <br />~~~j~;:m1j~!lt;~1fij~lm~tt; ~-~, <br /> <br />OWner's Name <br /> <br />Owner's Address I":J. 2. 2- I <br /> <br />Fee Simple Titleholder Name I <br /> <br />10.' <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />l-=t 22.1 <br />IAlfk~ <br /> <br />LOT# <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br /> <br />NEWCONSTR <br />INSTALL <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br /> <br />OTHER <br /> <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />jJ~~V <br /> <br />Add ress <br /> <br /> <br />ELECTRICIAN I <br />SIGNA TURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />R EGISTE R ED <br /> <br />YI N <br /> <br />fEE CURRENT <br /> <br />L!:l!::U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />fEE CURRENT <br /> <br />L!:l!::U <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNA TURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />fEE CURRENT <br /> <br />L!:l!::U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />fEE CURRENT <br /> <br />L!:l!::U <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers SeJVice Upgrades AlC <br /> <br />Fences (PloVSuJVey/Footage) <br /> <br />Driveways-Not over Counter if on pUblic roadways..needs ROW <br />