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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br /> <br />Date Received <br /> <br />Owner's Name ~ ~ Go ser 5 - <br />Owner's Address I "l 8 '-f f tJ. ArM e (\; (.\ <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />-,-~,,.,-. <br /> <br />IKJ <br />~ <br />D <br />D <br />D <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />..,.lUMl:lING <br /> <br />MECI11d4161t.l <br /> <br />~.69---- <br /> <br />~-=~ <br /> <br />P'l S (..0 ']:,,(, <br />AI/fl. I <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />b~ll <br /> <br />~ \lId <br /> <br />I <br /> <br />~ <br />[K] <br />o <br />tec..o r <br /> <br />a <br />o <br />o <br />/ rJe.W <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />~<."" d~ <br />I <br /> <br />SQ FOOTAGE I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />PARCELlDI/ 02 - 2(g - 21- 00 I 0- 02~ 00. D020 <br />(OBTAINED FROII PROPERlY TAX NOnCE) <br />SIGN 0 MOVE 0 <br /> <br />ADD/AL T 0 <br />REPAIR <br />o <br />UlJ <br /> <br />Wa-~' <br /> <br />I <br /> <br />COMM <br />FRAME <br /> <br />LOT' <br /> <br />DEMOLISH <br /> <br />OTHER <br /> <br />STEEL <br /> <br />Fee Simple Titleholder Address I <br /> <br />! ~gl~ <br />/ <br /> <br />1$ ?7o, 000 <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />o <br />FINISHED FLOOR elEVATIONS I <br /> <br />I I () <br />I #1/ / It 'tJ;IJJ <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />PROGRESS ENERGY <br /> <br />o <br />,JOe -" <br /> <br />DYES <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />_."=~"".,,..~---. <br />llOOC'lLCt(;)-~';;rh: <_.. :;':";;-'1 <br />GGG9il>OO UOI.S.. SIWU;O 'Yo ;,.:/j\'.\ I <br />ly6w>i r c!lyyul:. . <br />ep!Job)O alelS Jllqnd A1el(j~ '\''''. A.~'O~ <br /> <br />-._~ <br /> <br />SPECIAL TV 0 OTHER <br />flOOD ZONE AREA <br /> <br />~ (~~$~ eV"'''~ <br /> <br />I' "'"'''''",0 · Y I N <br /> <br />PedwBJS JO paJUUd ' <br />. ~ NrqON JO "W~ <br /> <br /> <br />:lllQnd .(JBJON <br /> <br />~NO <br /> <br /> <br />( FL I <br />, <br />~C() <br /> <br />f100GILf:/ro saJldq' <br />GGG9il100 UOISSIUJWOJ.\~ <br /> <br />l451u)f ,0 illQQ08 <br />epIJob)O aJeJS JI/qnd AJew", <br /> <br />o"~:lO <br /><1~~" {... <br />~. . ~ <br />~ ~. <br />"I)"A~~O <br /> <br />P8dWBJS JO paJUIJd 'p<>nL. L. <br />......, /UBloN JO 8W~ <br /> <br /> <br />'UOIJ&a. "PI se:- <br />P80nPCJJd 8I\8lV8llt1 JO e~ ~ _ <br />l... - cr, . OJ~lJJf .(IIeuoSJ 8JB/S! 0.... <br />- ';)W~-. ow... <br />~ '_-'OJ OJ .......... a;J.!'q.. <br />nE.J..~3fJ'" ~O ~3NMO <br />