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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 /> <br />Date Received <br /> <br /> <br />LLe <br /> <br />. , <br />Owtler's Name <br /> <br />Owner's Address <br /> <br /> <br />Fee Simple Titleholder Namel7'/ h- <br /> <br /> <br />Fee Simple Titleholder Address I r-.( 14 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />c <br /> <br />~ <br /> <br />JOB ADDRESS <br /> <br />I ~&J.lc.f <br />I <br /> <br />&(o/(~ ~~rf J <br /> <br />PARCEL ID#I/~--d&"'dl-Od 7() -oc(){){)-DtJf?j) <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />I <br /> <br /> <br />D NEW CONSTR D ADD/ALT 0 <br />D INSTALL D REPAIR <br /> <br />PROPOSED USE 0 SFR D COMM 0 OTHER I <br /> <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I <br /> <br /> <br /> <br />;;;;;~~~I~""~~,~~~.l",~~;~~t."!~,g""",,,,.~:~,!.,~~: <br /> <br />o BUILDING 1$ 001 VALUATIONOFTOTALCONSTRUCTION Pfi #-' FL /f?5-~2.. <br />s: DOtJ, :;.....- . <br /> <br />o ELECTRICAL 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />AMP SERVICE <br /> <br />LOT # <br /> <br />DEMOLISH <br /> <br />D <br /> <br />D <br />~ <br /> <br />W.R.E.C, <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />6~OL...9t-009 ,U\ ..ou......,. U"'~ Mu! pepuog ,~W~ <br />o ~OZ '6Z Jeqo1PO . ." ". : _ ,(JBION 10 aWBN <br />v9960900 ~\ ~~ <br />.alllIN "' U8Je)l "~4:-r~~," <br />" ,.. 'ON UOISS!WWO:) <br /> <br />ollqnd AlBION <br /> <br />~~~~ <br />" <br /> <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />17ad- S~ '1ov~ <br />I Y/N I F CURRENT / /N I <br /> <br /> <br />License # <br /> <br /> <br />ollqndAlelON ~ ~ ~ <br /> <br /> <br />'.LN3W3:>N3WWO:> :10 <br /> <br />(EO' S'.:l) l.Wnr \fal~Ol.:l <br />A DNIOHO:>3H 3HO:l38 A3NHO.llY NY HO H30N31 HnOA H.LIM <br />-- - - - - - - ----.. -.. -.. .---..-.. -... ..... ...." . ....""....... ~"JJ J W-I <br />