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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Applicati?n 0 ~_ <br />Building Department 4" <br /> <br /> <br />Phone Contact for permitti~ <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's Name <br /> <br />if - 9- <br />rlOl\IlJA atl.. ill/t!-IJ f <br />I 503'1 / 81''' s"/~a1 <br /> <br /> <br />Owner.s Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br />503'1 <br /> <br />JOB ADDRESS <br /> <br />/87;1 S'7~1" <br /> <br />LOT# I <br /> <br />WORK PROPOSED <br /> <br />t2j <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />D <br /> <br />D <br />D <br />,41./0 r&>~-r~j <br /> <br />I HEIGHT I <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />PARCEL ID#I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />if - ~fo-'.l.I- 0010 - ell ~ CJ 0 - O~ cOo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER I <br /> <br />Cp"JC,e P .,..~ <br /> <br />I~' )( 310' L()A.lc.~~-t',C Si./?/5 <br />SQFOOTAGEI 300 <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D <br />D <br /> <br />~"" '~~,;;;:~~"""" i""~::; ;:~' '.'~"'...... ;~~~~;~~ ~~' ~~~~~ ~~~~;~~~,~~"';~~';~:;~'" ,...,.....",..,.." , <br />D ELECTRICAL 1$ AMP SERVICE D <br />D PLUMBING 1$ <br />1$ <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />GAS <br /> <br />ROOFING <br /> <br />D <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER C~4/~7'.6 <br />DYES ~NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />IAee /lL.t"",~.,,,, ., Cc.vS1'~-r~/V lLc.! <br />I ffl N I FEE CURRENT I (J>/ N I . <br /> <br />License # I cite /3:; <J;< (PIP I <br /> <br />I <br /> <br />I Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />I i,...o.nC!'o,.Jl <br /> <br />\ \OZ/OZ/60 S3J!d1l3 <br />\:LiLiLOO UO!SS!Wwo:) AV4 <br />u!66!M uAIAJ91l:) <br />ep!Jo\:l 10 'llelS :)llqnd NlllON <br /> <br />.'^ <br /> <br />~-J'O~ <br /> <br />~, <br /> <br /> <br />palUlJd 'pad~ ,{JeloN 10 aweN <br /> <br /> <br />10 aweN <br /> <br />~ L ILl L, a (] , 'ON uOlsSlwwo:) <br /> <br />~bYJ7 r~/I(/'iV <br /> <br />~ L f 1-1 L q(] 'ON UOISS!wwo:) <br />o!lqnd,{JeloN ~J// ~t(/J2fJ <br /> <br />ollqnd ,{JeloN <br /> <br />