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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 />Date Received
<br />
<br />
<br />
<br />1~1
<br />
<br />---bwner's Name ;:1u I.
<br />.)awner's Address ~<2'l2- / (, t. {;t.. f).ik Zgp/#/R Ifl L (.
<br />Fee Simple Titleholder Namel
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address 1
<br />
<br />I 'bear \ l.g
<br />I
<br />
<br />LOT# I
<br />
<br />1O-!--Y\A-u-e.
<br />I
<br />
<br />Cl ADD/ALT D
<br />c==J REPAIR
<br />c==J - COMM D
<br />c==J FRAME D
<br />
<br />~9:- Du.X 2 \~
<br />
<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I
<br />
<br />. , , , . , , , , . .. . , , .. . .. , .. , , , , . , , , , , , , , .. .. . , , , , , .. , , , , , . .. .. , . , , .. .. .. , .. , , , , , , .. , , , .. . , ' , , .. . , , , , . . , , , , , , , , .. . .. . .. , , , , , , .. , , , , , , , , , , , , , , , , .. . , , , , ,
<br />
<br />PARCEL 10#1
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />D
<br />D
<br />1 /)lIe.
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />DEMOLISH
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />DESCRIPTION OF WORK
<br />
<br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
<br />0 ELECTRICAL 1$ I AMP SERVICE c==J PROGRESS ENERGY D W.RE.C.
<br />D PLUMBING 1$ I
<br />:0 MECHANICAL 1$ -2/ OGO, 00 I VALUATION OF MECHANICAL INSTALLATION
<br />D GAS D ROOFING c==J SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
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<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
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