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<br />813-780-0020 <br /> <br />Date Rec;:eived <br /> <br />City of Zephyrhills Permit Application j.f 1GL 2 <br />Building Department 'fI '{I 7 <br /> <br />Fax-813-780-0021 <br /> <br /> <br />:J-/}o~ <br /> <br />Owner's NameJ< 6 BE:R:T Met L Q. <3Y <br />Owner's Address I 61(P 5 I D-4.~P~T ..D~ <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />R\ DG'E- <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />~ <br />D <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 37~Sl <br />I 2t;.?r\ yR <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I ~D GAG? R:;~a..2.")t'T"t':JH.D~I2C.ti <br /> <br />I I -, I i I <br />BUILDING SIZE il101S..fo I\"~ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D <br /> <br />SIGN <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ 750~ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />SQ FOOTAGE I '2"3 \ ~,-Ot- I <br /> <br />HEIGHT <br /> <br />ei,. CJ 4- <br /> <br />1,....'11..111....1111'111'..11..111..'11'11...,11....11...'...11'...111......"'.11,...1111...11.....1111.'1........1111......111111111111...11.11 <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C, <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNo <br /> <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y/N <br /> <br />o!lqnd ,{JeJON <br /> <br />9OOl: '(: ~ Jeqopo saJtdx3 I~~ ~~ <br />*~KOO UQ!II!WWOO Aw . . <br />__~~J. ~Al ,{JeJON jO aweN <br /> <br />h!l5J~~/!;;;;;; <br /> <br />'UO!JeoY!Juap! se .,~ (.....( <br />onpoJd aAe4/se4 JO aw OJ UMOU)j ^/Ieuos ad aJ?~S~4M <br />c?~/7."'J W f.....J..-;?Q ^~~ 1 :>1\tJ <br />S!41 aw aJojaq (paWJwe Jb) WOMS pue paqIJosqnS <br />HO~:>W~NO:> <br /> <br /> <br />000<'" """"".- ~ <br />*~KOO UOlftIWWOO Aw . · <br />paa~~~ NjoaweN <br /> <br /> <br />.uooeoyouapl se ' ~ '7 ---r <br />paonpOJd aAe4lse4 JO aw oJ UMOU)j ^lIeUo Jad aJelSl'oY/VI <br />^ /7'-.J I""'" -JI"~ -t -/ ;z.~~ ^~c'~ i /joLV <br />s!41 aw 9JOja (paWJWe J ) oJ OMS pue paqIJosqnS <br />- ~N3mf HO H3NMO <br /> <br /> <br />. J.N311\13~N3WII\I0~ :10 .S.:l> .lWnr Val~Ol:l <br />. ___u..._ ....~.....u~~.. . un,.. I...'" '" I ......-.. I.... ~~~ DNICHO~3H 3HO:l3S A3NHO HO H3CN31 HOOA H1IM <br /> <br />.II -'""''''''''''''''''''''",n" nl e......::Jw::JAnu...w.unJ::J".lIl1. a~..Jw... <br />