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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 />Owner Phone Number ~/3) 7 g 2 - 7 S-.:; tV <br />Owner Phone Number I <br />Owner Phone Number I <br /> <br />Owner's Name ' ,'e <br /> <br />Owner's Address 15S-~ 2. So "'- tl.,~,.." "'/ < ""'" ]).- <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />S-d.:!J:J " s: J<,'S-~I'" <br /> <br />~ C:;-3cJ / /0 Ti, /I,;{ LOT# I <br /> <br />PARCELlD#llI-2& -2/ -(0)0 - Jolf9o - Oo~1 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br /> <br />I <br />E3 <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />BUILDING SIZE <br /> <br />sa FOOTAGE <br /> <br />OTHER I <br />STEEL D OTHER I <br /> <br />..3CJ )?q,- ?;__I"r//'?t' S 4.~ <br /> <br />HEIGHT I 20 <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />t'>>10v'~ 0/ d <br /> <br /> <br /> <br />1$ ~J 408 <br /> <br />, <br /> <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS ~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />-to <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />1910 <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br /> <br />1111111111'.11"""'11""""""""1111111111"'111"lfnl"II""""","'.,"'.',III'IIII.III"""'""'IIII"'IIIII"II""""'I"lfl"'1 <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED I Y I N FEE CURRENT Y/N <br />I <br /> License # <br /> <br />padweJs JO paJu!Jd 'pad,{J MeJON jO aweN <br /> <br />padweJs JO paJulJd 'pad,{J MeJoN jO aweN <br /> <br />'ON UO!SS!wwo:) <br /> <br />'ON UOISS!WWO:) <br /> <br />oUqnd MeJoN <br /> <br />ouqnd MeJoN <br /> <br />'UOIJe:>YIJuapI se <br />paonpoJd aAell/sell JO aw OJ UMOU>j ^lIeuoSJad ale/sl OllM <br />^q <br />S!4J aw aJOjaq (paWJyje JO) OJ WOMS pue paq!JosqnS <br />HO~:lVH~NO:l <br /> <br />'UORe:>YRuap! se <br />paonpoJd aAel.jfse4 JO aw OJ UMOU>I ^"eUOsJad aJe/S! OllM <br />,{q <br />Sl4J aw aJOjaq (pawJ!Jje JO) OJ WOMS pue paqlJ:>sqns <br />~N39V HO H3NMO <br /> <br />(EO'.l. ~ ~ 'S':I> 1'1i~nr VaI~Ol.:l <br />..lN311\13~N311\111\10~ :::10 3~1.l0N HnOA ~NIOHO~3H 3HO:::l3B A3NHOllY NY HO H30N31 HnOA HJ.IM <br />