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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 />Owner's Name .,&../aQ..r <br /> <br />Owner.s Address I '5lD J- ~ ~ ^ (S)..4 fU^- ~1AJ- <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />SUBDIVISION <br /> <br />5lo,).~ ?iOSper Cou.rt: <br /> <br />I PARCELlD#1 \.J- -d-lD-d-I. 0'31() - 0??oo - 0 '/'-1-0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR r=J ADD/AL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I;), O)J p :':>~ 1- A.OOb <br /> <br />BUILDING SIZE I SQ FOOTAGE _ <br /> <br />LOT# I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />III , I . . III , , 11111 , , .. I , I " II11 , . . I III , , . . I , , " . 11111 , 'I , . 1111 , I 11 . . 11111 . . .. III , n III .. III , , I I , I , II III , , 111111 , , III . II I ., III , , III " Itlll .. 1111 . II , <br /> <br />D <br /> <br />D <br />D <br />D <br /> <br />HEIGHT I <br /> <br />ROOFING <br /> <br />I <br />1 <br />1 <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS EN~,~"--W.'\E"C <br /> <br /> <br />I flt/Z> <br />. (fl) <br /> <br /> <br />1$ 5J}.9I.P. ()fJ <br /> <br />, <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DVES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />~~~E.~!~I~~N I <br /> <br /> <br />I~ <br /> <br /> <br />1~~IS~~~i~' <br /> <br />License # I C CL 0 S'il/.3 ~ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br /> <br />padwe}s JO paJulJd 'padAl ,{JeJoN !O aweN <br /> <br />padweJs JO paJulJd 'padAl ,{JeJoN!o aweN <br /> <br />'ON UOISSlwwo~ <br /> <br />'ON UOISSlwWO::l <br /> <br />O!lqnd ,{JeJoN. . '.>.' <br /> <br />ollqnd ,{JeJoN <br /> <br /> <br />OU>! AlleUOsJad aJe/SI 04M <br /> <br />oJ WOM~~e&J~~~s <br /> <br />.LN39V HO H3NMO <br />