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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 /> <br />Date Recpived <br /> <br />Owner.s Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />ld (A- <br /> <br />LOT # <br /> <br />I <br /> <br />D NEW CONSTR El ADD/AL T D <br />D INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br /> <br />DESCRIPTION OF WORK I P/.2A.'tuiI fl ?tool' 3 ~ J7 ~ --1ofr <br />I (J 1- <br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT <br />111"11"""""'1"'1111111"'1"1"11111'111111'111,,11111111'1'11"111111111111111111'1'11'1111111111'"1111111111'111111111111"11111111"111 <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />D BUILDING 1$ ;),5 b7 s-i> <br /> <br />, <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />O!Jqnd NBION <br /> <br />PARCELlD# I \ \ - ~ (g . d.1 .1) 0 IV. I 3:300. DO] D <br />tOBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE D PROGRESSj:.NERtW-,FO D W.R.E.C, <br />,/ IJ" . <br />(-~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />. ..----- <br /> <br />SPECIAL TV D OTHER <br />FLOOD ZONE AREA DYES DNO <br /> <br /> <br /> <br />COMPANY I r- h?d ~ A r./MJI ?;'.,v!. '. <br />REGISTERED I Y I N I ":EE~~~NT /I'Y~ I <br />License # I c. c. cO ~8 /3 t,L <br />, <br /> <br /> <br /> <br />ouqnd NelON <br /> <br />1:lre 'tl A1nr :S3l:1ldX3 <br />l1:9S08 00 II NOISSlrlVlOO AI'I <br />~3H.UlS 'Q A"Il:I3Wf)f <br /> <br />'UOIle:>YlluapI se <br />4 J W 01 UMO )\ ,(ueuosJad aJefSl 01lM <br />,(q JOfle/t." <br />J e oJ WOMS pue paqlJosqns <br />lN3DV HO H3NMO <br /> <br />(eo . .:l) .l~nr 'VQIH01:l <br />:10 3:>1.10N l:lnOA eNIOHO:>3H 3HO:l38 A3NHO V N" HO H30N31 HnOA H.lIM <br />.11nSNO:> 'eNI:>N"NI:I NI".1 0.1 ON3.1NI nOA:l1 'AJ.H3dOHd HnOA 0.1 S.1N311\13^OHdll\ll HO:l 3:>1M.1 eNIA"d <br />ynn 1 .... . ,nc~::IY J. ~IAI I tJ::aW::a~N~ININO~ ~O =.I:lUON " a~0:>3~ 0.1 3~nll":I l:lnOA :H3NMO 0.1 eNINH"M <br /> <br />pa <br /> <br />