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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's Name <br /> <br />Owner's Address I L\ 1"") L) L tp-th5+r --LLt <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />LY'1 L\ L u lb Sft Z-L-t <br /> <br />I I PARCEL 10#1 <br /> <br />B <br />D <br />D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I F~y)(' ~- <br />I <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I \001 <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />,.r . I I . . . I I . . . . I I . . . I I I' . I , . . . I I . . I I . . . I I , I . . . . . I . . I I I I . . I I . . . I I . . . I I . . . , . II I . . I I I . . . I I . . . . I I . . . . I . . ... . . . I . I I I I I I I . . . . I . . I . , I I I I . I I . I I I I . I I I . I . . I I . <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />C1J <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />450. c.:iD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ ~ //gHJr-6 <br />Y N FEE CURRENT Y I N <br />License # I <br />I <br /> <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />