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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application . lk.__ 0,1 [,,0 <br />Building Department 1f U V\f! <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />LOT# I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Nam <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID#I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />E3 <br />D <br />D <br /> <br />SUBDIViSION <br /> <br />DESCRIPTION OF WORK <br /> <br />E3 <br />D <br />D <br />I <br /> <br />ADD/ALT D <br />REPAIR <br />COMM D <br />FRAME D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />.'11.1111.....11....................,.......,......,........11..........'..'.1111.........,..........,..11...............................111...'.... <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br /> <br />OTHER <br />DYES DNO <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address Ucense # <br />ELECTRICIAN I nJ COMPANY <br />SIGNATURE REGISTERED I Y/N FEE CURRENT Y/N <br /> <br />padWBlS JO palUlJd 'pad~ MBlON JO aWBN <br /> <br />padWBlS JO palUIJd 'pad~ MBlON JO aWBN <br /> <br />'ON UOISS!WW08 <br /> <br />'ON UO!SS!WW08 <br /> <br />. ---.........."'" '~..lI'""...n.."...II....1 ..uw. CI <br /> <br /> <br />aJ8/S1 OLfM <br /> <br />'uo!le::lU!lUapl S8 <br />paonpoJd ahB4ISB4 JO aw <br /> <br /> <br />o!lqnd ^J8l0N <br /> <br />o!lqnd MBlON <br /> <br /> <br />. .lN3W3:lN3 <br /> <br />(EO'L <br />:lI.lON ~nOA ~Nla~O:l3~ 3~O.:J38 A3N~OllY NY ~O <br />"'::111\11 nnJ. ..II . H}J;JdOHd HnOA 0.1 S.1N3W3^0~d <br />