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a��-�aaoozo City of Zephyrhills Perrnit Application Fax-813-78aQ021 <br /> � <br /> � Building Department <br /> Date Received Phone Contact for Permitting ( �ol J � `� 1 - ���� <br /> -r-rrrrrrr - -rrr`i-Y <br /> Owners Name �l"l � �l. � Owner Phone Number <br /> Owners Address 1��� �` 1 1� Ov� � • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br />� Fee Sim le Titleholder Address <br /> P <br /> JOB ADDRESS �7� �S � r hi 11 S � �'1 �Ja��p� LOT# � <br /> SUBDIVISION PARCEL ID# �3-a -a i- I� - � <br /> (OBTAINED FROM PROPERTY TAX NOflCE) <br /> WORK PROPOSED e NEW CONSTR n ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL P� REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �� �! I I ' J <br /> BUILDIfiIG SI2E SQ FOOTAGE� HEIGHT <br /> �BUILDING $ Or\ VALUATION OF TOTAL CONSTRUCTION <br /> lJ <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � l l � � <br /> i <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> I <br /> BUILDER COMPANY V � S �OO�L L� <br /> SIGNATURE REGISTERED Y N FEE CURREt� Y/N <br /> Address gj J S � �� ,'3 License# C �, S�t� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRET Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEf2ED Y/ N FEE CURRQ� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTEF2ED Y/ N FEECURREP Y/N <br /> Address License# <br /> . . . . . . . . . . . ■ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />