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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �� � Building Department <br /> Date�Receivec� � I <br /> � Phone Contact for Permitting — <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS �. U Y LOT# � <br /> SUBDIVISION PARCEL ID# 'I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �r �f lil Sl � � ��� � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> Q BUILDING $ /�O/ti v VALUATION OF TOTAL CONSTRUCTION <br /> V <br /> h <br /> �ELECTRICAL $ �/1�M,- ICE Q PROGRESS ENERGY Q W.R.E.0 <br /> 'C <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` �� �� <br /> OGAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY 7/1� PJ� ' p'�G �F�' � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERE� Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />