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813-7�$0-0020 City of Zephjrrhills Permit Ap�lication Fax-813-780-0021 <br /> 0 <br /> ����� � Building Department - <br /> Date Received 9 �1?J �u�� _ ��(� <br /> Phone Contact for Permittin <br /> Owner's Name � Owner Fhone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � � . � (�G C>� "� ����`�;rlJ��'"� LOT# � <br /> SUBDIVISION 1 ve✓ PARCEL ID# `-'lLQ�' �D� �— , �\ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED NEw CONSTR ADD/ALT � SIGN 0 0 DEMOLISH <br /> 4NSTALL REPAIR <br /> PROPOSED USE 0 SFR �Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK ' �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ' -- -- •- •--... . <br /> ,�BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> --r --r--r," •- <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �'�LUMBING $ �� ��� <br /> �� . <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br />, FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br />' BUILDER� COMPANY <br />, SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N • �- • , <br /> Address � License# <br /> PLUMBER COMPANY � ^ <br /> SIGNATURE �t� REGISTERED / N FEE CURRE� Y/N � <br /> S�o <br /> Address C��•� i�C�(�9�+ License# � , �. <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N • <br /> Address License# <br /> OTHER , COMPANY I� <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> IEIOIIIIIt11111111Jltllltllltllilllitlllllllllllllllllt111111111111 <br />