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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting �3 �`�� — �L-- <br /> Owner's Name � Owner Phone Number <br /> Owrner's Address Owner Phone Number <br /> Fee Simple Titleholder Name• ' Owner Phone Number <br /> Fee Sim le Titleholder Address <br /> P <br /> JOB ADDRESS �O �. �� _�\�n --�r rh:�r 15 � S�� LOT# � <br /> v <br /> SUBDIVISION \ ve✓ PARCEL ID# � —��Qp— (�— �(��— Q\(�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMQL(SF�__T.__. ,_ <br /> 4NSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ,� � �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT • -- - �--... , <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �� <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> [�'�LUMBING . $ � . �� . <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br />' BUILDER COMPANY '-r --r---r •� � �- <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 . �`,�� n- COMPANY � ^ <br /> SIGNATURE �'�""`�� �t� REGISTERED / N FEE CURRE� Y/N <br /> S�o <br /> Address C��• fY�i�(�19� License# � �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1' 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1-rl �-�--1-r1-1 .- <br />