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s�saao-oo20 . City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> sn • -- - -• - . <br /> Date Received � <br /> _� <br /> Phone Contact for Permitting � � — L.Q� <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 � ��Z. �f�(��G P\(1� 1� f Il, � � ���� LOT# � <br /> . <br /> SUBDIVISION \ �e1� PARCEL ID# d -� ('Li— — �— ' — �`r��--� -� �- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/AI�T � SIGN � � DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK ,� � �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT -• -- - �--... , <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL � $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �'�LUMBING $ ' �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> '-� --r"� '. •' <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 . ��,�� n_ (��, �� COMPANY � n <br /> SIGNATURE P'4`"��� ��—'�� <br /> � REGISTERED / N FEE CURRE� Y/N <br /> �" �S�o <br /> Address C��•� �(�19��r 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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />