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( <br /> ; a�ar�„�o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received Phone Contact for Permitting ��p�� � - 9��4�- <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 ' � � . \vG�_ � ��14 LOT# � <br /> v <br /> SUBDIVISION \ ve✓ ' PARCEL ID# ^ZCp- - '�O'� ' 1 � 'Z� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN 0 � DEMOLISH <br /> ;NSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ,� ' �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT -. __ ._._.. , <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �'(LUMBING $ ' �� <br /> ,� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , ��(/ <br /> •-r --r--r'--' •-- <br /> OGAS 0 ROOFiNG Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER� COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N •• -- - - • . • <br /> Address ' • License# <br /> PLUMBER (���, /�� COMPANY � n <br /> SIGNATURE � ''r��� REGISTERED / N FEE CURRE� Y/N <br /> S`o 1� <br /> Address C��-� f�1(�lS�Yy 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 />