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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> # + <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting �� �-,��� -�.g�� <br /> Owner's Name � Owner Phone Number i <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> . S�l � <br /> JOB ADDRESS C) ��Gd'�t'� Cz � �' � � �-� ` 1l5 LOT# <br /> SUBDIVISION �\ ve✓ PARCEL ID# O "�4-Z -C�I��C�-C�l�t U.�--C»`7 U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � � DEMOLISH <br /> ;NSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL � I <br /> DESCRIPTION OF WORK ,� ' �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT -- -- - -- , <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> [/]'�'LUMBING $ ' � I�� <br /> �� . �7 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> OGAS 0 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 . �`,� � n_ (�)�, /r� COMPANY � P <br /> �n-� � �..r� <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> S�o <br /> Address (��•� t'�C`a(�9S'hf 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 />