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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contactfor Permitting `�j ���� —�9�G�-� � <br /> -T I <br /> Owner's Name C1 Owner Phone Number <br /> ,---� •- <br /> Owner's Address Owner Phone Number ' <br /> Fee Simple Titleholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS G �f,r�q ��, -�� 3 � LOT# �� <br /> . <br /> SUBDIVISION \ ve✓ PARCEL ID# � 'Z, — <br /> (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED NEW CONSTR ADD/AI.T 0 SIGN Q � DEMOLISH <br /> ;NSTALL e REPAIR <br /> PROPOSED USE 0 SFR 'Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <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 /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � �� � <br /> � <br /> OGAS 0 ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � �� <br /> BUILDER� COMPANY � <br /> SIGNATURE • RE�isTEReo. 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 (7�, �� COMPANY � <br /> SIGNATURE ��"'���� REGISTERED / N FEE CURRE� Y/N -'- � � <br /> Sb <br /> Address (��-� 1"1CA(�lS�( License# � 1 <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 /> � � � i � � e � � ii � � � � � iii � � � � � � i � � � � � � � i � � ii � � � � � � � � � � � � � i � it � i � � � � � � t � � � <br />