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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 �j� L-Q1� – �' <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 (� L�f f �2 \ � LOT# � <br /> � • <br /> SUBDIVISION \ �e� PARCEL ID# -' " �Cj" \ � C�Uq� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q � DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSED USE Q . SFR Q COMM � OTFiER <br /> TYPE OF CONSTRUCTION . Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �—^ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT "' "_ " _.. . <br /> �BUILDING $ VALUATION OF TOTAL CONS'iRUCTION � <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> --r --r---r " •_ <br /> �'�LUMBING $ ' �� � !� �� <br /> , , ` � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS • FLOOD ZONE AREA �YES NO <br /> ._. ._._. <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,_ (7�, JJ� COMPANY � ^ <br /> SIGNATURE P�`�`�� `-'���� REGISTERED / N FEE CURRE� Y/N <br /> ��� �1C�C� S�o <br /> Address 9��r License# � ��� " <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIilltllllllllllllllllllllllllllllllllllllllllllllllll <br />