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s�3aao-oozo . City of Zephyrhills Permit Application ' Fax-s��-�so-oo2� <br /> Building Department <br /> Date Received - 'j �,�� <br /> Phone Contact for Permitting � – ti.Q <br /> Owner's Name � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name ' Owner Phone Number --` --r-•� - �- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `��(� C �� � r� f"l\S-� �35�''�� LOT# � <br /> � <br /> SUBDIVISION 1 v�✓ • PARCEL ID# ^Z..10- – \ -- �Sl'1- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � Q DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q • BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK „� � �—^ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT •. _. ._._.... , <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �'�LUMBING $ ' �7 �C�r --r--� - •- <br /> _ �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS � ROOFING Q SPECIALTY � 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 . ��,+� �,- (7� �� COMPANY � ^ <br /> SIGNATURE P'��`�`�� �"��V REGISTERED / N FEE CURRE� Y/N <br /> S�o <br /> Address (��•� t'�O19�'�y License# � ��'� <br /> -'r-'-r_" •- <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 />