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a�saao-oozo City of Zephyrhills Permit Appiication Fax-813-780.0021 <br /> . Building Department � <br /> '-� ' • • -- -.... , <br /> Date Received • Phone Contact for Permitting ��3 `-�1� — ��6GV1 <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 v G e. � 'C�P�CA, �-1 LOT# � <br /> SUBDIVISION \ ve�/ PARCEL ID# r (Q -2 ^' (�— � V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � 0 DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br />� TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> , r—� <br /> DESCRIPTION OF WORK ,1 � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT -- -- - -.. , . <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �'�LUMBING $ ' �� I <br /> i \� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> ��'-r -'r-'� " '-- <br /> �GAS 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 . �`� (��ry�� COMPANY � r <br /> SIGNATURE � '' � REGISTERED / N FEE CURRE� Y/N <br /> Sb <br /> Address C��• i'�CaCLs� License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> "r --r-'�"' •_ <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIillilllllllllillillllllllllllllllllllllllllllllllllll <br />