Laserfiche WebLink
s�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�:ceived- �-J �r>�' C{ <br /> ' Phone Contact for Permitting <br /> TI�T <br /> Owner's Name �l Owner Phone Number <br /> Owrner's Address Owner Phone Number <br /> Fee Simple Titleholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �t (�(Y� � �, -�( LOT# � <br /> . <br /> SUBDIVISION 1 ve✓ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> �NSTALL REPAIR --r --r---r -� <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ,� � �^ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT "" __ " _.. . <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> �'�LUMBING $ ' �� .� ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> . <br /> BUILDER COMPANY --r --r---r •� � •- <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. C7�y /)� COMPANY � n <br /> SIGNATURE �`�"� ��—'��{� REGISTERED / N FEE CURRE� Y/N I <br /> r3S�o <br /> Address C��•� 1^C�1C19�( License# � � �� <br /> MECHANICAL ' • COMPANY �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# ' <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> '-r -'r--'t '- •- <br />