Laserfiche WebLink
' s�saso-oozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> ' Building Depa�tment <br /> ::� <br /> Date Received r � � <br /> Phone Contact for Permitting 1�j �7�5 -CO�a� <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 � �� � � , M; � `� �-I LOT# 12 , <br /> v ' <br /> SUBDIVISION \ �e✓ PARCEL ID# �^ rZ - � � �7\ -' U 2 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR e ADD/AI�T 0 SIGN 0 Q DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ' �^ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT --� --,-- � -� .- <br /> OBUILDING $ <br />� VALUATION OF TOTAL CONSTRUCTION <br />'� �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> [�'�LUMBING $ ' �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q�{��� <br /> � <br /> .V <br /> l <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS • FLOOD ZONE AREA DYES NO r 3 � � <br /> ' l, <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 /> --r --,---r.... . .- <br /> Address License# <br /> PLUMBER . , __„¢,`� (�ry /�� COMPANY � n <br /> SIGNATURE ✓��"�'�' �" � REGISTERED / N FEE CURRE� Y/N <br />�� S�o . <br /> Address C��• i�C�Gl9�y License# � � � <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 />