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813-780-0020 City of Zephyrhills Permit Application Fax�813-�80--6021 '- <br /> � Building Department <br /> Date Received 9 �,'3 C,.«-C� _ ��a,L� <br /> Phone Contact.for Permittin <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 /> JOBADDRESS '�� �r� Q� 1'H11S � �3 L--� LOT# � <br /> � <br /> SUBDIVISION � ve✓ PARCELID# � �U'-(� C1�- � C�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT -' -- •- --� . <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> [y�/'�LUMBING $ ' �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING �Q SPECIALTY 0 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 . , ,_,p,J'� n, t7 ry /)� COMPANY � n <br /> SIGNATURE ✓N'O�''�' P'�`�`'�� "��{� REGISTERED / N FEE CURRE� Y/N <br /> S�o <br /> Address C��• t�GGls� �icense# t-1 1 <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 /> Iltllllllltllllllllllllllllllllllllllltllllllllllllllltllllltllllll � <br />