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813-780-0020 City of Zephyrhills Permit Application , Fax-s��-�$aoozT <br /> Building Department <br /> . . . ._.. , , . <br /> Date Received r --r-- •• �• .- • <br /> ri-r <br /> Phone Contact for Permitting �1 — �,. Q� <br /> Owner's Name {1 Owner Phone Number <br /> Owner's Address Owner Phone Number �_ II <br /> Fee Simple Titleholder Name ' Owner Phone Number �� <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS � (��ti Cc (�2, �,� � L-'I LOT# �� , <br /> SUBDIVISION \ �e✓ PARCEL ID# LJ`"��-2�--2��C.���S �� \C;c�-, l'�C� <br /> ' (OBTAINED FROM PROPERTY TAX N0T10E) <br /> I WORK PROPOSED B NEW CONSTR 8 ADD/AI�T � SIGN Q Q DEMOUSH <br /> 4NSTALL REPAIR <br /> �PRQPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �^' � �^ <br />� BUILDING SIZE � SQ FOOTAGE� HEIGHT •-r —.r•T--- .-• <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> s <br /> [��/'f�LUMBING $ ' �� �v � �� � <br /> �, �� � I� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �. <br /> QGAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA QYES NO I <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N - -•••�- --•• , • <br /> •-r --r--r--- . ,._ .. I <br /> Address License# ; <br /> PLUMBER ��� (�)h�� COMPANY � r <br /> SIGNATURE � l ' r REGISTERED / N FEE CURRE� Y/N <br /> S <br /> Address C��•� �C�9S�1f License# � � <br /> MECHANICAL ' • COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# --� <br /> 0 <br /> OTHER COMPANY <br /> SIGNATURE ' ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> 1111111111111111111111111111111111111111111L11111111111111111111111 <br />