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813-780-0020 City of Zephyrhills Permit Application , Fax-a�a-7saooz� <br /> Building Department <br /> � ; <br /> Dete ReCtIV@d c�- - --r --r- ••• .-- <br /> rj� Phone Contact for Permittin u� �`� — <br /> Ownar's Name �1 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simpie Titleholder Name ' � awner Phone Number <br /> Fee Slmple TitleholderAddress <br /> JOBADDRESS � x6Y\ � u� LOT# �� <br />� SUBDIVISION 1 ve✓ PARCEL ID# ��� •- <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> I WORK PROPOSED B NEW CONSTR e ADD/AI'T Q SIGN Q Q DEMOUSH <br /> ;NSTALL REPAIR <br /> PROPOSED 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 .-�. __,_.T.,. ,_. <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />� �LUMBING $ ' �� <br /> QMECHANtCAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA QYES 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 /> •-r '-r---r .. ,_. . <br /> Address License# <br /> PLUMBER . ��,�� A._ COMPANY � n <br /> SIGNATURE ��`'`�� REGISTERED / N FEE CURRE� Y/N <br /> b <br /> Address 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/ IV FEE CURREA Y/N <br />� Address Ltcense# � <br /> � iii � � � � � � � i � � � � � t � � � � i � r � � � � i � � � � � � � � � � � � � i � � ii � � � � � � � i � � � � � � � � � � � <br /> I - <br />