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. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> Building Department <br /> Date Received �f <br /> � li <br /> � 1 Phone Contact for Permitting •� �✓ , � — � Q <br /> i <br /> Owner's Name • h �(. ��`g C��CC� Owner Phone Number � <br /> Owner's Address ���� o � ✓e Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � <br /> JOBADDRESS 3��Op Sr�� e L� UI\✓�1;I S 1"L '33'��Z LOT# � I <br /> SUBDIVISION V''� n �f �1• / �i II PARCEL ID# I �/ — �I J V O�O � /��� � Q��� I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR i <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q � <br /> i <br /> DESCRIPTION OF WORK Gr' ��'f`��� l� I"t�I � ��P/'✓ ��7 �i%d' � 1^,,�f�� � � I <br /> BUILDING SIZE SQ FOOTAGE 2 �`�' HEIGHT I' <br /> j <br /> �BUILDING $ ��S�O VALUATION OF TOTAL CONSTRUCTION �, <br /> II <br /> OELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l EJ�Q/ <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER (��� sU COMPANY ,�,� iz.�✓+� �' �'Jlr��ri'm 7�i '4c �9• <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� /N <br /> Address �� �� v License# (�CC(3Z�7Z� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# ' <br /> I <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> � <br />