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s�saso-oozo City of Zephyrhills Permit Application . FaX-s��-�saoo2� <br /> Building Department <br /> Date Received g �l 2 [ 1�� _ r� _�� --r-- •- •-- <br /> Phone Contact for Permittin J `-h Vt <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 � 1'J �c�r�t a � ,c�e, 1�'�\S-� �'''�1 LOT# �-1 <br /> SUBDIVISION \ �e1� PARCEL ID# ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �^ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT --� --,---T •� •- <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> [�'�LUMBING $ ' �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA DYES 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-'�"' ,_ <br /> Address License# <br /> PLUMBER . �`�� n-_ (��y �� COMPANY � n <br /> SIGNATURE �P'�`"`�� ��"''� REGISTERED / N FEE CURRE� Y/N <br /> '�S�o , <br /> Address C��� i'�C'�(�9�( License# � 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 /> IIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllllll <br />