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s�saeo-oo20 � ' City of Zephyrhills Permit Application , Fax-B��-�$aoo2� <br />� Building Department <br /> J � .. � ...... � . <br /> Date Received Phone Contact for Permltting �C7� _ ea. � '"T -•r- •. •-• • <br /> rr-�r <br /> Owner's Name • � Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titieholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` �1.. �� � ��j�L1� LOT# ��a <br /> . • <br /> SUBDIVISION \ ve� PARCEL ID# <br />, , ' (OBTAINED FROM PROPERTY TAX NOTlCE) <br /> WORK PROPOSED B NEW CONSTR e ADD/AI�T � SIGN Q Q DEMOUSH <br /> ;NSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [_] STEEL Q <br /> DESCRiPTION OF WORK ,� � �^ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT •-r --r-•-r--- .. .-. . <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �LUMBING $ ' �r]� • <br /> � . �7 �}_ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I� <br /> V <br /> QGAS �] ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED_ Y/ N PEE 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 COMPANY � ' <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br />� � <br />' E►ddress C��- t�C�lGl9�Y License# ����=1 �� .Lo <br />� <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 /> Illllllllllllllllllllilltlllllllllllllllltl [ 11111111111111111111111 <br />