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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> 0 <br /> Date Received Phone Contact for Permitting 57 <br /> Owner's Name <br /> Owner Phone Number <br /> //011�7,e /Oa6 <br /> Al <br /> Owner's Address Fi(�7,0,0 "0 7A Owner Phone Number <br /> Fee Simple Titleholder Name [ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Ir LOT# <br /> SUBDIVISION rr PARCEL ID# IZ-Z(o-Z,I 6V8 — 0 0 0 6 6 — 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e <br /> ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK tj -e ,,/- 3 4PL <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> -rlrlr"rlr a I <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> ©MECHANICAL 15v)qtl&.N OF MECHANICAL INSTALLATION 1�v um , <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY /A e- - <br /> SIGNATURE REGISTERED JrV/ N FEE CURREN <br /> 1 Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> COMPANY I&C.MECHANICAL Y 144- <br /> SIGNATURE REGISTERED f,�)/ N FEE CURRENirr� LA:jy/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN D2 N__j <br /> Address License# <br />