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813a80-0020 City of Zephyrhills Permit Application Fax-813J80-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name t-dT"*7 to COVGT , 1/l Owner Phone(~lumber l <br /> �- <br /> Owner's Address 4 Q,�1 F'P""�7 3 _ Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number —� <br /> Fee Simple Titleholder Address �r <br /> JOB ADDRESS J I/ 6. a. .3.3.5 '2- LOT# <br /> SUBDIVISION F — PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED,USE 0 SFR Q Comm OTHER 8 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F SO FOOTAGE�� -HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �i <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E:C: ; <br /> i <br /> i <br /> =PLUMBING g <br /> �pd <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> I € <br /> =GAS ROOFING F--j SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> `Y SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L=N <br /> Address License# F ` <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# �— <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED =JY/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br />