Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> / c Building Department <br /> Date Received 6" �� Phone Contact for Permitting — t' <br /> Owner's Name c 6 un Owner Phone Number —� `I I Z7 <br /> Owner's Address kZ22I 1 ve c (I Owner Phone Number <br /> Lt2 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 • YI Ze J lJ�Z LOT# <br /> SUBDIVISION F PARCEL ID# �'�4-2-1— QIM-W OD' O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q 1 I <br /> DESCRIPTION OF WORK 1 14�5 (Ze �s5'3y rZ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ 01, No C'�� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ja4&.,t <br /> =GAS = ROOFING Q SPECIALTY = OTHER f1�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ■ . . ■ ■ ■ ■ ■ ■_■ ■ ■ ■ _Y_■_■_■ ■_l-■_■ ._■ ._.-■ ■ . <br /> BUILDER C �7J '��IJ f/ COMPANY � fRaq w�0/`s S/l C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N�7 <br /> Address S l < �Q✓`/ S v�• License# 7� C-� < Jk <br /> ELECTRICIAN COMPANY = I I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> AA.nim.m 4—/4 nx u.nrL:nn A—.A— .4o4n Dnn 6-4—if- !`nnckn v.F:nn Dl— Cfn•m—f—131——1 Cliff Cnnnn 1—f4 11lnrl <br />