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813-780-0020: City of.Zephyrhills Pe.rmitApplication Fax-a1saeo-oozi" <br /> Building Department <br /> Date Received ' <br /> n Phone Contact for Permitting ( — <br /> Owner's Name {��5c0 . Cv�n Owner Phone Number <br /> Owner's Address :TJ J ll W ! !Y- )L' T"C. Owner.Phone Number 7097� <br /> Fee Simple Titleholder Name: -Owner Phone Number <br /> Fee:Simple Titleholder Address: 1 <br /> JOB�ADDRESS ' ' �ip (� QOe 6I ✓�% _ LOT# <br /> . . 35 . <br /> 22 <br /> SUBDIVISION . PARCEL ID# OC)- GXI.:�VvV' y%" 'd&.: <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR . • ADD/ALT . •0 SIGN Q . Q DEMOLISH <br /> INSTALL. . REPAIR. <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> 'TYPE"OFCONSTRUCTION' Q BLOCK Q :FRAME-' 0' STEEL . 0 <br /> DESCRIPTION OF WORK -" I .poi l.z2 0 n. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT . <br /> BUILDING: $. :. <br /> .:VALUATION OF TOTAL CONSTRUCTION' <br /> ELECTRICAL:, $. AMP.SERVICE PROGRESS ENERGY: W.R:E.C. <br /> . . . . <br /> PLUMBING $ .. <br /> OMECHANICAL. $ VALUATION OF MECHANICAL INSTALLATION: <br /> .'=GAS. Q ROOFING_ .0 SPECIALTY 0 OTHER. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. . NO . <br /> BUILDER COMPANY" <br /> SIGNATURE- REGISTERED'. . . .Y/ N FEE CURREI% <br /> Address License# <br /> ELECTRICIAN f COMPANY YId <br /> 0 <br /> .SIGNATURE �/ -�' REGISTERED Y-/.N FEE CURREN Y/.N . <br /> Address 1901 i� I afl.r�OC(tl Cl �L �3�G'g7 License# c 1 SVO �� <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED Y/.N FEECURREN' Y./'N <br /> Address License# <br /> MECHANICAL COMPANY' <br /> SIGNATURE REGISTERED Y/• N- FEE CURREI\ Y'/N <br /> Address License* <br /> OTHER' COMPANY <br /> . <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br />