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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 47 Phone Contact for Permitting — <br /> Owner's Name L. 1" 1 Owner Phone Number <br /> Owner's Address a 33(0 Owner Phone Number <br /> CrK,J� 'FL 33 m:i Owner Phone Number <br /> JOB ADDRESS 0 ` l I"\ �1 S 1 1� LOT# <br /> SUBDIVISION �� �F ��" S PARCEL ID# `1—a�—v``—OV 1 ()"4,30 V— 0 1 Go <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR V j/ ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE E2! SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION d BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 1`�9���� �ST1� orx \ F� �M� �H + &�ck_ G. WIT rr^ _ <br /> BUILDING SIZE SO FOOTAGE= HEIGHT 0 �T <br /> BUILDING $ l,Ci ® � �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ b AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address ` License# <br /> ELECTRICIAN C� it ISICOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREN Ly/N <br /> Address License# <br /> MECHANICAL. seq COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> /SGAddress-- <br /> icenseIL: <br /> OITNATURE <br /> ice <br /> REGISTERED Y/ N FEE CURREf` Y/N "~� <br />