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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> 7 GAO <br /> Date Received Phone Contact for Permitting - � <br /> Owner's Name �l',f� /h&41s Owe Owner Phone Number 3 -7v'P -J' 71 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address //���� <br /> JOB ADDRESS `Gf� S LOT# <br /> SUBDIVISION ' PARCEL ID# 009 —96-of-&l®-42M -00 0 <br /> IF (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDIALT = SIGN = �_ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME /j= STEEL = <br /> DESCRIPTION OF WORK CJ l `X-0C) <br /> BUILDING SIZE SQ FOOTAGE® HEIGHT <br /> rrr-rrr�-ram <br /> UILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �j Ux <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ljj N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER _ COMPANY F <br /> SIGNATURE /Y REGISTERED Y/ N FEE CURREN Y/N <br /> Address (1 License# <br /> Illllllltllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />