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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received J _,P Phone Contact for Permitting `'L� — �(/0 <br /> Owner's Name Ham_ Owner Phone Number ? " <br /> 14 <br /> Owner's Address /!' Owner Phone Number <br /> M - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3&f-r,\3 AAvS LOT# <br /> SUBDIVISION t�V PARCEL ID# `a� 0616 —d;V6C)-- e d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK /)'1 /7" C� 5�6 4:;E <br /> BUILDING SIZE 1 1 SQ FOOTAGE® HEIGHT <br /> EPBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <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 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER -r COMPANY <br /> SIGNATURE (�' REGISTERED Y/ N FEE CURREN Y fmA <br /> Address License# <br /> IIIIIIIIIIIIIIIttlllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> nn:n.ro.....1..../4 n\......Li.....1........k.......L....:M..I.Ls.. 0.......�....I......:+.. !`......a.....a:....OL..... Oa...........+..�f]L......../GU C.............a..11...J <br />