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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (d Y (�+'� tt A q `�ZZ Ss =Phone Contact for Permitting <br /> Owner's Name 2 Owner Phone Number <br /> Owner's Address C oHr►� (,W FL Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder[C:f:-7L/1-j <br /> Address1 lJOB ADDRESS Z I(� S 1. 5 'f 2 LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK PJ/M6V4 I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 00 VALUATION OF TOTAL CONSTRUCTION <br /> F I <br /> ELECTRICAL $ 7 AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ DU'� . <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> o' ,o <br /> =GAS = ROOFING SPECIALTY = OTHER v� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO dab a` <br /> e��rArocfia���� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LZI N_j FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY 1J//_� (C-bqLX4 Ilk <br /> SIGNATURE REGISTERED Y/ N_j tjlE CURREN Ly/ <br /> Address License# <br /> 1111111111111111 11111111111 11111111111111111111111111111111111111 <br />