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813-780-0020 City of Zephyrhills Permit Application Fax=813-780-0021 <br /> Building Department <br /> Date Received LL I phone,Con.tact for Permitting ............ <br /> ... .. ... ... <br /> Owner's Name Akh Owner Phone Number <br /> Owner's Addressl '00 e-f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> ef LOT#7-JOB ADDRESS Ago"P <br /> f or, <br /> " ISUBDIVISION PARCEL 160# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFFk 0 Comm F-67"I OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> ol <br /> BUILDING SIZE F— SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> ]PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> H++fLqIHH!11 l l i 1 v N N q 2 1 1 a a 2 2 a 1 2 a 1 1 1 a 2 a 1 D I a I N 11 1 2 2 1 1 a a a 1 2 1 a v a 1 1 1 a 1 2 a 2 1 1 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_j <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N j FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED I Y/ N_j FEE CURREN Lyj N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED -VY/ W�r FEE CORREN I YIN <br /> Address CP1,V License# I j i j > <br /> ................ <br /> .............. <br /> c=ajn=uTi&i Affoph i01 PInt Planc,191 cafe nf Rididinn Plans,:(I I sat of Enerav Forms:R-O=W Permit for new construction, <br />