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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received =DL4252- - .5 05 D <br /> Phone Contact for Permitting <br /> Owner's NameM!ff -�t hn s O n Owner Phone Number <br /> Owner's Address LL i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �i <br /> JOB ADDRESS G Z"1 'S T L t4 D LOT# <br /> SUBDIVISION 1 V MQ Y PARCEL ID# -- 2- 1 i 0060 00000 —02 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR= ADD/ALT SIGN = [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM A.-�•-i• OTHER r <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK j3tQn14 s-ei Y �.echarocVI/ <br /> BUILDING SIZE F SO FOOTAGE 43 I HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> "` MECHANICAL Is <br /> {L 0 0. O 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 I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address A I <br /> (L�ice(nnse# <br /> MECHANICAL ,KeCOMPANY I Y 1 1 (aye, <br /> SIGNATURE p REGISTERED N FEE CURREN /N <br /> Address 903 �L r License# <br /> �D <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZ/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />