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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> !EE [EEEEE EEEEE <br /> Owner's Name Jam GS a m Y V I(�n I f{ i n Owner Phone Number <br /> Owner's Addressl ,39904 AMUN7024 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address L <br /> JOB ADDRESS 3 -7� n and { 'Jr Q- LOT# <br /> SUBDIVISION PARCEL ID# d -A-2I"0 -D i) 209 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> )G INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION T= BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK "VnS MLWL 6pW �j'�i'c+ptLm.p <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# F <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL01, COMPANY �P l r A 4✓p rl <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# 7 � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> al<iittiiitliittlttiliE9211 fall t.iiiiititviiittita1-1 afalll It-fill villa tallaill <br /> PFCIrF1dT1A1 Aftarh 191 Pint Pinnc•191 coto of Rf dir inn Plano-!11 oot of Fnorrnt Fnrme•P-n 1N Permit fnr nefei rnnetn frfinn <br />