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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 /> Owner's Name VC-IC. -C "%'r V S Owner Phone Number <br /> Owner's Address 'S'Ii 3 Lc-,- Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J O i., cc;-6A t' si 3, ( N% y�i LOT# <br /> SUBDIVISION � .^S�S t� d<"aV-S PARCEL,ID# 9 49&.,g J®'30 6 <br /> (OBTAINED FROM PRO ERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR ADDIALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER 'C A <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME u STEEL Q <br /> DESCRIPTION OF WORK V+a..� �. Q '� ��z✓1.� '�'-�if (,�ti✓�rA <br /> BUILDING SIZE F I SQ FOOTAGE HEIGHT <br /> =BUILDING L$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGR SS ENERGY Q W.R,E.C. . <br /> QPlUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Y <br /> =GAS Q ROOFING Q SPECIALTY OTHER //? �' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO l vv� <br /> 44 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License 0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL 1P� 1 �l�'�- COMPANY y <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N j FEE CURREN Y/N <br /> Address License# <br /> ;.jFs 4NALit':l. .7E;:It:! ., 4 I�1�:311:IF_ :�Y:1�• Ii: s #;IEi ., IE. ;a l['.I <br /> DCCIMUT1A1 Aff—h/O1 DIM PI.—/91 cnfc of M1411—Dlonc•!11 ccf of Fnom.i I=—.-0-r)-1AI D.—if fnr w nnncfn u+finn <br />