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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Tz� <br /> Date Received 0— 3�-� Phone Contact for Permitting ( -- <br /> ! ! ! ! ! ! ! ! fz ! ! ! <br /> Owner's Name c wn-i y� c Owner Phone Number <br /> Owner's Address 4 S Co b Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J�b��� ;� "r " L_ 3S42 LOT# <br /> SUBDIVISION Z,E H Q 1f+^_L ar_orJ Lc. PARCEL ID# O -Z(o-2 - 0 -O OO-002Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR R ADD/ALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK TAO-L_ AIEua S-r6M <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -T; T �]G-E€cx-c.x <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY G-rLaX;iE -<X45✓ d-L.zGNTiN� <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 371030 SaRDAd yZa Gi`-, FL 33S'2 License# F$ ©Q I Q <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> IlfltiiiEllFl I [ ii >I � tiiiEEd tl � iiBEi ! ! ilit IEtlIIE # lllE6t >@ [ Bt1 � t � � ilallFi >EI & ll �t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />