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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � S Building Department <br /> Date Received ho e & - <br /> Phone Contact for Permitting - <br /> ` € #iEE�6€ <br /> Owner's Name V"T "t 1!'P'i Owner Phone Number )S- Q <br /> Owner's Address (a > ��� �i T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Lo()Oj LOT# <br /> SUBDIVISION ��'`- ® PARCEL ID# 6"2,L)-2 1 r - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q ++ 1.BLOCK 0 FRAME = ST`EE�L = <br /> DESCRIPTION OF WORK Cs C- <br /> a `; <br /> BUILDING SIZE SID FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> XMECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = l ROOFING Q SPECIALTY 0 OTHER (� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address i License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY ✓t+� <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address 'L LJP, r) � License# I C&CA-Zi I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> 9111F1E11'111I.111€aI saw is1.9994It-is a IE11'�11- 11:11;:1111.1E1€11111€11 11 11 11 11 11 114 2 1 11-2 11 11-1 11 3Is_g11t-13,1f.111f1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0 W Permit for new construction, <br />