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813-780-0020 City of Zephyrhills Permit Application I Fax-813-780-0021 <br /> Building Department <br /> Date Received ® Phone Contact for Permitting ( ) 9 <br /> - :4L€'€°JL <br /> Owner's Name .��. Owner Phone Number 10 /�"�70 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Q <br /> JOB ADDRESS �d I / �1 LOT# <br /> SUBDIVISION PARCEL ID# O% 7,/?Q4 elQe) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME n= STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / l <br /> =GAS = ROOFING Q SPECIALTY = OTHER ® Z (� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER any/�/RQ COMPANY 'P <br /> SIGNATURE i,/ REGISTERED Y FEE CURREN Y/N <br /> Address 7�U� Q C.A.. , 3360151 License# /J`o� p9 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y✓N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN YI/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y�/N <br /> r <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y'/N <br /> Address I License# <br /> '�;�t�..l�:�,tfE.lt•��le<��.�.tL.�:,tL.tt.:;�.:1Li.tf�lt..�:lt`r'I.�..;��,.�_tl:tf._�:_�.�..�:I€tt �..;�.�..€I:�tt..�..,IL�:_tt�tt.I�-IE.<1t.tt'.tt_��_tL`tt��::It_tf�_�'.1t.�.1t.1t':t <br /> DGCIIIFIJT7A1 Atf�rF !91 Dlnf Dhnc•/91 entc of Riilr7inn Dlnne•/1\eef of Gnernv Gnrme•D_(1_1A/Dnrmif fnr now rnnefn irfinn ', <br />