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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name /LAG �`/ Owner Phone Number <br /> Owner's Address ���3, �1 f� /`l• hA, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address rl ✓"� <br /> JOB ADDRESS BL3 3ffa;I(,(' lIA Q 3e19 & LOT# <br /> SUBDIVISION r PARCEL ID# DZ 2 ZI—D2 A " KC0—0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM E2n OTHER A7t i <br /> TYPE OF CONSTRUCTION = BLOCK// Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK _ 1, - L 9/ �/U� /20 <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 /> E2fmECHANICAL D d <br /> $. VALUATION OF MECHANICAL INSTALLATION <br /> �/1? <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 6666,6666 Nil 964 sag <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <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 Y/N <br /> Address I Licensee## <br /> MECHANICAL COMPANY �� Iy��i�// iLLQIM�G <br /> SIGNATURE REGISTERED Y/N FEE CURRB Y/N <br /> Address i License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address i License# <br /> I@ aI€IEIEa_Ia161¢ 1E11Ita III lt.lt.I1a1[11a1 11211111'1[1111111111111.111.11a-114NRAFM-11aaa1-11VI11.111 <br /> GCC1n=K1TIAI Aff—k/71 Dlnf PI.—P.M onfo of Ri dl.flnn DI.—/I N cnf of D_fl_\A/D.—if fnr nou rnnefn irfinn <br />