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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 'r yY� p <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Owner Phone.Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r7 3 C3A (. LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR E�!r^ COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK ALL Fr 0 <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 /> \ =MECHHA`ICCAAL $ ^/ �� VALUATION OF MECHANICAL INSTALLATION <br /> �j�0 <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY MEW <br /> SIGNATURE Q REGISTERED Y/N FEE CURREN Y/N <br /> Address -3 leo NeW License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE i REGISTERED Y/N FEE CURREN <br /> Address License# <br /> LUMBER COMPANY <br /> GNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ICAL COMPANY IV`i x <br /> RE REGISTERED Y/N FEE CURREN Y/N <br /> s �9 r1L Tit License# Q 4 <br /> COMPANY <br /> REGISTERED Y/N FEE CURREN <br /> License# <br /> t I(.f [[.Ill IF:[[[;[ [I6 IF I[_[11 [jj:114:Ill.1E_[ILW 11111 NAVE t WX 1t_[_1l 1E 9[.[1111[.[__[11 1,11 1.1.I6 11.11-1E.1..1 <br /> Aff—h/71 Plnf Pine-19N ecfe of R�iilrU—Pl.ne•/11 enf of Fnnrnu Fnr—w P-(1-1A/Pnrrnif fnr ncei rnnefn irfinn <br />