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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021i <br /> Building Department <br /> Date Received - a Phone Contact for Permitting 8I "I b y =JyL, S <br /> Owner's Name l_C(`�'h Owner Phone Number <br /> Owner's Address ZhI� 3 .Owner Phone Number <br /> Fee Simple Titleholder Name I v Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Fm US() LOT# 3 . <br /> SUBDIVISION A PARCEL ID# 1 a- a '� 0— O — 033t] <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADDIALT � SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK U,51- -e— <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> "BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING $ <br /> 0 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA .=YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> PLUMBER D / 1 COMPANY � ru)cps <br /> SIGNATURE /Il,, REGISTERED Y/N FEE CURREN <br /> Address V Iv r�1 C. 33(o License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> orCinr-kIT1A1 Pine•/7\eefe of R,filrlinn Diane-/I\cef of Fnornu Fnrmc•R_0 W Par if fnr nevi r-fnirfinn <br />