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813-780-0020 City of Zephyrhills Permit Application Fax-81 1l <br /> Building Department <br /> Date Received �1 t, <br /> Phone Contact for Permitting 3 oZ 3 - <br /> f[ I aaR <br /> Owner's Name ' Owner Phone Number 3 5a•-a3a_ <br /> Owner's Address 5.7 VQ 1:)09 w0 0 d $ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �y — <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION �BL„OCK Qp FRAME = STEEL = <br /> DESCRIPTION OF WORK -Tri gu Q <br /> lf �/O - w- G v yl e/nre- y111-46 Xy' <br /> BUILDING SIZE I I SQ FOOTA 0 HEIGHT <br /> T UILDING 1191 <br /> , r Iy � VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE _ PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION O MEC ICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY �J�/ _Fe <br /> �C(i I l7 •.L/'L C-• <br /> SIGNATURE REGISTERED Y/N FEE CURRQ( Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ['It a#-ILIt 2 a II-1-.1 IL11:1 IE-I[.i ILIA 111 II 1 9# 1 a II:111's a a #.II 19 111 119.111 9 It 9 11-II.1-1 a#11 1-1 114 1 IA If-9 11.1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0 W Permit for new construction, <br />