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s1s-7so-ouzo City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> 2a <br /> Date Received �� ?jQ Phone Contact for Permitting ) — `�7 <br /> # Iaa 11 a a a a a 4L T_jL <br /> Owners Name K _... _.. ___ _ Owner Phone Number _ <br /> Owners Address ,5—B AV Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> .� <br /> JOB ADDRESS � I LOT# <br /> SUBDIVISION PARCEL ID# [ �o+� ©� © (O's—<o©' f <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR F--j COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK © " Lwtv © / <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> J4-X1L <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY U = W.R.E.C. <br /> lr(�Jjs I <br /> =PLUMBING $ ��� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONv <br /> =GAS = ROOFING Q SPECIALTY 15n/ OTHER '�/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO j , vv <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y I 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 <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE I?ti� REEGISTERED Y/N FEE CURREN Y/N <br /> Address . Q / License# <br /> I.li 2 t:t 1 A i tt s.Its 11,.11 119 #.11 11:11 2 Il i lE.li.lt !. It #! i 11°Il I<.Ii IE Eggs <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />