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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> -- Building Department <br /> Date Received ry <br /> Phone Contact for Permitting <br /> Owner's Name l O i�`S/ �1iQ�� Owner Phone Number <br /> Owner's AddressF�3 3 6714 cS Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n �/� <br /> JOB ADDRESS �f �l Iv d'�iVr I—Ali 4 _� j 2 LOT# <br /> SUBDIVISION PARCEL ID# , Z-(--lit—W l69 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT SIGN = [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHE <br /> TYPE OF CONSTRUCTION BLOCK QC FRAME = STEEL = <br /> DESCRIPTION OF WORK I�T(� �-- J %%//✓ �� 11 %i✓.(��.•�� �� <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT 230 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> ]PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER. COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N j FEE CURREN <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN LLUN <br /> Address to?, License# 62 7 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> w,^'• T,^' I. REGISTERED `T/ry FEE CURREN Y 1 N <br /> *IVryAIUKC I <br /> License# <br /> Address <br /> - - _ _ « . � � . : � � � � s � g ; � � ilE � ll � l.� � [ IIIi $ [ I � IlilflllEllllllillillllllll ! lilll€ IIII [ IEI i <br />