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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name 1 v Owner Phone Number <br /> Owner's Address h Owner Phone Number , <br /> Fee Simple Titleholder Name AV A Owner Phone Number <br /> Fee Simple Titleholder Address ►v I—1 <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Re <br /> NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORKlumnak 1 <br /> BUILDING SIZE SQ FOOTAGE `-t HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> /=ELECTRICAL $ O®'\ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ v <br /> �C <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I Licceensse# 1 <br /> ELECTRICIAN / COMPANY �O 1 VC mv``V 1 Z <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address �2 License# U <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> 1c 111111 >t Y 1E 1g 1f 1E '1& 1t 11 1€:F It 1t 1f 1E 1t it Z Z 1t_1 1 111111111111211 its Ell <br /> RP_QinP1dT1A1 Gf—In/71 PIM Plan -/71 cnfc of Ri di iinn IDI.. •/11 evf of P—mv Pn .-R_r)_IA1 P.—if fnr nev rnncfn irfinn <br />