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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( ) - <br /> € € € € €€ € € <br /> Owner's Name i t , ,Q OwP one Number <br /> Owner's Address '� ��\!1 5t V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address pp <br /> JOB ADDRESS �Z 4 LOT# <br /> SUBDIVISION L-,AtAA (,` PARCEL ID# �'� _' 02_�D — OI) -c>40 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM ER� OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK Rtg (44 F-L1 V <br /> BUILDING SIZE SQ FOOTAGE 6 e HEIGHT <br /> BUILDING $ tt VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( O <br /> =GAS ROOFING Q SPECIALTY = OTHER g <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER '�( . / / COMPANY <br /> SIGNATURE REGISTERED y Y/N FEE CURREN N <br /> Address ♦3 �• S i A cn+t � t/ S 1 License# C C_C.0 3 J2 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address 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 License# <br /> � IEtitEf � l11It � flfltll � if € � € It € I€ I €111t11 € 111€ € ilt €tl1€Ittl � lt �� € I€ tttlfltlttltlt � �11.111t1€ 1€ 111t1111f9 <br /> 17CCIr RKIT1A1 Aff—H 191 DIM 131. c /71 eefe of R'dHinn Plene•!11 eef of Gnernv Gnrme•R_(L\A/Permit fhr Heal rnne4n ir4inn <br />