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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' pZ Q Phone Contact for Permitting <br /> Owner's Name Shc l n. S eAs Owner Phone Number <br /> Owner's Address 381a1 e— Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS :sW"Q" LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R ADD/ALT LJ SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q lBLOCK Q FRAME STEEL Q 1 <br /> DESCRIPTION OF WORK T-AS 4 C"�� as 6 D f w '�d— Vl n�D/ C7 - `j <br /> BUILDING SIZE I SQ FOOTAGE a� HEIGHT 6 <br /> =BUILDING $ p q VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ !J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v c <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA NO <br /> BUILDER COMPANY 46 ^ - A4 s(a-�-n G' <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 39ag Old -rcyngo&iv icense# �a <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 Lj±N <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 I License# <br /> IlfltIIIF1111 aI191[:1Ei 11[1lilti1 1[1[11111I.1111ll.11## #1t_1I161t €.ilt_! EI <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Buildina Plans:(1)set of Enerav Forms:R-O-W Permit for new construction. <br />