Laserfiche WebLink
813-780-0020 City of Zephyrhills PFrmit Application �� ��C�( �-f'G� Fax-813-780-0021 <br /> , �� <br /> , • Building Department / <br /> Date Received i , ,.—Z ��/ � ` �,� �� C� �j � s <br /> Phone Contact for Permitlin <br /> t <br /> Ow�er's Name E S'� (,� �CrT�2s � t� N �f.,�,�R� �� Owner Phone Number �� 3— �� j 1 q� <br /> Owner'sAddress �f 33C� aO�`� S Z�Hy , Fl,. <br /> Owrter Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS z-! 33c� c�C t '`� �. '2�pi.{1�K�L,LS � L -33 �y'� LOT # �� <br /> SUBDIVISION PARCEL ID# � � - � � � � � � �G 1 v ' O ��DU - c.r�a�} <br /> (OBTAINED FR011 pROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e AD�/ALT O SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �� COMM Q OTHER <br /> TYPE OF CONSTRiICTION Q BLOCK Q FRAME C✓�' STEEL Q OTHER [-- <br /> DESCRIPTION OF WORK ��-�-T M�Z q� a�,,���,p �,,� � <br /> BUILDING SIZE ` 3 a � � � X � � � $q FUOTAGE , � � , � � <br /> HEIGHT q� 3 <br /> � BUILDING $ <br /> �, � 1 b�, �"' VALUATION OF TOTAL CONSTRUCTION <br /> [� ELECTRICAL � � AMP SERVICE � PROGRESS ENERGY �] W.R.E.C. <br /> I� PLUMBING � <br /> � MECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING � <br /> Q SPECIALTY Q OTHER <br /> FINISfiED FLOOR ELEVATIONS � FLOOD ZONE AREA <br /> �YES �NO <br /> BUILDER <br /> SIGNATURE '� ��{ `� COMPANY �y �"�� � Cc� �J'�T�' K.t � � � � c�F 1--L�2-�ypq �T <br /> REGISTERED Y/ N FEE CURRENT Y I N <br /> Address 36K i 3 SQ 5ti1 Z Et��� R('li l. LS � l. 33 S�l � i S' �--� ,, a <br /> License # �.. �-1 C- <br /> ELECTRICIAN � ) A <br /> SIGNATURE � � COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # � <br /> PLUMBER �;/ <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � <br /> Ucense # <br /> MECNANICAL N/A <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � <br /> Llcense # <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y I N <br /> Address <br /> License # <br /> RESIDENTIAL 4it�r1� i�� o�,.• .-,�_ ... . . . . . . . . . . <br />