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a�s-�SO-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� � �/� /'��� r� ��/� <br /> Phone Contact for Permittin / �� �.� <br /> �1 I T f�1 T - <br /> r,�.� ( - <br /> Owner's Name *Z c'��<�r�-� I--} f l.-1<< � i•-� Owner Phone Number <br /> Owner's Address 3'�C' � y� T�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�C' ; ��� � <br /> ��� Y�C LOT# <br /> SUBDIVISION PARCEL ID# � � �� � � � 1 (� l��1 j��,(� �C� t(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK - � <br /> BUILDING SIZE SQ AGE HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> QPLUMBING $ <br /> �/���� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � �ROO�F`No� Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER J` COMPANY 1�C��� ��:�"'C E��i� I����.��,r-� <br /> SIGNAT�- A REGISTERED Y N FEE CURRE� Y/N <br /> � <br /> Address License# ����,��j �. "��L}-- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />