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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received�" Phone Contact for Permittin - Owner's Name �e�✓�a- S/-r l9"Y''� �' e �I Owner Phone Number Owner's Address ��v� � ��w!-�h �'- �� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS G�G' G< <vlG h��? i�a a LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADDlALT Q SIGN Q Q DEMOIISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER .�v �� TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � DESCRIPTION OF WORK E-l��? G�� ,%�ux� .� � �G�2�� `I.c.�✓ � BUILDING SIZE � J�G'� SQ FOOTAGE O!� HEIGHT �� -rr�-r-r-*-rrrrrrrrr rr �BUILDING $��SG� °a VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 QPIUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �— ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Licen j_/�.�/y OTHER r, COMPANY C• CJ�C� �h SIGNATURE REGISTERED N FEE C n Y/N Address Ct"�t� � �D�'P✓ . -� �P� License# Ce l�� '� 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, �e:..�.,,.,..,�e.,i�m..,...a,�.....��,.�.,a��..��ti..,:H��a.,�� oe....�.<,a,.....��e �....��.,...��...,oi.,.... c�...,......,se.oi�.,.....i c��r.,....e�..��n�a