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s��-�so-oo20 • City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ���Q� �'�� Phons Co�act for Pertnitdn �� J 7/ - / 17 !f/ <br /> Owners N�ne �L Owner Phone Number �J� �� `"� v v <br /> Ovmers Address � l�J- i 1 b er Phone Number -� <br /> Fee Simple Titlehofder Name Owner Phone Number � <br /> Fee Simpta T'rtfeholder Addreas <br /> JOB ADDRESS � � � r'�l r �� �oT� (,t '7. <br /> SUBDIVISION � PARCEL ID# 1(^ ���" ��D -�) �-- � <br /> (06TAINED FROM PROPERTY TAX NpTICE) <br /> WORK PROPOSED NEW CONSTR ADDiALT 0 StGN � O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ���/U..�� �� , <br /> BUILDING SIZE SQ FOOTAt3E� HEIGHT <br /> �BUILDiNG $ / �..� �✓f'�� VALUATION OF TOTAL CONSTRUCTION <br /> / d� <br /> QELECTRICAL � AMP SERVICE Q PROGRE W.R, . <br /> QPLUMBING $ 'i- /�/�� <br /> � ��' / � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTAL TI � � <br /> p�� `1 <br /> Y�.r'v <br /> QGAS Q ROOFING Q SPECIAITY Q OTHER <br /> FiNISHED FLOOR EIEVATIONS FLOOD ZONE AREA QYES NO (f � <br /> a�� <br /> BUILDER � �`CpMPpp�y 1 � � / <br /> SIGNATIfRE �"y� � ' REGISTERED Y/ �e cuwza� Y!N <br /> Address .- � aCe. ��d� �icense# (' �- lvrp � <br /> ELECTRICU►N COMPANY <br /> SIGNATURE R�s��o Y/ N F�cu�aEn Y/N <br /> Address License# -� <br /> PLUMBER COIAPANY <br /> SIGtdATURE REGISTERED Y! N �E CuwtEn Y/N <br /> A�� License# �- � <br /> MECHANfCAI. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEe Cu� Y!N <br /> Addresa ���� � <br /> OTHER COMPANY <br /> SIt3NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> A�� License# � � <br /> �� <br />