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- 813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> 8uilding Department <br /> Date Received "� �C� �3 <br /> Phone Contact for Permittin ��.3 � 77-__`�L// � <br /> Owner's Name U.-j G� f" �.,.��j y� � i1 l s <br /> Owner Pfione Number <br /> � � C����. <br /> Owner's Address �.7 % S J S�� Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS LOT* �� <br /> SUBDIVISION PARCEL IDN <br /> (OBTAINEO F�pROPERTY TO ncE)DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK .--L•�'��1�I� �.17� L i w!� /t,�lC L 4,�f f i � �':"�S <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT � � <br /> QBUILDING S ��L��1 fG VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL s AMP SERVICE � PROGRESS EN .OY Q W.R.E.C. <br /> QPLUMBING = <br /> � ���� � <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATIO � � <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER �-� <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,,,�-----. <br /> BUILOER ,�, %� COMPANY [-�� I� ��G�� �-G.��/�dt'W��; <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� y/N <br /> Addroas Ucense# '���c�f� / 7 Z— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess 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 /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set oi Energy Forms;R-O-W Permit for new construction, <br />