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813-780-0020 City of Zephyrhills Permit App(ication Fax-813-780-0021 <br /> Building Department <br /> Date Received Phane Contact for Perm{tting ° <br /> -i�� <br /> Owner's Name : �' � V � Own�Phone Number <br /> Owner's Address <br /> l oa �-�Ul�� V , �ner Phon Num r ��"' d'�!)���,�� <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple T(tleholder Address <br /> JOB ADDRESS <br /> � � t�l,�n V��J� -�- �a� ��J <br /> SUBDIVISION � i" � ��,It�i��l''� PARCEL ID# ° t " ���� '� u� "���� <br /> (OBTAINED FROM pROPER7Y TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADDlALT C� SIGN 0 0 DEMO�ISii <br /> ,� INSTALL REPAIR <br /> PROPOSED USE 0 SFft Q GOMNt �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � BTEEL Q <br /> pESCRIPTION OF WORK b�1-�- � "�� � �� '�'������ <br /> BUILDING SIZE � � SQ FOOTAGE�� HE1GH7 <br /> �BUILD1iJG �_� VALUATION OF TOTAL CONSTRUGTiON <br /> �ELECTRiCAL � � AMP SERVICE 0 PRQGftESS ENERGY Q �•�.�.� <br /> �PLUMBING ' � � � �� <br /> �� � <br /> �t�iECHANICAL �� VA�UATIQN OF IutECNANICAL.iNSTA�LATIQN <br /> �GAS Q R(JOF(NG � SPECIAGI"Y �� OTNER C.�'` <br /> FINISHED FL(JC?R ELEVATIONS �`� FLOOD ZC1NE AREA DYES NO <br /> � � � � � � � � � � � � � � � � � � � � � � r � � � � to � � � � t � � � � it � � � E � � � t � � � � � � � � � � � � � � � � � � � <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C� � <br /> PLUMBER _-� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �Iv br`a License# � d <br /> MECHANICAL � ����'AHY <br /> SIGNA7URE REGI$TERED 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 />