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, s�saeo-oozo City of Zephyrhills P rmit Application Fax-81&780-0021 <br /> Building Dep rtment <br /> Date Received Phone Contact for Per ittin ) <br /> 9_... - <br /> �..�._..�..�..�..�..�..�.. _................_.......�....r r_� � <br /> ier's Name /� ��C�i C .S U`J Owner Phone Number �°7�� �e7 (�� <br /> Owner's Address -�/�� � c..� • � �j (�S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���� �J/• �� l / `� / � 3.�.� yz LOT# [c '� � <br /> SUBDIVISION PARCEL ID# ��(r1 v�/ �Od��"v���� " G�d(a�/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE 0 SFR Q COMM OTHER sC�r� -� Co: <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL � <br /> DESCRIPTION OF WORK �Q��tC '�- -�Od� / �z I��el�t �4 �Q��t' .� �`� '� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $� �O VALUATION OF TO AL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ <br /> �. <br /> QMECHANICAL $ VALUATION OF ME HANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE REA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 /> Address License# - <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , ._ Address License# <br /> r <br /> �=..iTHER ? � COMPANY SCG�t G!�''il-�C -��CT�� �/?G• <br />' SIGNATURE ��` / " "���� REGISTERED Y/ N FEE CURRE� Y/N <br />