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' a�3aeo-oozo City of Zephyrhills P rmit Application Fax-813-780-0021 <br /> Suliding De rtment <br /> Date Reaeived �t �} <br /> Phone Contact for Per itting ��� � J� - � ` 6 � <br /> � �-r.�. �..�.�. � ..... ._ .. ._ . _ . ._�..�__�_�..� _. __ <br /> Owner's Name j d�G� + .SD� Owner Phone Number �"70 �r���7 <br /> Owner's Address SIYo? � (..- • � / ��-S Owner Phone Number <br /> Fee Simple Titleholder Name �wner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRE55 S �1 �.>/. �� � /. 33s yz LOT# �oF / <br /> SUBDIVISION PARCEL ID# �I�(p o�/ '0���"�oz/O� ^ �d G[/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADb/AlT SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER �[r 2 -t. o o,� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIP770N OF WORK E a��i e- �ODr RZ /lLCQ ��� -SQlfi(e .J'/�2 '� <br /> BUILDING SIZE SQ FOOTAGE C] HEIGHT <br /> �BUILDING $� OD VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �a <br /> QMECHANICAL $ VALUATION OF M CHANICAL fNSTALLATION }�, � J�� <br /> •C <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FfNISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPAN <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPAN <br /> SIGNATURE REGISTER � Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMP <br /> SIGNATURE REGISTER � Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP <br /> SIGNATURE :'_H REGISTER Y! N FEE CURRE� Y/N <br /> `.� <br /> Address .. License# � � <br /> OTH�R �„ /� �1�,�[.����_ COM? Y SCpLc CGA1f��2 ��Ol�/L �/'JC• <br /> SIGNAI'URE G�R� /U �`'� REGISTER D / N FEE CURREP Y/N <br /> Address �S SS ,�. License# C(7 C � L � <br /> IIIIIIIIIIIIIIItII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11111111t111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2�sets of Building Plans;{1)set of En gy Forms;R-O-W Permit for new construction, <br /> .,:_:_.._.__.,,,...._a.:--�-•--°---..�_:.._,�_._ �__..,-- ---°- ^---•-•-•°--^'--- �._—.._•--^�---••-...��.�----°--._„_� <br />