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City of Zephyrhills�Building Permit Apptication Page 1 http:l/www.�lvec.comtpascotcontenttUr[vtew'�za=1�j� <br /> � ; <br /> ~ Click Here to Return to the Virtual <br /> � Entrepreneur Center �Need More Infarmation? Click here � Description � Contact� � <br /> a�s-7so-aoza City af Zephyrhills Permit Application FaX-$1 <br /> Building Department <br /> Date Received �Z. � x,� �^" 1� Phone Contact for Permitting �>� � 7� -- % /d� <br /> .�..�._i.�...�_�.,.E_.� . � ..r.�-r_r..r m� <br /> � Owner's Name X 2.k�� 4- ��V o� Owner Phone Number � f'!!'�'��"''��" <br /> Owner's Address � ���,G i ..S Owner Phone Nvmber � T_ <br /> ; Fee Simple Titlehotder Name Owner Phone Namber C� _ <br /> Fee Simple Titishotdec Address <br /> .i08 ADDRESS <br /> t�.�� C,, ll,f� .� � t�t�t�S . „� � t/ �flT# C <br /> SUBDlVISION � � PARCEL lD# �J'"ZJ '02�'ODIV�!/�d�4✓ � �D/Z'� <br /> (OBTAtNED FROM PROPERTY TAX NOTtCE} <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN � 0 DEMOLI <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM � QTHER (7�#r,�..,�.-bo�10-,�c.�s�aczl�F,ery'f'"�-,5$i�t`� <br /> TYPE O�CONSTRUCTION 0 SLOCK 0 FRAME � STEEL 0 �~! S��� <br /> DESCRIP7ION QF WOE2K � � (�Qf� � �Gt ' �.I� � � ! 'St�t � - M � <br /> SUILDIRiG S]ZE SQ FOOTAGE�__T� HEtGHT <br /> �BUILDING ��� VALUATION OF TOTA�CONSTRUCTION <br /> OELECTRIGAL �i ---�-�� AMP SERV{CE � PROGRESS ENERGY [� <br /> �f'LUMBl�+tG ri � <br /> L <br /> �MECHANIGAL �i �----l� VALUATION OF MECHANICAL WSTALLATION <br /> OGAS 0 ROOFING � SPECIALTY � OTHER � <br /> FINISHED FLOQR ELEVATIONS �� FLOOD ZONE AREA �YES NO <br /> BUILDER �,�� .�,� z CQMPANY �LS.�'4Gt�L 1 t�s�_f_'_'{1�G��dt?� '�- <br /> SIGNATURE Lar("J'�` GLJ"�'r' REGISTERED I N FEEy ClIttRE��Y/N � 1 - <br /> , Address ,,�..sj� � ��• License# ���f��� <br /> ELECTRIC[AN G���'��Y <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N�— <br /> Address License# � <br /> PL.UMBER C4NIPANY <br /> SIGNATURE REGIS7ERED Y/ N F6E CURRE� Y/N� <br /> Address Licenss# ��, — <br /> 1 af 1 12/21/2015 11:48 AM <br />