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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0Q21 <br /> Bvitding Depattment ' <br /> Date Received phone Gontact far Permi#ing — <br /> � <br /> Owne�'s Name Flaltm�rk UEI� e Ch�se LL.0 �Owner Phone Number <br /> owner�s Adaress 31'! Paces Mi!!Rd_Suite A 25Q,Rttanta,GA 3Q339 Owner Phoae Number � � <br /> Fee Simple Titiehaider N�tme � � Owner Phone Number � � <br /> Fec Simple Titleholder Address <br /> JOB ADDRESS 39236-39240�(la e Chase LOT# �� <br /> SUBDMSION Viilage Chase � PARCEL ID# <br /> (QBTAtNED�ROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED e NEW CONSTR�X ADD/ALT Q SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHEFt <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME [y� STEEL Q <br /> DESCRIPTION OF WORK Re-roof <br /> BUILDING SIZE � � SQ FOOTAGE 38da HEIGHT $� <br /> QBUtLD1IVG � � VALUATION OF TOTAL CONSTRUGTION <br /> QEl..EC�RICA� � � AMP SERVICE Q PROGRESS ENERGY Q W.F2.E.C. <br /> �P�UMBiNG � � � �� <br /> Q[UIECHANICAL $ VA�I?AT10N tJF MEGNANICRL INSTALIATtON � ti/ <br /> � <br /> QGAS � ROOFiNG Q SPECtALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �]YES NO <br /> BUI�DER � � COMPANY <br /> SIGNATURE � �Gisre�a Y/ N F�cuw�n Y/N <br /> Address License# � —� <br /> ELECTRiC1AN � COMPA�itY <br /> SIGNATURE REGISTERED Y/ N FEe cuRRen Y/N <br /> Address license# �— � <br /> PLtJMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N �cul�n Y!N <br /> Address License# � � <br /> MECNANtCAI. � � COMPAt�lY <br /> SiGNA'NRE ��isre� Y/ N �e cuw�n Y/N <br /> Address License# �� �� <br /> Q771ER GOMPANY <br /> SEGNATURE REG►SrE�D Y i N F�cuWZEr+ Y i N <br /> Address License# �_ �� <br /> � � � � � ri � � � -� � � iiiri � � � � � � � � � ii � � � � � � � � r � � � r � � r � � � � � � � � � i � � i � � � � � i � � � <br /> RESIpENTiA� Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W PeRnit for new construction, <br /> � .. . . ,.�. .. . a , .. . . . .. . . _. � . . ... r. . ... .�..� _ . .. . <br />