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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department; <br /> Date Recel4ed C-) Phone Contact for Permitting 'r7 17 - q3 0 Lo <br /> ' 4It <br /> Owner's Name LU Owner Phone e Number L - <br /> Owner's AddressID1117 R �6m R Ow I n6r Phone Number <br /> Fee Simple Titleholder Name Ownir Phone Number <br /> Fee Simple Titleholder AARs.I 'Ask tzrn 0 a <br /> JOB ADDRESS r 1i -?a5qt LOT# <br /> SUBDIVISION eG-�I c-CPVNs PARCEL II # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) 2, <br /> WORK PROPOSED e NEW CONRR ADD REPAIR/ALT SIGN DEMOLISH 601&j- <br /> INSTALLST <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME u STEEL <br /> DESCRIPTION OF WORK r1.N Ista 10 Xi Pre 10 01 )1 A- Shed L,6v h e-I ec+r i c <br /> BUILDING SIZE SQ FOOTAGE 1 HEIGHT <br /> `BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> E2fELECTRICAL r X AMP SERVICE PROGRESS ENERGY Q W.R.E.C., <br /> =PLUMBING $ <br /> =MECHANICAL r I VALUATION OF MECHANICAL INSTALLATION <br /> �=GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER .21v(l"IT <br /> SIGNATURE REGISTERED I(.-Yj N FEE CURREN Y/N <br /> Address t)t 24v-K, k(s .F 3354c' License# 112.100- latoaOqL- I <br /> YU <br /> ELECTRICIAN i %J1 OMPANY I C- <br /> 916NATURE <br /> REGISTERED I(Yy N FEE CURREN LILN�j <br /> Address -3 License# F- <br /> I C.13 QO)3 2-- I 36,� <br /> *LUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F— <br /> )THEIR COMPANY E;;;;; <br /> SIGNATURE REGISTERED FEE CURREN L_ILN_j <br /> Address License# F <br />