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813-780-0020 City of Zephyrhills Permit�p ication Fax-813-780\21 <br /> Building Depa rtt <br /> Date Received Phone Contact for, er itting <br /> -rr-1-Ir -r r-rI <br /> Owner's Name ��V PM 7'1 Owner Phone Number L66- — 7�.5- 7j P� <br /> Owner's Address 7GJ� 6 v-A- 33 5"1 a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /.3 b--z> - S LOT# <br /> SUBDIVISION F PARCEL ID# - ;t I r bO goo 00 a, 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW <br /> CONSTR e ALL REPAIR ® SIGN Q Q DEMOLISH <br /> PROPOSED USE 0 SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0ee STEEL /y <br /> DESCRIPTION OF WORK ��14SArR Gil01I GC <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION_ /CJ� 70 <br /> ELECTRICAL $ 3 1 O Sp AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> OPLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO / <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN • COMPANY SI -r-nj1J5+ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LiLy/N <br /> Address S-610 iJooc1�(oc.,,J pliJr License# FFgo00 (iis <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1111111111111111111111. 1111111111. tllllltllllllllllllltllllllllll_1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> C....A.....C....:I:H.... 0 4 .b--4—0:4—\ —1,Oi.....:t G..... ,L..l:.d..i......lL............nn+.. <br />