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i <br /> a�3;780 -020 City -f Zephy0lls Permit Application Faz e�3-zs0-o02.1 <br /> Building Department <br /> Date Received 866 . 219. 0880 <br /> Inhdhe'Contact for Permitting <br /> I I III <br /> ,Owne?!s Name STEVEN HAZELWOOD Owner P hone-Numb,er 813-546-9080 <br /> 4835 5TH ST ZEPHYRHILLS FL 33542 <br /> Oiivnei's Aifdress � � - Owner Phone Number <br /> Fee Simple T)tieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 'JOB ADDRESS <br /> 4835 5TH ST, ZEPHYR HILLS, FL 33542 LOT# <br /> SUBDIVISION PARCEL IN <br /> 14-26-21-00.10-01400-0040 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> B: INSTALL e REPAIR <br /> PROPOSED USE = SFR = COMM 0 .OTHER <br /> TYPE OF CONSTRUCTION Q PLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OFWORK 30 CAL ELEC WATER HEATER REPLACEMENT <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING, VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING S 1259 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY_0 OTHER <br /> FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA '=YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�' Y/N. . <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA <br /> Address License# <br /> PLUMBER. r ! COMPANY FLORIDA DELTA MECHANICAL <br /> SIGNATURE d✓ REGISTERED Y N, FEIE..CURREN I Y,-/,N <br /> Address- 8402 LAUREL FAIR CIR.SUITE 11,1 TAMPA,FL 33610 , License,# CFC1425917 <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 <br /> License# F. <br /> .1-111:1.1111111:111114I 'IIIII111111111111111IfIIIIIIIIII ffIIIi141IIII111 <br />