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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Date Received M A 21,2O1 `I phone Contact for Permitting B 1 3 r/ L. - 9 3 N-o <br /> Owner's Name f)Vf C- -f L LLL Owner Phone Number U�� I O 3 <br /> Owner's Address I 91111"�] --�rQ yn,1 ST?- qcu Owner Phone Number <br /> Fee Simple Titleholder Name N 1 Owner Phone Number <br /> Fee Simple Titleholder Address \ �+ <br /> JOB ADDRESS 3 q 1 1 O C7 fYl U.. LocD ZePN-,;a+-1 1S= LOT# -1 <br /> SUBDIVISION ftw es"aC DOX P,v PARCEL ID# OLI.a to- a1 -OD30-- oL-4----)Cu-Igo(-v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK n&1z:Q\11 N1 czncreV- QajA 86 X 66 W,Un -o,X id Sh1 ,s W OA) o I�- <br /> BUILDING SIZE F SQ FOOTAGE= HEIGHT <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> tR ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 421 <br /> BUILDER / OCOMPANY <br /> SIGNATURE I�' ,1 L/ T REGISTERED Y/ N FEE CURREN Y/N <br /> Address 3 / �I 5'� 5 fk R 3354'd License# <br /> ELECTRICIAN J c / � COMPANY E I ec-+P.rL <br /> SIGNATURE ^� l/' l(! / REGISTERED Y/ N FEE CURREN <br /> Address Q.�, pa y 1�gQA r 33 �o License# e e- 1 300)3 gJ 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />