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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 9 Q y <br /> Date»eceived ?_( �—(-1 g 352 ?G/$ <br /> Phone Contact for Permittin C <br /> Owner's Name &1q 691 Elt E LEl GHISEArtl k6V cyOwner Phone Number O(3 q 17- 89.9 3 <br /> Owner's Address 7501 M&2 CI-1 AWT V►LLE C(2 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 750°l k-4E►2 C141;ry T v/[L C-- 12 LOT# �0 2 <br /> SUBDIVISION d( 2 PARCEL ID# 36—2S-Z1 — 1 ZO — p0OCO — COZO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CQNSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION �1� BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK 14VAC A114 F'CONO• cWj9lvc-E OvT- 3//L 70 v EQur4 L <br /> BUILDING SIZE F SQ FOOTAGE (a d$ HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 1 `q Q <br /> []ECHANICAL $ 652 y po VALUATION OF MEC CAL LATION !.� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �[ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address Liiiceensse## <br /> MECHANICAL COMPANY � !JrUi )9// <br /> C <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREN Y/N <br /> Address License# I ClqC Oto 015 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr <br />