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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r Phone Contact for Permitting -- <br /> Owner's Name � Owner Phone Number <br /> 7'7�. I _ <br /> sit <br /> Owner's Address zGP N( _j_1iLL5 FL_ 3 — Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address it <br /> JOB ADDRESS -7T M4y /'k eP_CHA4T (U_E7CC LOT# 2 g <br /> SUBDIVISION (�w�-�� v (-�I 1,1�5 PARCEL ID# + 2 OC X::�00— C,- � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK P- PL-PCW(,j6 3 z)CjCralo 2 70625 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ®BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E1.C.. <br /> =PLUMBING $ P__21G/�� <br /> O"• p N"►4� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ,1 <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �6�)COIMPANY ��L � CDAU-�,'7)C77O,J PLC <br /> SIGNATURE REGISTERED N FEE CURREN I N <br /> Address •�� � License# <br /> padwe;s Jo pa;uljd' add tie;oN;o awe p padwe;s Jo pa;ulid'pad/4 tis;oN to aweN <br /> N <br /> ON uolsslwwOO <br /> *ON ualsslww00 <br /> opgnd ks;ON <br /> oilgnd tie;ON <br /> •uogeOgpuaplse <br /> -uogeogpuapl Se eon ad ans se JO aw O;ummoq Alleuosiad aie/sl 04M <br /> peonpad aney/ssy JO aw o;U"uN Rlle(osied eje/sl oyM P P y/ y 114 <br /> g sl aw ejo a BLU1 s Jo o worms us a os n <br /> sly;aw ai ;aq(pawitye jo)o;worms pus paquosgnS y; ; q(p ) ; 1N3JV au 0=1NMO <br /> >!101Dtl211NOD <br /> (EO'Ll I• •s'rl)iv,8 r dalaOl-A <br /> __ ^1N3y113�N31f11W0^�el I O 3n j:l I mi n�0A-I NA1113c1011d unoA O.1 SIN A021dW11SO-4 S3 MAW <br />