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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Phone Contact for P <br /> Date Received ermitting - <br /> Owner's Name d Owner Phone Number _ L <br /> Owner's Address ��� �Gr)cf �+Dak Teasc,rc Ls Ia,xJ Owner Phone Number - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3Ave, Ze Il\ r -l- 31315146 LOT# <br /> SUBDIVISION VIr& V 1�IGt c EJICc7� PARCEL ID# 3S-a S-e41- ODSD-DaooD-Oq Db <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR kr�DY yen <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL /_ <br /> DESCRIPTION OF WORK 117or M011 hon RcrD\(c ho/7 rcm d k! %ns�adl hew floni <br /> BUILDING SIZE SQ FOOTAGE � IS HEIGHT <br /> =BUILDING $ /O) OOD. VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> ©PLUMBING $ <br /> Q/MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0/ ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS --] FLOOD ZONE AREA =YES NO <br /> BUILDER 'J COMPANY Own <br /> fiY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 511 fiDOk /Cc/ License# <br /> ELECTRICIAN C- �� J 1'��. COMPANY 11eor <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 5cui ck HDok P� -Trr-asur,�. License# <br /> PLUMBER c COMPANY W n <br /> SIGNATURE `, REGISTERED Y/ N FEE CURREN Y/N <br /> Address .5/� sCcnG�c 10� /rcasur�l5� License# <br /> MECHANICAL \�7 ���"""tj is COMPANY IDwnG, <br /> SIGNATURE eLe'w REGISTERED Y/ N FEE CURREN Y/N <br /> Address 6 l 1 60 I-Ivbk )e,� /r T easure- Ts) License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />