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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> 129929RAN 4E41i <br /> Owner's Name C.�-,C.�' �- �r�� C\ Owner Phone Number 3 <br /> Owner's Address 90 y I.a _ xVL'. 2. � i^hl`��S' '$ S�abwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address c <br /> JOB ADDRESS S 9 0 3 7 �O�� e Z-o rti i t � � �"1� LOT# <br /> SUBDIVISION 1, elf tveevj 9VPARCEL ID# � o�^a� 'a� �C90�0" C9®c�ae�a C,G i0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> INSTALL REPAIR <br /> REPAIR SIGN = = DEMOLISH <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK C %, con S <br /> BUILDING SIZE SQ FOOTAGE Q 0 HEIGHT UU <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ /�L VALUATION OF MECHANICAL INSTALLATION <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 I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address `` License# <br /> MECHANICAL L f�u c <br /> IV COMPANY J %-e0-1 434,�C Y <br /> SIGNATURE � REGISTERED Y/N FEE CURREN I Y/N <br /> Address I 3(/!OJl C- weSs J�, License# , C'► <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> IE!31.9 a.ti a 111 a If I!`IF a 313 3_IE 1.2.2 1 SAI i.11 2 1[_9_II 1[It 1-111 Il.If IF I a I!a If 5 112 RAI 11111 11.2 V 1 :111 a i.lt..9[11,31, [.Ir_II.If 11 If 91 <br /> DFCIr4FhIT1A1 A44arh 191 PIn4 Pl.ne•/71 eete of Ri iildinn 131.—/11 ent of Fnnrmt Fnrmc•P-n-1A/13—4 fnr nou rnne4n in4inn <br />