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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 /> Owner's Name /" G lewen'! -ric,. Owner Phone Number <br /> Owner's Address ?© ® Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 7130 /1gnd FhJ8 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE COMM = OTHER <br /> TYPE OF CONSTRUCTION - BLOCK FRAME = STEEL <br /> DESCRIPTION OF WORK 1`C �Ce en El hrrC,� <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> '®ELECTRICAL $ yv® qjo AMP SERVICE QQ PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ -7 7 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �n Q 16 <br /> =GAS 0 <br /> OTHER C/ <br /> 0 ROOFING � SPECIALTY <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 A zgrS E'/cC r.,C- <br /> 'SnC <br /> SIGNATURE REGISTERED CYV N FEE CURREN Y/N <br /> Address 110600la-4,44o v 3 License# I G G oa&2 2 7A <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <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 /> IE�Il1t €�aElt €# I€�l€It� l��l��lilt �Ili If#_It�� �>�;E ��l�lttl I€It1€fIt lE1t>�i1tlf;ii� �l��tt�lt�ltl>E1€1ttt� lttt�tt�1 <br /> RFCIn=A1T7 Al Af—h/7\Plnf 131.—P2%ccfc of R, lrlinn Plnnc•/'I N—t of I=—r—,Fnrmc•P-(1-%A/P.—if fnr ncei rnncfn irfinn <br />