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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received •-� <br /> Phone Contact for Permitting �3 / <br /> Owner's Name �`[ Owner Phone Number <br /> Owner's Address $ n, Owner Phone Number <br /> Fee Simple Titleholder Name EwA Owner Phone Number <br /> Fee Simple Titleholder Address I 1,�- Al %.�� <br /> JOB ADDRESS 311 33 Ave, 10 33 LOT# n ►��(3 <br /> SUBDIVISION CcIS r-Klls PARCEL ID# 11 'r - Q-) —b(1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER .r <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q h <br /> DESCRIPTION OF WORK } p•�r (7� " lij �1 •12, 1 utt��(,r t •� C5dl(v <br /> GLhb �•0-5h P U UWA <br /> BUILDING SIZE SQ FOOTAGE HEIGHT5- :�=Q�d �� I I!O <br /> =BUILDING $ ` 50. VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ J AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/NJ FEE CURREN It Y/N <br /> Address License# C �i132 <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 <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> II a II II I€-a 1l 1€f t TA 1I II.i.II 11-1I.a 1E.1I 1E.1I.i 1I II.If 11.1I.111 1I 1I 11 1! 11 1I IN 11 l[T 11I ILII 1I 1I III Ii It a a 1 -1I 1-1E 1I.2 19 9_9 1I.1I.II 21 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildinq Plans;(1)set of Enerqv Forms;R-O-W Permit for new construction. <br />