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813-780-0020 City of Zephyrhills Permit Application Fax-813�480-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 1( 0 -7 <br /> 13 ) 13 - qE-7 <br /> t141119911 . % omw as a a 1E I.Its a .'-'� IF W 4 <br /> Owner's Name );zOpmr-Y Pkjenja Owner Phone Number I SIS-792 - (V?15 <br /> Owner's iWdressl -7145 L^mV0Va-9- 01zl. ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address r-L.- <br /> JOB ADDRESS F7—t-+S LAN ocvr-tz-- D'pu V F- LOT# <br /> SUBDIVISION PARCEL ID#1 35 v0000-Lief*0 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE � SFR F--j COMM OTHER I <br /> TYPE OF CONSTRUCTION EYT BLOCK 0 FRAME STEEL = I <br /> DESCRIPTION OF WORK ev 6-ReA-r-, 1=1 r+VtA V- I"�Frr-1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT );Z-67 ' <br /> kILUVILILIVILMILk Cx IL JL iL IL jL%JL 4L IL IL 11.JLAL IL C 9L L 411�IL X IL�L 4L qL JL 3L 4L IL&W.IL X k L IL AL IL 4L I <br /> ®BUILDING' '1 VALUATION OF TOTAL CONSTRUCTION(40&, <br /> ®ELECTRICAL le ,3 AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> $ <br /> 1'P 56 .5. 1 <br /> =PLUMBING (q <br /> 1 -t5p,- i <br /> MMECHANICAL $1 VALUATION OF MECHANICAL INSTALLATION 4, 14 3-7. -1 <br /> =GAS [Yr ROOFING F--j SPECIALTY F--1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 6 9 0 f 9 �9 i il IF III f i ff 14.4 A.IF ff a i# I-4 9 i ff 9 f 9 i f -9 F 9 i 6 64-4 <br /> BUILDER J%%` COMPANY Re-w""Z> FeAd�r- a0Nr"'C-nfj1&j <br /> SIGNATURE REGISTERED Y/N FEE CURREN L�L�N rd <br /> Address License# 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURREN <br /> PC) r-__ <br /> Address License# i rt--c monoas3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LILN_j <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LY/N FEE CURREN LYLN j <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N7 FEE CURREN Lyj N <br /> Address License# <br /> stillat will 911111111 19111[litillill all to alli <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R4:)-W Permit for new construction, <br />