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8.13-780-4020 City of Zephyrhills Permit Application FaX,613 7so-oa21 <br /> Building Department <br /> R.:�te;�ecet�e� � P�rssle Gnr>f�aat#or Pe►zi>;eHi�g ( D — � . <br /> GuIrley's Name Aovm my Owner Phone Number <br /> Ownea's Addr ss �p� 7�1( ' 3 j Owner Phone Number <br /> fea waraple'Tifleholrfer dame Owner Phone Number , <br /> F�L Gimple TialeholderAddress 7l'�-.� 1_f0- Y>e1V5P_ VIR YR4 1 LGS Plr ,355 4 C� <br /> JOB ADURss 0-0V . ' Y> .t V LOT# <br /> a���urelSls�N. PARCEI..ld3# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> kuslOf�cf PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE �' SFR O COMM OTHER <br /> -If'!!mE"")F cohSTRUC7ION ERf BLOCK 0 FRAME STEEL <br /> i <br /> raI=SCRIPTI LT OF WORK N L- e,xyA—r <br /> Sa FOOTAGE Cam HEIGHT <br /> [—,,71BUILDING- $ VALUATION OF TOTAL CONSTRUCTION <br /> EE]ELECTRlCAL $ AMP SERVICE PROGRESS ENERGY W-R.E-C. <br /> =PLUMBING $ -- <br /> MECHANICAL $ i P w VALUATION OF MECHANICAL iNSTALLATION <br /> GAS E2f ROOFING Q SPECIALTY OTHER . <br /> FINISHED FLOOR ELEVATIONS I fi r? FLOOD ZONE AREA =YES No <br /> tILl3L3� COMpANy - <br /> 318aNATUR REGISTERED YIN FEE CURREN Y/N i <br /> License it �Gevb044. <br /> ELECTRICIAN COMPANY <br /> REGISTERED YIN FEE CURREN <br /> Address License# <br /> r'L MIE R ��y CHIN PANir <br /> StG{' ATURE ! REGISTERED YIN FEE CURREN <br /> r"v.L'(dress Liicense# <br /> siEi1;iyli:AL• jI COMPANY Is <br /> l�i:d�, IJ FtIS REGISTERED Y/N FEE CURREN OF Y IN <br /> V6�` J `r . <br /> address !q 11 1 .� L �` J� - License# c:&:��ZI4 `17b <br /> 'OTHER. COMPANY ' <br /> uE' Jv46i6RLF REGISTERED YIN FEE CURREN I YIN <br /> Address License# <br /> tip° >I > Ifs lll :lfll .I[ 1ININS.-Itk � � €� � �� 1111II. I �tEE & 1St'SI' IitIt ][ 11.1111 -1f-14'N'# tfil ; <br /> %ar4C'V jZAj-flne Mff lh(71'flln+Dlon P2)o ft--f P—H li—Dln 195 n.f-IF <br />