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813-780-0020 City of Zephyrhills Permit Application Fa 813-780-0021 <br /> Building Department <br /> I/ Date Received 23- g � d 13 ) 714 _ 3 t IC <br /> �— Phone Contact for Permitting d t b <br /> € € € €'€ € €_€ € €€ €€ <br /> Owner's Name e&l$ �O�n W6,615 Owner Phone Number q3 7"¢Dp q"i/ <br /> b 7 7 <br /> Owner's Address 145 I " t/,,, 2F W(IS Fl- Z Owner Phone Number <br /> Fee Simple Titleholder Name Eas+ P&5W fAeA5 on Why 1 T Owner Phone Number <br /> Fee Simple Titleholder A ® F391 <br /> 09 /-'OkAv,6, 2-&jRbvr64 Is I F L 3 3 SQ 2 <br /> JOB ADDRESS u. ' S""'�y�, k r � S 33542 LOT# <br /> SUBDIVISION PARCEL ID# �1"2�o"2j_0016)-0t7-00-07-1510 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED El <br /> NEW CONSTR e DD/ALT ® SIGN 0 0 DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE 0 SFR Q COMM 0 OTHERI Disir- E Aved }a E'Q aScp <br /> TYPE OF CONSTRUCTION BLOCK © FRAME STEEL <br /> DESCRIPTION OF WORK CI ),+ rA r' r ale r O"I i tf- Dn6 n�cu/4 Luni�' <br /> BUILDING SIZE Ss�$l�X (?2q SQ FOOTAGE �I I HEIGHT <br /> ®BUILDING $�OS62 VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W. C. <br /> 14 ®oo.00 ` .6- r; <br /> ® 7 PLUMBING $ I / /f <br /> SoD.OD <br /> ®MECH NIr.AI VALUATION OF MECHANICAL INSTALLATION <br /> 4315'DO.DDD OOFING Q SPECIALTY OTHER S <br /> FI(EK]GAS <br /> SHED F OR ELEVATIONS FLOOD ZONE AREA =YES X NO <br /> BUILDER COMPANY R Man Cons+roafton of Flor't ,-,rtle <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address 31P413 S(Z S4 26 6- 335-41 License# I C CK— .15- 77 Z <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address Z V-4 6(- License# C 30 0 c e3 <br /> PLUMBER �e, <br /> oCOMPANYSIGNATURE ✓✓✓ /AREGISTERED Y/N FEE# �. EE C RR��E��N��,,-- <br /> Address y�License / k <br /> o <br /> MECHANICAL . COMPANY �A/l /.[o 6-,4JS <br /> SIGNATURE [� REGISTERED Y/N FEE CURREN Y/N <br /> Address % Y ���I,,,, License# 1 C,4 C O <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> € € € I11111i€ YI( II �Itf�tt.S€ � �� � t€ €1t €€ € 1IIBi1tIt1€� €��f;t-�#1111aIIIIIIIIIIIt �.�.t �i <br /> RESIDENTIAL Attach(2)Plot Plans:(2)Sets of Buildina Plans:(1)set of Enerov Forms:R-O-W Permit for new rnnctn intinn <br />