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813-780-0020 City of Zephyrhills Permit Application P(f W / 7/ Fax-813-780-0021 <br /> Building Department TIVV* )307 <br /> Date Received Phone Contact for Permitting I� — <br /> a a a t.'9 t a a 2 IF a a a a a a a " a a a <br /> 6*ner's Name 'Orn Owner Phone Number el <br /> C <br /> Owner's Address I oaqe, Owner Phone Number <br /> Fee Simple Titleholder Name A Owner Phone Number <br /> ,Tee Simple Titleholder Address <br /> RE' <br /> JOB"D6S 1-7fLp 1 Le xAe.ehr-,Ae0 OtA.- 1eA*hM.(-L LOT# <br /> SUBqpj�;IQV' iW&AN.'ev", PARCEL ID#j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> R INSTALL F—] REPAIR <br /> PROPOSED USE SFR COMM 0 OTHER I JOE-RW�59 MIX—IT M Udt <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL = I L <br /> DESCRIPTION OF WORK 1 te Re- VV -Lsot ram <br /> SIR 'C:f] SQ FOOTAGE HEIGHT <br /> BUILDING SIZE \t 6 <br /> -t-juir ,IL BUILDING -E-X-X-VX-ir 1 �U' "AD <br /> $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 0000 <br /> [ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> CO <br /> "'A*-&0 0 # * a it@ ff � fiiff � NO Ileffififf # o1 ## liiffn <br /> BUILDER COMPANY I g0g;�'- e k Vc. <br /> SIGNATURE REGISTERED (VI N FEE CURREN <br /> Address 9&P.Q LO Ke&�tre Dr- License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED LY=N FEE CURREN <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N _j FEE CURREN <br /> Address i License# <br /> 1, 11 111'a 1 a a till 11.1 1 a a a a I t-1 a 111-111 1 a lll 144 a I I a a 11 a I lll 1 11 141 11 1 a 1:111 1-1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />