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i <br /> 813-78MO20 <br /> City of Zephyrhills Permit Application Fax-813,-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( ) <br /> aaasaasa p # aaaa <br /> Owner's Name_ to,eQ 4 /(� Owner Phone Number <br /> Owner's Address S7 0 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address [ G <br /> JOB ADDRESS 6-730 � 3 rc �/SS LOT# <br /> SUBDIVISION PARCEL IEW <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSfR e ADD/ALT = SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM 0 OTHER I G <br /> TYPE OF CONSTRUCTION BLOCK Q/_ FRAME � STEEL <br /> DESCRIPTION OF WORK c4 G'C ('L/1/-�q 'j w. / f- <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> C�tKXtEXLLE'KrEL'XS[f jEfE.F-X JE E W-JE W-W.V-AL X X JE X 3E 3E E X X XXJEXXXJEE1ELEXJEA4JEJEiEJECLLC'EXX- E?Er <br /> UILDING $ V U` VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL f$ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,A & /9��� <br /> =GAS = ROOFING Q SPECIALTY = OTHER �/ 4�{� �Y -51z, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES Oicb l-Y� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N ` <br /> Address License# <br /> ELECTRICIAN COMPANY ov <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L Y:/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y[N FEE CURREN <br /> Address License.# <br /> • ! p tlp <br /> OTHER J OMPANY <br /> SIGNATURE C-�, REGISTERED Y/N FEE CURREN Y/N <br /> Address �u 0 License#' <br /> aaldlIaasai'111s "" Ill ! ait& 11111.a # 111[ 1 alafalla )lalit11 " 1.lalllaillaa <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O W Permit for new Construction, <br />