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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Ph g Phone Contact for Permitting <br /> OwnePs Name M a�l 1 W� Z 06M by Uhl a Owner Phone Number <br /> Owner's Address 359 o5 qtK Ave. Zt h rhi lkS I Rw• Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS3gq0S qf>< vf. 2,eph rkiRS/ 1=L• .33S42- LOT# I2,13,1y�J <br /> SUBDIVISION PARCEL ID# 1 1 26-ZI -0 O 10 -019 0 O• O 1 225 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q c BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK `Z�OT ��l�.l' -n'(' CFLIOb7�•1 +(FLl?9?�• 1 <br /> BUILDING SIZE SQ FOOTAGE 15 3 mo di ft e d HEIGHT <br /> =BUILDING $ t l'W40 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> -P-z <br /> =PLUMBING $ dl Cpt,lS���M <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONI cv <br /> /Vl <br /> =GAS E2" ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 'COMPANY ro c k ap c� <br /> SIGNATURE REGISTERED Y/N FEE CURREN LXLN <br /> Address License# e C L co <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> THER COMPANY <br /> MATURE REGISTERED Y/N FEE CURREN Y/N <br /> 7\191ress License# <br /> '[ �f # 11� I � lilEt{ [Iti �� ll-i-ilfii� ll� i [ � Itii [ ! i[�iE�# iit_� IE # Ii �iE111tIt1Elt� # i,f Ia1t1I ��i <br /> nITIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />