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€t13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received, <br /> Phone Contact for Permitting � 3S2 ) 2 5 4� — 222 5-- <br /> Owner's Name Jf�� ,51UOj't PLC Owner Phone Number <br /> Owner's Address 3_6 1_J' C_ ���Jr` rG 3 `f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee.Simple Titleholder Address w' ' 8 Wn v � <br /> JOB ADDRESS l © 1'AST(U�� � �V 6- Q /j j?N1 d FL -US442—1 LOT# <br /> _SUJMJYJS1ON F PARCEL ID.# 02- 7-4-2-/— 00 — 00000 D ) 0 <br /> (OBTAINED FROM PROPERTY TAX NOTia;E) <br /> WORK PROPOSED NEl41 C,n1BTRj� ADD/ALT = SIGN � � DEMOLISH <br /> R INSTALL L__.I REPAIR <br /> PROPOSED USE �j SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK 3NS7,9LL �f//,►!✓�/EL ( Tr <br /> BUILDING SIZE F SO FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PL MBING <br /> =MECHANICAL $. VALUATION OF tfiECl-ANiCA-LiNSTAiLATi0im. tl <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN -Y/N <br /> Address { License-# { <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 /> MEC14ANICA.L COMPANY <br /> SIGNATURE REGISTERED. Y/N FEE-CURREN Y/N <br /> Address License# <br /> 'OTHER i COMPANY 6.Tz.4-t�.� Z5�611 `) L�G H�+✓6 1 N <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# I 5 0(0 80 11 Q <br /> as 14 t a-9 8.E €12 S P 1 1 11-2 41 14 a :I X,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 />