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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 . <br /> Building Department 0 <br /> Date Received <br /> Phone Contact for Permitting ( ) <br /> aa €IIIII!aaa /1 /J L # � ., <br /> Owner's Name v G I� l���T(JYYI Owner Phone Number �� a2 0 <br /> Owner's Address ��'3 Tilrn b ► Wa Il Owner Phone Number <br /> Fee Simple Titleholder Name N(II` Owner Phone Number <br /> Fee Simple Titleholder Address N/A <br /> JOB ADDRESS `7i 31 t ,mW bOa , FL 53.572- LOT# <br /> SUBDIVISION 1. o 1 ar& PARCEL ID# 115'21j'Z)- 0200-00000-07-150 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL R REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME 1= STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE r SQ FOOTAGE=. HEIGHT fAq C oSvrr-� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> EVTMECHANICAL $ 1 (� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r , REGISTERED Y/N FEE CURREN Y/N <br /> Address 3 uS /y �L 3 y� License# lit <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE-CURREN Y/N <br /> Address License# <br /> aaaaJUNa_111[_1111N.111E_211 I'm 11-11a1I.a. 19111211111a'a#.aN 11111a31€_1111-11aa.I.1E.14.3Isaa1E1a..ita.1111_2.114a1 <br /> 0CCIn=KIT1A1 Aff-1,ID%Dlnf 131.—/71 D_f1_%AI D.—if fnr nesi rnncfn infinn <br />