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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( r]oZ 1 ) & <br /> Ia4141 <br /> Owner's Name j -TI, Owner Phone Number ( g (3 fj " ,qq 44 <br /> -17 <br /> Owner's Address 14532 1-3I o sso m O V d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address rr 7 <br /> JOB ADDRESS y15 3 2 L�(o.55 6 13j 1 Vc[ G.e r h; ( (5 'FL 3-iS42-: LOT# <br /> SUBDIVISION IN/A PARCEL ID# iJO'Z( "611 E - 60-700--DDA 00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK EQ((-a-( 14 VAC- C1n,-Ln e-rU--+ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 30 <br /> =GAS ROOFING Q SPECIALTY = OTHER ' <br /> FINISHED FLOOR ELEVATIONS f FLOOD ZONE AREA =YES NO <br /> - 64 <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 <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL �fe a COMPANY �a�one-4- <br /> SIGNATURE, REGISTERED Y N FEE CURREN Y/N <br /> Address ggSG t4twl gorK ike-,'-iv UdSon, FL License# �g0 2— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> a.■19_a.9I<.a-a aIf.ai12alalliffaaaaa ;[a,mammal! 1Ellmama.��a wit 1 . 11,a 1111111:11 . A11 VALE 1r_i9.1 <br /> i7FCInGMT1A1 Aff—H/71 PW IDI--19%—fc of R„ilrainn PI—c•/11—t of P—rn"P—m-R-(1-\A/ID—if fnr nnu,—nefn,rfinn <br />