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1813-780-0020 City of Zephyrhills Permit Application FaX l 3-780-0021 <br /> Building,Department <br /> Date Received <br /> Phone Contact for Permitting <br /> ownees Name Steven DeFalco & Cecilia_qeFalco, Owner Phone Number <br /> OwneesAddrqssf 5024 9th Stre-eA Zephyrhills FL 33 Owner Phone Number <br /> Fee Sirnpl6ratleholder Name SameOwner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5024 9th Street Zephyrhills FL 33542 LOT 0 <br /> SUBDIVISION PARCELID#j 11-26-21-0010-2120-0-0110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR F71 ADDIALT SIGN DEMOLISH <br /> a INSTALL L�j REPAIR <br /> OROOSEb-USE, SFR F--j COMM Q OTHER I <br /> TYPE-OF'CON1STRUCT16N BLOCK FRAME STEEL <br /> -DESCRIPTION OF WORK. Bathroom addition,-in-cluding rQQf struQture. Replace frnnt dp(-k 6x16 . Re a HVAC' <br /> BUILDING SIZE r 9x10 SQ FOOTAGE HEIGHT <br /> =BUILDING $ 27229.327 VALUATION.OF TOTAL CONSTRUCTION <br /> EZ]ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING r--j SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Kerns Family Construction Company Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURRF-- Y/N <br /> FCBC1255980 <br /> Address, 5031 Airport Road Zophrytfilts FL 33542 License# I <br /> ELECTRICIAN COMPANY Rees.Electric <br /> SIGNMURB REGISTERED I Y/ N FEECURREN * L_YIN <br /> Address 1)1000 j?Z- 74A;Q i:L 33S3-11 License <br /> PLUMBER COMPANYlacksan Plumbing,Inc. <br /> SIGNATURE REGISTERED I Yt N. FEE CURREN LILN—j <br /> Address License# ( <br /> MECHANICAL COMPANY Chns•A/C Servil a <br /> SIGNATURE REGISTERED YIN FEE CURREN LYLN_j <br /> Address I License# I <br /> OTHER COMPANY Bayside Roofin2 Professionals <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> �---- -- ---— ^------—u--ml--- 01--f <br />