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%,ity oizepnymum t-erTnli tApp"Gaurill <br /> Building Department <br /> Date Received Phone Contact for Permittin 81T3 51.11 <br /> V 7 <br /> O <br /> Owners Name Steven DeFaloo Cecilia DeFalc0 Owner Phone Number- <br /> Ownees Address- 5024 9 h Stre-etZephyr hill s FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Same Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F-5024 9th Street ZephVrMi Is FL 3354-2 LoTv <br /> SUBDIVISION PARCEL ID#=11-26-21,0010-21200-0_110 <br /> (OBTAINED'RMrPR0PERTy_TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN 0 DEMOLISH <br /> R -INSTALL L_j REPAIR <br /> PROPOSED USE SFR F-1 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Bathroom addition including roof structi ire- Repl . front deck 6YI6 . ReDlacelHVAC <br /> are <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C �. <br /> F71BUILDING .32 VALUATION.OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.t.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F__j SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . .. . . . . . <br /> BUILDER COMPANY Kerns Family Construction Company Inc. <br /> SIGNATURE REGISTERED I YJ Nl FEE CuRFEN L_yj N_j <br /> �. CBC1.255980 <br /> Address. 5031 Airport Road Zephryhiils FL 33542 License# <br /> COMPANY Reese iiiectric <br /> ELECTRICIAN <br /> SIGNATURE REGISTERED Y/ N FEE CURREN - L_ILN--J <br /> Address License# F— <br /> PLUMBER COMPANY Jackson Plumbing,Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> MECHANICAL 1 A COMPANY Chrie A/C Service <br /> SIGNREGISTEREDREGISTED FEE CURREN _N_j <br /> cose -7 S_ <br /> was- License# <br /> Address 301. C. <br /> OTHER COMPANY =Bay�!de Roofing Professionals Inc. <br /> SIGNATURE ' <br /> REGISTERED .1 Y-/--'N FEE CURREN I Y/N <br /> Address License <br />