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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 ) - <br /> Owner's Name O Q N EV R/•64-C Owner Phone Number S l3 9y 7 <br /> Owner's Address 1,'AA1Q01/F2 / t . Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address C <br /> JOB ADDRESS —i I li 7 NDOIIr/t ( /L. /L/ lLy Gzxveb LOT# <br /> SUBDIVISION iue" yawor Est PARCEL ID# -a -021-00;50 -00000 -C7 7 vO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 = DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER - <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK /l/,S 0071 /-eD.1'7/7C741 <br /> BUILDING SIZE I SQ FOOTAGE Zola HEIGHT 0, <br /> rV;PI <br /> BUILDING $ 7 Q VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ff 60/7s1 Z/Q! <br /> SIGNATURE REGISTERED /N FEE CURRE Y/N <br /> Address 7 /O OA V License# CC C -2 7.213 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LILN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> €€-i €_€lass € €191112 sit € 1111141.111 11IL111 11111211.lt€ € tlall <br /> RESIDENTIAL Attach(21 Plot Plans:(2)sets of Building Plans:(1)set of Enerqv Forms:R-0 W Permit for new construction, <br />