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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received i '7�J <br /> Phone Contact for Permitting `` <br /> Owner's Name jc> / Owner Phone Number 727 73- 621 <br /> Owner's Address 131751y2lo- �2 &JIDr. i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address J �[ �y� L <br /> JOB ADDRESS �31 7S !.� 77F}-o� // I II �F/i^ Z I p ,/S 7 L, LOT# / T <br /> SUBDIVISION 4d h RiverPARCEL # Z k 4-1 6 1 I 0 V©no0D—) q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER p <br /> oM <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL �J `� r <br /> DESCRIPTION OF WORKO 1 4 U t 14 fJA _ h_C�m .Surlp" <br /> BUILDING SIZE I l d1 X 2-V SQ FOOTAGE 1 HEIGHT O , <br /> =BUILDING 1$ 44 DUo, �q VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ f <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ff l <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY / �t►►E ObJ.h ev� <br /> SIGNATUREVQ110— <br /> 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 REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> � ttlfillr6111E [ 1ItI ;EIt;1 � � lE � lllEitlf � IF � � IEIfI[ It € Ifi€ IIIIl1 � 'El � � I11E1€ IE € € I€ ;€ '1t1 � i� 111f3 � I; i1E � '€.I <br />