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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> E1 <br /> Date Received Phone Contact for Permitting 1.3 7 - I;/: a 0 <br /> satZZSZs fasaf a a a a a a a a a <br /> Owner's Name 1 OL- Owner Phone Number J'`7 �0/' ��r�• <br /> Owner's Address Pa i .r� �15 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address C LA ,, , ,L <br /> JOB ADDRESS J�J�-�" LOT# T`j <br /> ^� C <br /> SUBDIVISION UAAAZ.s- JL,6 PARCEL ID# Od' ' a U _a 1 -01 q/0 -0VV0V -0 /q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK / /1�-►'�1 D V <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ I r7�J c� ?v VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ! 8 J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ! n <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> =GAS = ROOFING 0 SPECIALTY = OTHER V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER Y� COMPANY cJ <br /> -771 <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/ <br /> Address $90 G&V V vd 2 .335Y I License# Fccc 0 5 g a3 <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 Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ffffffffff if lfllfffffffff liffffffffffff iffffffffffff l!ffffffffffff Iffffi <br /> RFCIr1FNTIAI Okanh 01 Pint Planc•f71 aotc of Ri41dinn Planc•f11 cat of Pnorm/Pnrmc•R-n W Parmit fnr now nnncfninfinn <br />