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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received c p <br /> 0 Phone Contact for Permitting b+ Q -- "t <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name JS'\ Owner Phone Number <br /> Fee Simple Titleholder Address � y5 L 3-\- Z_■ ' �i___ .5 y D <br /> JOB ADDRESS 5L1L1E V1 3A h\ `\e 1 l' 33 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I V[-- NEW CONSTR ADD /ALT 1 I SIGN 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME <br /> � I I STEEL n OTHER 1 <br /> DESCRIPTION OF WORK Y<_. \ Ci.`` Se i r _141— '''I-4-3 -(.0eZ <br /> BUILDING SIZE SQ FOOTAGE EIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> r2( PLUMBING $ DUD 'V0 -5 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � ___ <br /> I I GAS 1 I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> A.Idru.e 1 1 License # <br /> pedwels Jo peluud 'peal tieloN to eweN pedwels Jo peiuud 'peddl tieloN )o aweN <br /> •oN uolsslww00 •oN uolsslww00 <br /> ollgnd tieloN ollgnd tie ;oN <br /> •uolleoIguePI se 'uo!leogguepl se <br /> paonpo.ad a ey /sey Jo ew of unnowl iClleuosied eie /sl oyM paonpoid anegISEq JO ew o; unnowj Aiieuosiad ale/S1 oyM <br /> Aq Aq <br /> sly; aw eJoleq (pauugle Jo) o; worms pue pegposgns sly; ew aJojeq (pews a Jo) o; uJOMS pue pegposgng <br /> 21O13V2i1NO0 1N3EW 110 2I3NMO <br /> (£0'L S' i) 1V2inr VOl2iold <br /> a s►u_••••=wwn•% _In =•..i 1 nu unnt cswlaxoaMb 3/10 -139 A3N21l 1 1 V NY HO 213aN31 lOA H1IM <br />