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813- 780 -0020 City of Zephyrhills Permit Application .,.v "(l ep Fax -813- 780 -0021 <br /> Building Department <br /> Date Received / – /7– C 6 SOO <br /> 0 Phone Contact for Permk 7 2 - 1 tin, - <br /> Owners Name 3oAts N b0..J n CC {' Owner Phone Number '313 3 - 7 ) • dLPP, 1 <br /> Owners Address I 3 23 Le li I g h e Lt C+ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder L <br /> Address / ,, /� <br /> eh <br /> JOB ADDRESS .2 igh etur4 I LOT# <br /> SUBDIVISION 1 A I PIS Vol I tale &W % PARCEL ID# 35 ` 2S',2 / - e05A - 6e0oo - ! to 20 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW LONSTR 1:1_,,..-- A SIGN Q MOVE Q DEMOLISH <br /> STAL <br /> PROPOSED USE SFR fl COMM n O THER I <br /> TYPE OF CONSTRUCTION r ---- i BLOCK 1 I FRAME n S TEEL n OTHER ( <br /> DESCRIPTION OF WORK I / ie ih 6u11 Tcrnp5J, 2•sm' / r 5 .W liecA <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> El BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> r] ELECTRICAL $ AMP SERVICE ni PROGRESS ENERGY Q W.R.E.C. <br /> r-i PLUMBING $ <br /> r"' MECHANICAL $ 1'7 / t VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I I ROOFING r SPECIALTY (] O THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r]YES r <br /> s <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N ( FEE CURRENT ( Y / N ( <br /> Address I License # I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT ( Y / N ( <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED ( Y / N ( FEE CURRENT ( Y / N ( <br /> Address I 1 License # I <br /> MECHANICAL l / • COMPANY 1 1 66 / <br /> RE <br /> SIGNATURE L. / / C„/j4� // REGISTERED (80 F /� � r'TC.; I a Y ¥ / / N 3959 ( <br /> Address I f'"- – V Se kee ( cT i kJd a 7 /T'I4 N6vO I F I, License* I C.. i <br /> 3%46107 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( Y/ N ( FEE CURRENT ( Y / N ( <br /> Address I 1 License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br />