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813 -780 -0020 City of Zephyrhills Permit Application rax -u ii- iou -uuz 1 <br /> I --° w Building Department lYJ <br /> GJ� h <br /> Date Received c:7 c:7 / -- o • � 0 v Phone Contact for Permitting - <br /> Owner's Name / //I R t f £v/"7/v /J ..,(P....._ Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number , <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS li0,?1 8/ 4 7 7 's 6- Z' » ` c J Cam" LOT # <br /> SUBDIVISION PARCEL ID# /9 4 /&2/ 0--,?)3 v 00 /-' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN n MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM I-1 OTHER 1 <br /> TYPE OF CONSTRUCTION I BLOCK l I FRAME I I STEEL 1 1 OTHER I /4)7/-11 <br /> DESCRIPTION OF WORK . !/ �,<. / /2' ` � ) ve9 7 ?� p/9/A9 * <br /> BUILDING SIZE SQ FOOTAGE HEIGH to <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> '\ <br /> n ELECTRICAL $ AMP SERVICE I I P - • GRESS ENE ` Y l 244J1w.R.E.C. <br /> 9 (1. <br /> 1 1 PLUMBING $ /-),/ �- " 0 <br /> MECHANICAL $ • VALUATION OF MECHANICAL I STALLATIO J <br /> I GAS I ROOFING I 1 SPECIALTY [I OTHE <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY I ► 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address ( License # <br /> ELECTRICIAN' COMPANY <br /> All:MATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> padwe;s Jo pa ;uud 'pads tie;oN 10 aweN padwe;s Jo pa ;uud 'pedAl tie ;oN ;o aweN <br /> •oN uolsslwwo0 'oN uolsslwwo0 <br /> o!Ignd tie ;oN olignd tie;oN <br /> 'uogeogguepl se 'uogeogguapl se <br /> peonpoid aney/sey Jo aw o; umou0l Alieuosied ems' oy/yt peonpoid eney/sey.10 aw o; umowi illeuosied ale /s! oqm <br /> Aq Aq <br /> sly; aw aJo ;aq (paw. je Jo) o; woms pue pegposgns sly; aw aio eq (pewiwe Jo) o; woms pue paquosgns <br /> 2IOL3Va1NO3 1N]OV HO H3NMO <br /> (En. L l 'S'd) iv 1nr vaI Iold <br /> w��u17��e7uuunn JA 7�1 AM Lnni dwn ?Inn=m a .In -lass /ANNA I I V NW 21O 2130N31 2If1OA HJIM <br />