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P.01 /O1 <br /> TRANSACTION REPORT <br /> MAY /05/2008/MON 11:29 AM <br /> FAX(TX) <br /> # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE <br /> 01 MAY /05 11:29AM 813525233608 0:00:33 1 OK SG3 8648 <br /> l FeX tl19- !!lU -UUL1 <br /> 8 13 -780 0020 City of Zephyrhills erm Application 9°60 B �jL gSZS 6 <br /> • ter. .. • <br /> Date Received " P hone Contact f r Permittin • _ _ .. _ <br /> 613-7r:- <br /> I �, I % � e.. ; • Owner Phone Number , - <br /> • <br /> Owner's Name �,�.,�� • <br /> Owner's Addre5S r jl ed I Owner Phono Number I • • Fee Simple Titleholder Nam• j ' Owner Phone Number <br /> I • <br /> e <br /> Fee Simple Titleholder Address • • • • <br /> JOB ADDRESS I I <br /> . • <br /> r-=•m =a-�a�o: <br /> , I LOT # <br /> . Y ' • • . <br /> j PARCELID#I 3 a5- .21 -OoQO -aenea.- a'/�c�• • <br /> SUBDIVISION . I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR <br /> ADD /ALT C=I SIGN [^] MOVE E] DEMOLISH <br /> • INSTALL • REPAIR <br /> COMM Q OTHER • <br /> PROPOF CONSTRUCTION USE FRAME STEEL p OTHER r i <br /> • TYPE OF CONSTRUCTION . n BLOCK <br /> DESCRIPTION OF WORK `„1:_,,_.i ;! . Ldii, I 4 e - • • <br /> BUILDING SIZE 1 b Al2= 14 SO FOOTAGE 6"l. .r+ HEIGHT <br /> (r BUILDING ($ • • c f . I ' VALUATION OF TOTAL CONSTRUCTION • , <br /> LECTRICAL • $ • 1 AMP SERVICE <br /> (P! • S ENERGY • 0 W.R.E.C. <br /> E Q PROGRESS • � . <br /> �O a O <br /> n PLUMBING $ 1 �b --•--'• y #%. <br /> ' � ECHANICAL INSTALLATION .'I • <br /> =1 MECHANICAL. I$ I VALUATION OF M 40 . • <br /> GAS ED ROOF1NG .. SPECIALTY =I OTHER • . . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA L1YES E]NO.' <br /> . 1 • <br /> BUILDER P I <br /> COMPANY � <br /> 8 '�' <br /> SIGNATURE r ' � ` j I 1 . 1 I l. REGISTERED FEE CURRENT • Y 1 N <br /> 10NT . l J� / E �e p <br /> ' Address a.s3 L _ it � .g • - 10 ' • a . : License # l . 1 ?v I) /(r) / • 6 IAI+a "4` • . C 4 M � <br /> PANY . a„ <br /> p4RL' • <br /> ts REGISTERED Y / N . FEE CURRENT • Y / N I . Addrese 1 • . • v • , License # I • J <br /> PLUMBER • COMPANY .I 1 <br /> • SIGNATURE REGISTERED 'Y / N i Y / N J FEE CURRENT . 1 1 , • <br /> Address ( 1 • License # 1 • <br /> MECHANICAL • • COMPANY • • • SIGNATURE' REGISTERED Y / N FEE CURRENT / N • <br /> Address 1 .111 • • • I .UCense # 1 - - I <br /> 1 7 <br />