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P.O1 /O1 <br /> TRANSACTION REPORT <br /> AUG /04/2008/MON 11:32 AM <br /> FAX (TX') <br /> # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE <br /> 01 AUG /04 11:31AM 818636655400 0:00:46 1 OK ECM 9078 <br /> 813 -780 -0020 City of Zephyrhills permit App > r at raze is-ro uas <br /> Building Department k 613-- 7 $ 0 p-z:.1 ' <br /> Date Received -. % ' V, 9' P hone Contact for Permilti , • e13 IS <br /> • Owner's Name 4/Mi•Yr nit PFA414 R .1In.ftA010 S Owner Phone Number 813 -16 3 -1q 41 <br /> Owner's Address 1 3 101 MO R T U C I M TT Y R.0 I D 1 Owner Phone Number l • • I <br /> � <br /> q E Fee Simple Titleholder Namel N 0 1 �� I Owner Phone Number 1 <br /> Fee Simple Titleholder Address NON O N - , <br /> JOB ADDRESS 5 2 ' fi : Tit 'C' • -Z 1 e A A s. 73 LOT # - 0 E I <br /> SUBDIVISION ... 1 PARCEL ID# ' (0" 1 ' 00 0 -108011 ~ 01 110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ' 0 ADD /ALT , SIGN , F : MOVE E]• DEMOLISH <br /> I J •INSTALL REPAIR ] <br /> PROPOSED USE • SFR ' COMM • E OTHER 1 . <br /> TYPE OF CONSTRUCTION r) BLOCK ' FRAME S 5 EL, Q OTHER 1 1 <br /> C ODS WIN ► I W • ■ I, r ' A ew s - LE *IC L_ <br /> DESCRIPTION OF WORK C��jr►f C. VIOLA S F 770 <br /> BUILDING SIZE L 1 . 84 FOOTAGE 1 w 2. HEIGHT I k0' 1 • <br /> WI <br /> \�) l <br /> BUILDING .. % �.T� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL ,, 1 1 AMP SERVICE PROGRESS ENERGY Ej' W- R.E.C- <br /> PLUMBING $ <br /> MECHANICAL $ •VALUATION'OF MECHANICAL INSTALLATION 1317 I � / ' � ` <br /> Q GAS 1= ROOFING , F SPECIALTY Q ' OTHER / <br /> FINISHED FLOOR ELEVATIONS r i FLOOD ZONE AREA nYES [�N5 y <br /> J • <br /> I <br /> • . \ ` COMPANY 1 1 l 1: r N _ Nci <br /> BUILDER p�� FEE CURRENT ' ' Y 1 N <br /> SIONATURt's . 11 L � G` REGISTERED' � I � <br /> • .g e. 1tU ` ' IIM " 3 -' License# 1 d3/4 5 1 <br /> ' LEC- RICA i COMPANY '12fItI <br /> IGNATUR R . 1 Y/ N 1, FEE CURRENT . YIN 1 <br /> Address I 1 License # I - I <br /> PLUMBER . , . , • COMPANY 1 . I <br /> SIGNATURE REGISTERED '1 Y/ N 1 FEE CURRENT 1 Y 1 N 1 <br /> - <br /> • <br /> Address I <br /> 1 License # 1 <br /> MECHANICAL ' • • - - • COMPANY 1 I <br /> ' SIGNATURE REGISTERED 1 Y/ N 1 PEE CURRENT 1 YIN 1 I <br /> Address I - - 1 - r <br /> License # ~_ 1 <br /> I - 1 - - -- 1 <br />