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TRANSACTION REPORT p. o1/01 <br /> • JUN /02 /2009 /TUE 01:40 PM <br /> FAX(TX) , <br /> # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE <br /> 01 JUN /02 01:39PM 817277917396 0:00:34 1 OK SG3 0645 <br /> • <br /> 813- 780-OD20 • City of Zephyrhills Permit Ap• atia�i '" " -- -----, <br /> Building Departmen �` <br /> Date Received 2 - Phone Contact for Pe , ittin_ L/) S -- 69 <br /> Owner's Name // C; /49ieer Sv Owner Phone Number ,ey.��07"8 ` <br /> Owner's Address 38 / ?6 1 11 ke-r V Owner Phone Number , • . <br /> Fee Simple Titleholder : Name Owner Phone Number <br /> Fee Simple p TitleholderAddre <br /> JOB ADDRESS ' 3 136' /2jl-p4Ei7 • • .. LOT #. <br /> SUBDIVISION PARCEL MN '. I <br /> • (OBTAINED PROM PROPERTY TAX NOTICE) . <br /> WORK PROPOSED . . i NEW CONSTR ADD/ALT L SIGN n • DEMOLISH . <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM 1 OTHER I <br /> • TYPE OF CONSTRUCTION n BLOCK • In FRAME . 1 1 STEEL n <br /> DESCRIPTION OF WORK . I • _N 7.R-4 OA.: . Re..",)00p1-ti 5 . <br /> BUILDING SIZE SQ FOOTAGE '737' HEIGHT • <br /> r.ltlI1111 1.1111111111 IIIIIIIIIIH.rr milliillilty .. t 111111.r1rrr1111111t 111111111rrrillitlltl <br /> []BUILDING $ <br /> 3, S'p 0 . • VALUATION OF TOTAL CONSTRUCTION <br /> i J ELECTRICAL . • $ • AMP SERVICE ` • n PROGRESS ENERGY : (i - . W.R.E.C. . <br /> n PLUMBING $ 6 /' c <br /> • <br /> []MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .k,0 " 411""°-.. <br /> !- <br /> 5u- <br /> []GAS n ROOFING r SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA • , []YES . NO , • <br /> —' - <br /> 13 UILDER / COMPANY D 5 % 6 '" r Z 0 t CD l 1 1 Lr� C.- <br /> SIGNATURE . - / REGISTERED cr N FEE CURREI Y / N 1 <br /> Address 0 3 6 (0 3 ‘ 241 ' <br /> i. . /evok e cri l C L . • Ucense # l C...CT C / rJ / <br /> 1 LECTRIC! ''' COMPANY <br /> SIGNATURE �/ REGISTERED " 1 • Y / N 1 . FEE CURREN l • Y / N <br /> • : FA-N6 ��o p21 l <br /> ��3 -"1 ass • <br /> License # l <br /> PLUM R 1 COMPANY • <br /> RE REGISTERED I Y l N 1 FEE CURRE6 1 Y / N 1 <br /> • ddress - • 1 License # <br /> MECHANI L •..COMPANY _ <br /> I PnI�P <br /> SIGNATU REGISTERED . 1 Y/ N i • FEE CURREN 1 Y/ N l ' • I I I <br />