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!I-13-780-0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department <br /> Date Received Z 4 q - 513o q <br /> Phone Contact tor Permittl . 13 <br /> Owner's Name , % /rA/ : ' d (.t) Q 1" r Ul A • Owner Phone Number 813 Q3 3 - 0 (D ZQ <br /> Owner's Address l 36)2.c? madam I n Tam Pa 1 Owner Phone Number I <br /> Fee Simple Titleholder Name 1 Owner Phone Number 1 F <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 7 q 2 8 Call Bi ti a, 1 LOT # 1 1 <br /> SUBDIVISION 1 PARCEL ID# 1 35-2.5. 2 1. 0130.00000 . 014 0 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ei NEW CONSTR r ADD /ALT j SIGN Q Q DEMOLISH <br /> INSTALL C REPAIR <br /> PROPOSED USE 0 SFR 0 COMM imi OTHER J <br /> TYPE OF CONSTRUCTION O BLOCK [J FRAME 1 J STEEL n 1 J <br /> I <br /> DESCRIPTION OF WORK 1 1 n tr ► 0 r 6u '11c1 o L4. 4- C <br /> BUILDING SIZE 1 20 f 1!Q o 1 SQ FOOTAGE 1 1 v V 112,4 0 HEIGHT /to r — i V <br /> QBUfLDiNG 1 *r 2 5, o I VALUATION OF TOTAL CONSTRUCTION <br /> J1ELECTRICAL Is 6,000 J AMP SERVICE PROGRESS ENERGY ® W.R.E,C. <br /> =PLUMBING I 614 0 C) I � t , -1�3 S-e kL" MECHANICAL J Ff m 6- 0 <br /> $ 5 0 Q VALUATION OF MECHANICAL INSTALLATION � te <br /> GAS Q ROOFING Q SPECIALTY MIN OTHER ..- <br /> de �' <br /> FINISHED FLOOR ELEVATIONS l l FLOOD ZONE AREA EYES NO <br /> BUILDER COMPANY 1 r". 1 1 n f r Co nS - I ru C 0 n I <br /> SIGNATURE REGISTERED 1 YIN 1 FEE CURREN 1 Y / N 1 <br /> Add roe 1 2 41' 4 o S. e. 511 .it I J 1-I Z .�3 SSR 1 License # 1 C CO 112 i 2 <br /> EIQNAT RED W COMPANY 1 1 (Y` <br /> LA) O(Z12_W O O So K e <br /> c E e <br /> REGISTERED 1 CO N 1 FEE CURREN 1 Y / N J <br /> Address !�s n'1 1"f �- "�C' CC 1 License # I /C /3 ©0 / / ii ii I <br /> PLUMBER <br /> SIGNATURE I O # COMPANY ( 5 f L G� /u 0.-v,.... <br /> -►. ,6IN <br /> REGISTERED Y / N 1 FEE CUR �-� 1 Y W 1 <br /> Address I 4 13 ` d 4 /e/-4.,, "- / 1 . /,i' <br /> 1 L icense d # 1 C p Go / J 9 / / I <br /> MECHANICAL .0 COMPANY IA* ,4 a 5 ) 9 5/60.., , � <br /> SIGNATURE <br /> REGISTERED "' 77 f f N I FEE CURREN i Y/ N 1 <br /> Address 137/ zg Koss /K ,41 Z/(1 ?My, License # 1 C Rc.. /xj, I <br /> OTHER I COMPANY <br /> SIGNATURE REGISTERED Y f N <br /> l 1 FEE CURREN 1 Y N I <br /> Address 1 License # 1 <br /> 1111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1 ) set of Energy Forms; R-O-W Permit for new construction, <br />