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a��-�so-oo2o City of Zephyrhills Permit Application F�c-813-780-0021 <br /> � Building Department <br /> Date Received - l— Phone Cor�ct for Permittln 35 2 79 S _ 26 65 <br /> Owners Name 70AL/DES CARPEN7'E12 pw�r Phone Number S/3 Hy6' 3563 <br /> Owners Addresa 5y� TA/lAGElQ JI7�C Q R. pNrner Phone Number 352 3 y(,- yy93 <br /> Fee Simple Tltleholder Name Owner Phone Number �— <br /> Fee Slmple Tltlsholder Address <br /> JOBADDRESS Jr�I.3s �T/aryGE1�/It�E D�Q• LOTi 22 <br /> SUBDIVISION ZEPNy/Z yf/GNTS � PARCELID� 12-26-2/-ooyo-ooioo-o22i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q— BLOCK Q FRAME � STEEL Q <br /> DE8CRIPTION OF WORK N�AC A�N f CoNA• eH�,v�fouT 2 1�2 'J�j�1/ <br /> BUILDING 312E SQ FOOTA(iE �SOO HEIGHT <br /> QBUILDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROG �ENERGY � W.R.E.C. <br /> QPLUMBING $ �� � 1 i,f�� � <br /> f.li U/ <br /> L <br /> Q101�CHANICAL $ 3 7SO o� VALUATION OF MECHANICAL INSTAL N __._,_ ,,/!;�� <br /> � �0 �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> �d� License� —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREN Y/N <br /> '�d"� License� � —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> �d� License# �_ <br /> MECHANICAL C^G��^J� COMPANY �AY Af?EJR /�I�C <br /> SIGNATURE ��"� REGISTERED Y/ N FEE CURREN Y/N <br /> Address 7030 OSTEt'w RO• �vF�Ji°ba7i?icHE FL 346 3 �icense� �ACO/O�jl/5 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> �d� License�e <br /> IIIIIIIIIIIIt111111111111111111111t11111111111111111111111111111111 <br /> RESIDENTU4L Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for�w construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constn�ction Plans,Stortnwater PIanS w/Silt Fence installed, <br />