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rom: 03/26I2014 09:08 #706 P.001 /001 <br /> 813-780-0020 City of Zephyrhills Permit Applicatio� F�-B��-�so-oos� <br /> Bullding Department <br /> p�R��� � Phana CoMact ior PertnitUn — <br /> Ownar's Name � / I�Owrtet Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tftleholdar Name —� Owner Phone Nwr�ber � <br /> Fee 3lmple Titkholder Addresa <br /> JOB ADORESS LOT A� �� <br /> SUBDNlSION � � PARCEL 1D� <br /> (08TAINED FROM PROPERTY T1U(NOTiCE� <br /> VNORK PROP�9ED e NEW CANSTR 8 ADDfALT SIGN � Q DEMOLISii <br /> iNSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME STEEL Q <br /> DESCWPTION OF WORK � �'✓� 111I� p'� if / G� l �j3 . <br /> 8U11.DiNG StIF �--� 3Q FOOTA(i �13.3� : HEIGHT <br /> �BUIIDiNG S �7� S�j (] VAL OF TOTAL CONSTRUCTION <br /> QELECTRICAL s �� S-� � AMP SEt2VICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBING S . , � B u � 2 �( �lG�r� <br /> [�MECHANiCAL S �• i � �y� VALUATION OF MECHANICAL INSTALLATION � �� <br /> i7 t S <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �� � <br /> ���.��`fi <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUIIDER ' �� COMPANY �Ll SE%t 1� L-�NS '�� <br /> SIGNATURE REGISTERED Y i N �E CuttttEn Y/N <br /> � Address lJcense# G � 2 g7 � <br /> � 2 —�"— <br /> � LECTRICIAN � COMPANY <br /> � IGNATURE �'P �'�' • rtEcrs�REo Y/ tJ FEE CURRE� Y/N <br /> � Addness licens <br /> PLUAABER COMPANY <br /> 31GNATi1RE REGISTERED Y I N FEE CURREt� Y/N <br /> Addreas License t� r <br /> �l� <br /> i �IEGNATUR�EL r //f�� C�� COMPANY � I . S''� <br /> REGISTERED Y/ N �cxntrt�t• Y i N <br /> "�'plddr83S �C. � ...�iCenSB# � � <br /> OTHER COMPANY <br /> 31GNATURE REGisTEftEn Y/ N FEE CURRE� Y/N <br />