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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�ed t _ <br /> Phone Contact for Permitting <br /> -�-�-�-��-�-�j �-��- - -- - - - - - - _ _ --1_�_.�_�°� _ _ _ <br /> Owner's Name af1AG 1 m� �r Owner Phone Number l3'9.4�'�.SZ <br /> Owner's l4ddress 3g�Qys �� Af1Owi� ��_ Owner Phone Number � �c,���� � <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �.Y"�� 1 � ��1. LOT# � <br /> SUBDIVISION � V�� ARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED � NBIV�NSfR ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDIDSE O SFR n / COMM � OTHER <br /> TYPE OF CONSTRUCTION O BLOCK �j FRAME � STEEL � ��j�/ <br /> �'l/ <br /> DESCRIPTION OF WORK L����I�j. �- E� ' �, j��'C� S <br /> 1 � n � � <br /> BUILDING SIZE �� � SQ FOOTAGE� HEIGHT � r� ��'� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION �('V <br /> 0� <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � V1�,E.C.,� <br /> �x <br /> OPLUMBING $ . /`/1yy�y��LI <br /> Q �� l.v' <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> l �a �i <br /> S <br /> �GAS � ROOFING a SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER r�OMPANY � <br /> SIGNATURE �'� REGISTERED ,, Y/ N FEE CURRE� Y I N <br /> Address ��6 '� 'C(� � �(�L License# 1�1�N�E0 w N i�� <br /> ELECTRICIAN � o OMPANY � <br /> SIGNA URE REGISTERED Y/ N FEE CU E� Y/N <br /> ���� .� <br /> .� �r�y Cl�,���� ►{OMC OWNE� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> :7 1 1 � i 7 .l 1 1 1 1 7 1 7 1 1 f 0 7 7 1 1 1 7 � ] .1 7 7 I f � � �i 1 7 1 � I I �l ] 7 7 I 1 � 7 1 i 7 ! � 7 ] ] 1 1 I ] 7 �] 7 1 7 7 �1 <br />