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s�3-�so-oa2o City of ZephyrhiNs Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phane Contact for Permitting ) -- <br /> Owner's Name �� �F Z�/y(�'7'/��� Owner Phone Number <br /> Owner's Address ��� �1 `�� y k �G Owner Phone Number �— � <br /> Fee Simpie Titieholder Name �— � Owner Phane Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Z� J LOT# �y� <br /> SUBDNISION �— � PARCEL iD# <br /> (OBTAINED FRQM PROPERTY TAX NOTICE) <br /> WORK PROPt3SED � NEW CONSTR 8 ADdIA�T � SIGN � � DEMC?[.[SH <br /> INSTALL REPAIR <br /> PROPQSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK [� FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �LI �G"� O �L <br /> BUILDING S1ZE �� � SQ FOOYAGE� HEtGHT �_____� <br /> �g������� $ �����DQ� VALUATION QF TOTAL CONSTRUCTION <br /> _I <br /> �E�ECTRICAL � � Attt1P SERVICE O PROGRESS EM1iERGY � W.R.E.C. <br /> (�PlUNIBtUG � � <br /> ONIECNANICAL � � VACUATiQN OF IUIECHANICAL INSTAILATIQN �_,.J�.l �� <br /> .i r � <br /> �GAS 0 ROOFING Q SPEGIALTY C� OTHER <br /> FINISMED FLOOR ELEVATIONS ��� FLOOD ZONE AREA �YES NO <br /> BUILDER 4 �OMPANY � I p/�� ///���/`'j�s <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � 477 `'�� �J�l� License# � � <br /> ELEC7RICIAN �„ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address License# �i � <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECNANiCAL — � 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 />