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s�s-�ao-oozo . City of Zephyrhill� Permit Application Fax-813-780-0021 <br /> Building Department <br /> �,r., } -- •-- •� � <br /> D�te 12eceived Phone Contact for Permitting �°3 ���6' - �![ �. <br /> -i-I� <br /> Owner's Name � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��C �' � ri�- :L S � �J3S� LOT# �� <br /> � <br /> SUBDIVISION \ ve� PARCEL ID#�--1�'�p-Z.'�^ l� � � <br /> ' (OBTAINED FROM PROPERTYTAXNOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/AI.T � SIGN � 0 DEMOLISH <br /> ;NSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK y �^ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT • -- •--_.... , <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL � $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �'�LUMBING $ .� �� Q '�� <br /> (,�, � U <br /> 0 MECHANICA� $ VALUATION OF MECHANICAL INSTALLATION ��, <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO _ <br /> --r --r---r -� . <br /> ■_� � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N -• -- - �- • • <br /> Address License# <br /> PLUMBER . �`�� n;_ (7 iy �� COMPANY � ^ <br /> SIGNATURE �J"v� `r��� REGISTERED / N FEE CURRE� Y/N <br /> 3Sw <br /> Address C��• C�C�C�9�Y License# � 1�� <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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />