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813-780-0020 City of Zephyrhiils Permit Application . Fax-s��-�aaoozT <br /> Building Department <br /> Date Received • Phone Contact for Permltting �7� - ' �l r � � <br /> rrT <br /> Owner's Name � �1 Owner Phone Number <br /> Owner's Address Owner Phorte Number <br /> Fee Simple Titieholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS i Q � � S�( � —` LOT# �] <br /> SUBDIVISION \ v�✓ PARCEL ID# -T " C�'C�1 j �- t�U <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/AI'T 0 SIGN Q Q DEMOLISH <br /> #NSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �^ <br /> BUILDING SIZE 5Q FOOTAGE� HEIGHT •-r --,--� -- . '_. .. <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. EJ <br /> n � i <br /> �'fiLUMBING $ ' �� �� ( �� � <br /> � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> �GAS Q ROOFING Q SPECIALN � OTHER <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTER@D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURftE� Y/N •• -••�•- ••-�•� ,•• • <br /> •.� '-r-•T-.. . .. „_ <br /> Address License# <br /> PLUMBER �S�� COMPANY � n <br /> SIGNATURE ��(�"�-"' REGISTERED / N FEE CURRE� Y/N <br /> ��� f�C� �S`o <br /> Address 5�Y License# � <br /> MECHANICAL ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY i <br /> SIGNATURE ' ' REGISTERED Y I N FEE CURRE� Y/N � <br /> Address License# � <br /> IIIIIIIilllllltllllllllillllilllllllllllliltlllllllllllllllilllllll <br />