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i . <br /> I slaaso-oozo City of Zephyrhilfs Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> Dat Received Phone Contact for Permitting — ' <br /> � ia � � it � � : � � � <br /> Own r's Name Owner Phone Number <br /> Own r's Address Owner Phone Number I <br /> Fee imple Titleholder Name Owner Phone Number <br /> Fee imple Titleholder Address <br /> JOB qDDRESS L T# � <br /> SUB IVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOT CE) <br /> WO K PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INS ALL REPAIR <br /> PROI OSED USE � SFR Q COMM � OTHER <br /> TYP OF CONSTRUCTION 0 BLO K � FRAME 0 STEEL � <br /> DES RIPTION OF WORK <br /> BUI DING SIZE SQ FOOTAGE� HEIGHT <br /> i <br /> � eUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> � PLUMBING $ <br /> I <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> II GAS � RO FING Q SPECIALTY 0 OTHER <br />, FINI I HED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUI DER COMPANY <br /> SIG ATURE REGISTERED Y/ N FEE CURREN /N <br /> ddress License# <br /> I <br /> ELE�TRICIAN COMPANY <br /> SIG ATU RE REGISTERED Y/ N FEE CURREN �Y/N <br />' ddress License# <br /> PLU BER COMPANY <br /> SIG ATURE REGISTERED Y/ N FEE CURREN /N <br /> ddress License# <br /> MEC ANICAL COMPANY <br /> SIG ATURE REGISTERED Y/ N FEE CURREN I N <br /> ddress License# <br /> OTH R ' COMPANY ROBERT BINNS ROOFING,INC <br /> SIG ATURE REGISTERED Y/ N FEE CURREN Y/N <br /> ddress 5918 COUNTY ROAD 542 ,WINTER HAVEN,FL 33680 License# CCC13�5548 <br /> � � � r � � � � E � � � � � � � et � i � � � � � ti � � � � � � i � � � � � � � � � : i � � i � i � � f � � tie � i � e � i � � <br /> RES ENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUo , <br /> Minimum ten(10)working da s after submittal date.Required onsite,Constnaction Plans,Stormwater Plans� /Silt Fence installed, <br />� J <br />