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813 780.0020 City of Zephyrhilis Permit Application Fait-813-780-0021 <br /> Building Department <br /> i <br /> Date Received r j Phone Contact for Permitun <br /> I <br /> Owner's Name I C.�O�C�� 1"1 i J Owner Phone Number <br /> Owner's Address 3 tp t'fC� .Z t-tn ! Owner Phone Number <br /> Tt- 33V Owner Phone Number <br /> ; i <br /> i <br /> JOB ADDRESS LOT i# <br /> �SUBDIVISION �1 ���^- S PARCEL ID# `� —0 , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON5TR ADD/ALT SIGN DEMOLISH <br /> e INSTAL. REPAIR <br /> PROPOSED USE ] SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION d BLOCK = FRAME STEEL = <br /> n ` <br /> DESCRIPTION OF WORK <br /> r� <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> BUILDING 0VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �C/a/;A AMP SERVICE DUKEENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANIGAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS [ � FLOOD ZONE AREA =YES NO <br /> 00 <br /> BUILDER t COMPANY <br /> SIGNATURE / REGISTERED YIN FEE CURREN L=N <br /> Address License# I i <br /> ELECTRICIA <br /> SIGNATURE N L `" ! C',A �s�Js f c ��REGISTEREDA Y 1 N FEE CURREN Y!N <br /> � I <br /> Address License# 002,5 tU <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y 1 N <br /> Address License# �v <br /> MECHANICAL s V COMPANY <br /> SIGNATURE REGISTERED Y,I N FEE CURREN LY/N�� <br /> Address Q C) License# <br /> OTHER f � COMPANY A N ilNS JL1C <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> i <br />