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e 813-780-0020 City of Zeph.yrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r <br /> Date Received Phone Contact for Permitting — <br /> _I 11 p �1 <br /> Owner's Name C�IJ d o, rNa v l Owner Phone Number O 3 " J q a <br /> Owner's Address 3 I NG 7—cf rmce Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37(oal G(f0' Teirrace LOT# <br /> SUBDIVISION , laved arP—`T&-ai l�+oi PARCEL ID# I3 06o-Q)"�0 _00000 ` 13 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT � SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Eff BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK e �� EiciS i N t f aTeor NeCi 'e r- <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !N 7013 ( <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License10 <br /> # <br /> PLUMBER COMPANY LN I yh I�r bii/�' oT�en11� � '1 ()r�C, i <br /> SIGNATURE <br /> /�� /' REGISTERED N FEE CUR N <br /> Address 7` 0 �ivd 0 Itz W vd I License# I C=r, <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />