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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( /� )3 <br /> €€ € € € € €€ €€ €€€ I <br /> Owner's Name � �,�✓ .9—: M ERSOJ'✓ Owner Phone Number <br /> Owner's Address 6%5�2 1,11U R£G Vv D O0 V A, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESSSo2 LU ,iQ, , ,,�yCecS ,�G 33S LOT# I <br /> SUBDIVISION 51 L Ue'l? 04'K� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONITR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM = OTHER Co C IC 7 <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK /6 X 20 0AlCR � 5L/413 Q/CT D/f e4ck 40,r c Al <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> 7ILDING $ 70 d/©� VALUATION OF TOTAL CONSTRUCTION <br /> U <br /> ELECTRICAL $ (// AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ -ai/I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE EGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address L License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> IIIIAIIIIIIItIIIIIIIIIIIIItIIaIIIIIaIIIIIITIIIIaIItIIIIaIIIIINII! IIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />