Laserfiche WebLink
813-780-0020 City of Zephyrhiils Permit Application Fax$13-780-0021" <br /> Building Department <br /> Date Received Phone Contact for-Permitting ( — <br /> tttttttt � � <br /> Owner`s Name Owner Phone Number <br /> Owner's Address . Owner Phone Number �^ <br /> Fee Simple Titleholder Name Owner Phone Number �^ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS P/"I✓g LOT# <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADDIALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -IE7E'€1€3C <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ _ AMP SERVICE = PROGRESS ENERGY 0 W.-R.E.C. <br /> =PLUMBING 1$ � <br /> =MECHANICAL 1___ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> URE REGISTERED YIN FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANYG <br /> SIGNATURE We v ,r REGISTERED I YIN FEE CURREN Y/N <br /> Address loe2 l tJally/,N Olf/ItG� rc 3zt�lQ License# 5E 13oo Z�3 <br /> PLUMBER COMPANY 0%\\\Q-tW). t n L. <br /> SIGNATURE � '� 1(10�� � REGISTERED N FEE CURREN N <br /> Address 5�OCIS i l�r\ J'� Z e(�1 lac 11�1�5, L 3ya License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Ly I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N j FEE CURREN Y I N <br /> Address License# F <br /> tttaAI IaIa IaaaIt"t,Xtat# aXaIalttE#atZaItsItatIt Ali a#ttllt2-9122212aaIIaaaaI <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br />