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<br />813-780-0020 <br /> <br />City of Zephyrhllls I-"ermlt /-\ppIlCClLlUII <br />Building Department <br /> <br />Date Received <br /> <br /> <br />eL.,z.,A-.h ~ <br /> <br />S:.2~ <br /> <br /> <br />Owner's Address 3~ 3 Z. ~~-"-. p.. to (.. € <br />Fee Simple Titleholder NamJ <br /> <br />st-. <br /> <br />~ f~ fiS~c;' - ~, <br />Owner Phone Number I (5\ ~) 50"3.- 97 z.q <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br />3~"""-3"').. G.\~~ v2.1~g S{. <br />l..iA-.:J"'esTt e.. <br /> <br />~LS <br /> <br /> <br />uUs .fi- <br /> <br />LOT # <br /> <br />-77 <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />01900 DD I 00 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />~ <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D OTHER I <br /> <br />--J-o ,e." ~ ~ <br /> <br />HEIGHT I \ \ ,. <br /> <br />...11.11.....................1........................................................................1........................11....11..1..111.1. <br /> <br />BUILDING <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO,. <br /> <br /> <br />. II" 1.1........... I" I.......... I....... II'" 111.1." I.... II'" 1.11..'" III'" I'" III..... I" I'" II.... 1..1. P II" I" ~<III" 1111'1'" I" '11" 11.1. <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Noc <br /> <br />- <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />I~~GA^J. ~ ~~~f(erJc/l <br />I Y / N I FEE CURRENT I Y / N I <br /> <br />License # I C/le- 132. 11 g:r I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />~.~ <br /> <br />Driveways-Not over Counter if on 'public roadway~..needs ROW <br /> <br />1"'-..' <br />,:..~. ...~- <br /> <br />,.\'- <br /> <br />,k <br />