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<br />,I I <br /> <br />813-780-0020 <br /> <br />City of Zephyrtlills Permit Application <br />Building Depa1ment <br /> <br />Fax~13-780-0021 <br /> <br />Ow\ler's Address <br />fell Simple Tllleholder Name I ""- <br /> <br /> <br />Fee SImple Tllleholder Address I <br /> <br /> <br /> <br />Owner Phone Number I <br />Own<< Phone Number I <br /> <br />,Date Receiv!K' <br /> <br />Owner's Name <br /> <br />LOT' I <br /> <br />I 34 y.y:~ g~ ~ <br />I S~ W-...\::t4lf.4Ult-cleARCEllDlll ir ~ irLD ~d-I . 0310 . 00000 ~ DIPOC) <br />(OBT- ~ PR<lI'Bn'Y TAll NOTICE) <br />E3 AOOIAlT D SIGN D MOve D DEMOLISH <br />REPAIR <br />D COMM D OTHER I Coo eub. d~".k.. <br />D FRAME D STEEL D OllER I <br /> <br />(<pnc'..)CL-\ \ Uy~~ (~......Jcu.~<'~c..\( /SQJuJU'", ~cl~ <br />I V <br />SO FOOTAGE I I HEIGHT I I ( 54:> J'- '2~ ) <br /> <br />1$ l&'. I.D l' S.~ I VAlUATION OF TOTAl CONSlRUCTION <br />1$ I AMP SERVICE <br /> <br />1$ I <br /> <br />1$ I VAlUATION OF MECHANICAL INSTAlLATION <br /> <br />D ROOFI'lG D SPECIAl TV D OTHER <br /> <br />FLOOO ZONE AREA <br /> <br />J<* ADDRESS <br /> <br />SUj!D1VlSION <br /> <br />wqRK PROPOSED <br />i <br />PR\>PoSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DEj;cRlPTlON OF WORK <br /> <br />I <br /> <br />E3 <br />D <br />D <br />I ~ /"'l(')\ <br /> <br />NEWCONSTR <br />INSTAlL <br />SFR <br /> <br />BLOCK <br /> <br />=LLDlNG SIZE <br />OJ BUILDING <br /> <br />CJ ELECTRICAl <br />o PLUMBING <br /> <br />CJ MECHANICAl <br /> <br />o GAS <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D WRE.e. <br />;J DL- - (U..-V dl <br /> <br />F....ISHED FLOOR ElEVATIONS <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />=RE <br /> <br />Adchss <br /> <br />== <br /> <br />COMPANY <br />REGISIERED <br /> <br />l.!L.!U <br /> <br />FEE CURRENT <br /> <br />l...!.L!U <br /> <br />Adchss <br /> <br />License II <br /> <br />=':.: <br /> <br />COMPANY <br />REGISIERED <br /> <br />l.!L.!U <br /> <br />FEE CURRENT <br /> <br />l...!.L!U <br /> <br />Adchss <br /> <br />License II <br /> <br />~ 1= <br /> <br />=;!/~-2-I =f <br /> <br /> <br /> <br /> <br />~ _ (2) Plot Plans; (2) sets of Building Plans; (1) set of Ere", Fcecco <br />Minimum ten (10) working days after submillaI dale. Required o"srte. C,,,,,,,,,,,,,,,,", P!""c. "",'C', 'c_ '....,., :. ; <br />?;.i:=i:~. (~) s~1 ::::fErlefgyForms. <br /> <br />l.!L.!U <br /> <br />FEE CURRENT <br /> <br />l...!.L!U <br /> <br /> <br />.';';i;;; ;:.if~:,:::: ~.~;t-,i~;Tt-c:;; .:::ia~ ReqL,i,ec c,""',~_i~E_. Cw,,3iT"L1ct~::.;; ,.'\c;::-, :;s"i'ta'i iaCi~iti'E5-&. <br /> <br />ww>npSIe. <br /> <br />C;',l'; ,C.,;-"f,7 <br /> <br />Dir ctions: <br /> <br />. . .. <br />~~j~'f 1;. (:ontr;:M';t!'rf SJon h..~~7; f'L ~jon ~ <br />~f ~~'~..f:-". :i.2S00. 1!- Nrnj~~ ~ C~~~!"_~~U ~ ~_ (AiC upgrade!t; over i60G8l <br /> <br />(';\.' ~"r~" C:Cii.H".,iTr-R ';Y;;;:::~J;:TT;~.,;C= <br /> <br />