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<br />813-780-0020 <br /> <br />City of Zephyrhil/s Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />3iOl.!f <br /> <br /> <br />r,lt/ An 0 Owner Phone Number <br />P/l" Z#owner Phone Number I <br /> <br />I Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />F.. Slmpl. ""ehold.' Add.... I <br /> <br />JOB ADDRESS I ~?o.2~ <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I l/ ;? <br /> <br />BUILDING SIZE I / Z 7 L.!~ I SQ FOOTAGE I <br />. <br />I I I I I I I I I I , , . I , I I I . . I , I I I I I I I I , 1 I I I I I r , , r , I I I . I I I I I I . I I I I. I t I I I I I I I I . I I I I . I I I I I I I I I I I I I I I I I I I I I I I , , I I I . , r I I I I I I I I I , ~ , I I I I I I I I I I , I I I I I I I , , , I I I I I I I <br />1$ <br /> <br />~ ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br /> <br />D MECHANICAL 1$ <br /> <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII111111111111111111111111111111111111111I1I11111111111111111I11111111111111111111111I11111111 <br /> <br />BUILDER I COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I <br /> <br />~I ~t"Tglr:IAN I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />?ftn..R <br /> <br />, <br /> <br />I <br />~ <br />o <br />o <br />U/t/h:?~ <br /> <br />.J)~ <br /> <br />2r~"Lb <br /> <br />PARCEL ID#I <br /> <br />fi~ <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />D <br />D <br />D <br />5G7?~//LG <br />/Z7C~ <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE :2tt/'O <br /> <br />c:;:::r---PROGRESS ENER~;~.C <br /> <br /> <br />h~19 ! <br /> <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br /> <br />I <br /> <br /> <br /> <br />License # I I <br /> <br />I~? f.:~~~ l~ <br /> <br />a//L/ <br /> <br />Ct:r.::I~T~RFO <br /> <br />padwelS JO P91UJ.Jd 'pad.<J AlelON JO aweN <br /> <br />padWBls JO palu!Jd 'pad.<J AlejON JO aweN <br /> <br />'ON UOISS!WWO:::l <br /> <br />'ON UOISSjWWO:::l <br /> <br />O!lQnd AlBIoN <br /> <br />Ol/Qnd AlBIoN <br /> <br />'uO!le::>!J!luapl SB <br />paonpoJd aAel.//SBI./ JO aw 01 UMOU)f ^/IeuoSJad aJB/S! OlfM <br />^Q <br />S!I./I aw aJoJaQ (paWJIJjB JO) 01 WOMS pUB paQ!JosQns <br />HO~:>VH~NO:> <br /> <br />'uO!le::>!J!luaPI SB <br />paonpOJd aAelf/SBI./ JO aw 01 UMOU)f ^UBuoSJad aJB/S! olfM <br />^Q <br />sll./l aw aJoJaQ (paWJIJjB JO) 01 WOMS pUB paQlJosQnS <br />~N3mf HO H3NMO <br /> <br />'l.N3W3:>N3WWO:> =10 3:>1l.0N (f;OB ~ .S"=/) ~~nr val~Ol=/ <br />I'"~...n" '~"'l"...w...i... ...wu:." n. ~nOA ~NIO~0:>3~ 3~O=l3S A3N~OllV NV ~O ~30N3' ~nOA Hl.lM <br />- I'IU~ . .... """"'....... ~.L. "'~ <br />~~ n. ~. "'=:J.W~"U'UA.4.IU' un", ::JI~'AA' nAlU,"'ri <br />