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<br />I <br />I <br />I <br />I I LOT# I I <br />I P~RCELlD#l1..l....~t:,-.:J..1 --cx:::>/CJ -/37<::O-<::lCD(ol <br />I (OBTAINED FROM PROPERTYTAX NOTICE) <br />D NEW CONSTR E3 AqD/AL T D SIGN D MOVE D DEMOLISH . <br />D INSTALL RlPAIR <br />PROPOSED USE D SFR D C~MM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FFf'ME D STEEL D <br /> <br />DESCRIPTION OF WORK I I <br /> <br />II t? X /(p I SQFOOTAGEI / ~O I HEIGHT I <br /> <br />I 'r 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 . . . . f 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 <br /> <br />[g;) BUIWING 1$ ~ I 915. c:e. I VALUAtiON OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS D ROOFING D S~ECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLFOD ZONE AREA DYES <br /> <br /> <br />1.1"","'1111111,...111111111111111,...,11"1.",.,111'1111'111..QIIII'IIIII'III'I'IIII'f"""""'IIIIIII1".."'..11,....'..,..........,.,11 <br /> <br /> <br />(2~~{J- 'b- ~I\:~I <br /> <br />"-I---u <br />Owner's Name R ,e;, Aye fI e..J{ k" f J/ <br />Owner's Address I 5 tl Y 7 J I ~l( ~-r: <br />Fee Simple Titleholder Namel <br /> <br /> <br />City of Zephyrhihs Permit Application <br />Building Department <br />I <br /> <br />Phone Contact for Permitting <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Date Recei~ed <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br />f5'tf t.f 7 <br /> <br />I I 1"""- <br /> <br />CSr <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />II rr; <br /> <br />D <br /> <br />W.R.E.C. <br /> <br /> <br />/JM.,j:pI? <br />1J~ ~ <br />&51~~ <br />DNO (5Y\ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />r7I ~ fortAVt<.. S ReDS <br />I Y I N I FEE CURRENT I Y I N I <br />License # I <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT <br /> I License # <br />I I COMPANY <br />REGISTERED Y I N FEE CURRENT <br /> I License # <br /> COMPANY <br /> REGISTEkED YI N FEE CURRENT <br /> I License # <br /> COMPANY <br /> REGISTERED YI N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />