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<br />City of Zephyrhihs Permit Application <br />Building Department <br />I <br />I <br />I <br />Phone Cont~ct for Permitting <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />() <br />'Sh ~r /'l7 pec{< <br />I 3 ~ c:; d- '7 / D '1..", <br /> <br />It (/ t3" <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />3 cgo~7 <br /> <br />/0 --('4 <br /> <br />I <br /> <br />P~RCEL 10#1 <br /> <br />AJD/AL T D <br />R~PAIR <br />C~MM D <br />FRAME D <br /> <br />I <br /> <br />I/~ .x I~ I SQFOOTAGEI JVoZ. I HEIGHT I 10 Pr'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 I I . . . I I . . . . I . . . I I I . . I . I . . I. . I I , . . . I I . . . . I I I . . I I . I . . I I . II I . , . I , . . I . I I I . I . . . . t I I I I . I I . . I , , I . . I . . I , , I . . . <br />I <br />VALUA!'ON OF TOTAL CONSTRUCTION <br />AMP S~RVICE D PROGRESS ENERGY <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />I <br />E3 <br />D <br />D <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~ <br /> <br />1$ 3/ /7 7, 75 I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />BUILDING <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />.~ <br /> <br />Fax-813-780-0021 <br /> <br /> <br />I <br />I <br />I <br /> <br />I <br /> <br />rt.IV5 <br /> <br />LOT # <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D <br /> <br />w.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />S~ECIALTY 0 OTHER <br />FL OD ZONE AREA DYES <br />'0 <br /> <br />c::,' k.. r{jY' <br />~~~. <br /> <br />DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />I <br /> <br />I <br />I <br />II <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 />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMMERCIAL <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />