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n,3-�so-oczu City of Zephyrhilis Permit App�ication Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting _ ' <br /> Owner's Name r � t � < <v'C� Owner Phone Number �� 33 �� <br /> Owner's Address [�� �� �y� (;. �����( 3�,�,� Owner Phone Number <br /> Fee Simple Titleholder Name +� � Owner Phone Number <br /> Fee Slmple Titleholder Address l�l <br /> JOB ADDRESS �S ' I�I� 13��+J�- Z. I�l ^ � � 3j LOT # C� <br /> SUBDIVISION PARCEL ID# i/' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK � I 3 -�- `S -� pN `�� 3 5 - V <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATtON OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPIUMBING $ <br /> �MECHANICAL ' $ �� ,� VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL " � COMPANY �1��'1�� ��'���1�'Q� 1 � <br /> SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> ^^��'�'^^�_, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />