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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department , <br /> Date Recelved � � 3` Phone Contact for Permittin - <br /> Owner's Name �� U v✓� 1�-�A.GI Owner Phone Number <br /> Owner's Address ��`'� J � r �' S fi z�� l � S Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / � � 3 ` �� � � e � ✓ � � I � S LOT # � <br /> SUBDIVISION � PARCEL ID# I 1 " Z�O ' Z I' � V I v � z.O�c�- CvS � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �C 1�v a� W � S L� 4 � r'� � <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT \ <br /> QBUILDING $/+ j� v v� VALUATION OF TOTAL CONSTRUCTIO � ��� 9 <br /> lq �� <br /> DELECTRICAL $ AMP SERVICE Q OGRE Q W.R.E.C. <br /> �� �� <br /> QPLUMBING $ � �U �� � f��� � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'��� � - f' <br /> 0 � � � � <br /> � �� ��� t <br /> QGAS ROOFING Q SPECIALTY Q OTHER � s�. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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 I N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER r ,�.-. COMPANY (.J C ' ��-�(J�-W��- � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �°t! ��' � 1 � ° ✓ �-h �� �%c ! � � �� � � License # G� � � 7 � S / <br /> RESIDENTIAL Attach ,2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br />