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� ^�s-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received � !�r lj Phone Contact for Permittin ��3 � 77`--y ��� � <br /> Owner's Name � G� � �-?�1 y� , ( f �•S Owner Pfione Number <br /> �3 � 5 ��'�' sf <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS LOT� � <br /> SUBDIVISION �- PARCEL IW! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN Q Q DEMOLISH <br /> � INSTALI 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �- r- � i <br /> DESCRIPTION OF 1NORK .��'; �i�1� ��1�"� ��w<< /t.rlC L (, /f T C."7--�5 <br /> � ; <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �t'' <br /> QBUILDING S f`�G�� Cv VALUATION OF TOTAL CONSTRUCTION <br /> �� i <br /> [�ELECTRICAL � AMP SERVICE Q PROGRESS E RGY Q W. E.C. <br /> QPLUMBING a ��/ �� l <br /> .� l�r <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION � � <br /> � <br /> QGAS Q ROOFING Q SPECIALTY L� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �_..._ ^.--- /, <br /> BUILDER -y�y��� � � COMPANY �S /� �'�G�' `'�������� <br /> SIGNATURE ����+"�yti✓-�_� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# '������� � �Z"" <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Forms;R-O-W Pertnit fo�new construction, _ _ <br />