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, a�s-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> 8uilding Department <br /> Date Received � !S /3 Phone Contact for Permittin ��.3 � '�?-__`� L�� � <br /> Owner's Name j G� � ����j y(�, � ( 1 l..S Owner Phone Number <br /> .?� G.�,� � <br /> Owner's Address J � i 5 , S�� Owner Phone Number <br /> Fee 5imple Titteholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT A� �� <br /> SUBDIVISION PARCEL IDN <br /> (OBT/VNED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED NEW CONSTR ADD/ALT � SIGN �] Q DEMOLISN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �•�'%�i'�11 �•17� C i w(� �.flL�, �,��f i � C.'7-'�S <br /> BUILDING SIZE Sp FOOTAGE C� HEIGHT � � <br /> QBUILDING S j��G�.-Ji Cu VALUATION OF TOTAL CONSTRUCTION <br /> l <br /> QELECTRICAL s AMP SERVICE [_] PROGRESS ENERGY .- �] W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��� � � <br /> OGAS �j �� <br /> Q ROOFING Q SPECIALTY � OTHER � , � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ..--_._..._ <br /> BUtLDER � � � COMPANY C/5 �� 'f�G�- C���/�`��;� <br /> SIGNATURE �' �J��Gv��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ucense# '��`'�c.�1� / 7�-- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> 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 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 />