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s��-�ao-oqzo • City of Zephyrhills Permit Application F�-s� 0-002� <br /> , _ <br /> Building Department <br /> � ' <br /> Date Received s� LV�l.� Phone Contact for Permitting j , ,� — �..2 5 <br /> -r-r-r-rr-rr�_ _ _ _ _rrrr ' <br />' .r ,r� <br /> Owners Name � �Y r� I/L I�J Owne Phone Number ����� ��L <br /> Owner's Address .j S //� �/8- ' Owner Pho um <br /> Fee Simple Titleholder Name �f�Fc� �(/ ti Owner Phone Number <br /> Fee Simple Titleholder Address C �j ��a //(/P <br /> JOB ADDRESS � �3 t7 �� � I LOT# � <br /> SUBDIVISION PARCEL ID# ���„Z -- I °OG/ � `S ,�(J "C21, � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSfR e ADD/ALT _� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK R� ��e �jU,j���c. 1`-//f ���� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ���� <br /> ELECTRICAL $ � � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � /� � 2� � <br /> � J�QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �j> <br /> U <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO � � � � <br /> 0 � <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 <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 /> -1-1 1 17-1 1 1 f 17 1 1 1-1 1 f 1 1 1 1 1-1-l-I 1 1 1 f 1 1 17 1 1 1 f7 1 1 1 1 1 1 1 17 1-1 f 1 1 I 1 1 1 1 1 1 1 f"f 1 1-1�1 f <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 /> Canitarv FarilifiPe R 1�i�imnctar Ci4a Wnrk Partnit fnr ci ihrlivicinnc/lama nmiartc <br />