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i I <br /> s��-�saoo2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ' � <� Building Department <br /> . .�; , „ <br /> Date Received Phone Contact for Permittin '7� �����V 2 <br /> Owners Name lS��w �V ``�'�+~ Owner Phone Number <br /> Owners Address � c��S— �`�" � Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS K.�� LOT� � <br /> SUBDIVISION ��`� PARCEL ID/� ��!� '�v�^���'—�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP710N OF WORK b'n �� �� �� <br /> BUILDING SIZE ��v V`�'�� SQ FOOTAGE� HEIGHT <br /> OBUILDING $r�, eir� � VALUATION OF TOTAL CONSTRUCTION <br /> O"[��V, <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �I <br /> BUILDER COMPANY �l�dG✓ <br /> SIGNATURE REGISTERED Y/ N FEE CuwiEn Y/N <br /> Address License# ��lJ� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cu�t�n Y/N <br /> Addr�s License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CuwiEn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CuwtEn Y/N <br /> Address License# <br /> Illlllllllllllllllllllllltlltllllllllllttllllltllllllllllllllllllll <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,Starmwater Plans w/Silt Fence installed, <br />