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I <br /> 813-780-0020 �U."`�ity of Zephyrhills Permit Application F -813-780-0021 � <br /> �� ' 1�� Building Department l (,, �j I ,n�,/ <br /> ; r �(.' �� O L\� ��" "/�- <br /> Date Received Z � � �7 __ r1��� � � <br /> Phone Contact for Permitting C_ V <br /> .�_ ,..�..i..�__�. �...�. .. .. .. _ . ._ .. .. . _ ..�...T._i_.�..r .._. . , <br /> Owner'sName �'1 OwnerPhoneNumber ,�}� ��I �'S�p �J� <br /> Owner's Address �`t� 1 ` �;'� �-lL`� - (�. �Cl'I� 1� Owner Phone Number <br /> ,/� �4-a3s� <br /> Fee Simple Ttleholder Name � / Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � � � LOT# � <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN � � DEMOLISH <br /> e INSTALL REPAIR <br /> PS�OPOSED USE � SFR COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK FRA E � STEE � I <br /> `" DESCRIPTION OF WORK � 1. v � �✓{ � 2 � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING � $ _ VALUATION OF TOTAL CONSTRUCTION <br /> /3,9�`�� <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E C <br /> OPLUMBING $ � f �� ✓ I <br />, l.J�'U _ �,��,�-___.__. <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�S���S � <br /> cn/, �� � o'u_ , I <br /> �GAS � ROOFING � SPECIALTY � OTHER � ��/I � ' <br /> FINISHED FLOOR ELEVATIONS FLOODZONEAREA �YES N� � � �L <br /> � �.� ((—lc� <br /> _ j � <br /> BUILDER �{ COMPANY ��, SC� <br /> SIGNATURE � v g REGISiERm / N FEECURRQ� /N <br /> Address q �.1Q,� �,� • License# C��S <br /> ELECTRICIAN vCOMPANY G/ � r/YG <br /> SIGNATURE ` REGISTERm Y/ N FEECURRET Y/N <br /> I <br /> Address License# � �a J <br /> � � ��l�tS vl:����C1�M 5 , �'�L <br /> PLUMBER '� -��� ��gif1G_ COMPANY 'r` <br /> SIGNATURE tl REGISTERm Y N FEECURRET N <br /> Address ��W ` l��S� Z'�l�lS dFL �j JL�a License# �� �i ����� <br /> MECHANICAL � CO,t � I („��Q •MPANY <br /> SIGNATURE �`� � l �� �t REGISTERm Y/ N FEE CURRQ� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERm Y! N FEECURRET Y/N <br /> Address License# I <br /> IIIIIIIIIIIII111111111l111111111111 � f / 1111 ! lIIIIt111111I1Iti1 � 11111 <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 Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page,(1)set of Energy Forms.R-O-W Permit for new consVuction. <br />