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$� �so:oo20 - <br /> . City of Zephyrhills Permit Application Fax-813 780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — ' <br /> -�-�_r_�_�_i_ r _ _ _ ..rn�-�-r <br /> ► /��, <br /> Owners Na e � W 2Pi �,s,s Owner Phone Number � ' <br /> Owner's Add ess �/ � �j {� � Owner Phone Number <br /> Fee Simple tleholder Name Owner Phone Number <br /> Fee Simple itleholder Address <br /> JOB ADDRESS I� �S � �'J E�(/�-e-- LOT# <br /> � <br /> SUBDIVISIO PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PRO OSED e NEW CONSTR e ADD/ALT 0 SIGN � 0 DEMOLISH <br /> INSTALL___ REPAIR <br /> PROPOSEDI SE Q SFR Q COMM 0 OTHER (9D <br /> TYPE OF C NSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTI�N OF WORK C��� �1 '' � �I <br /> � � l �0-ro � o b <br /> BUILDING S�ZE SQ FOOTAGE� HEIGHT <br /> �B I ILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DE ECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> OPLUMBING $ � � ( <br /> �-(� � <br /> OM CHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QG S 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED F OOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �j � <br /> SIGNATUR REGISTERED / FEE CURRE� Y/N <br /> Addre s License# <br /> ELECTRICI COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURREA Y/N <br /> Addre s License# <br /> PLUMBER COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre s License# <br /> MECHANI L COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre s License# <br /> OTHER COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre License# <br /> 1" IIIIIf11t111111111110Ii1P1 / IIIIt111111I11111I�Illllflllllf"Illf / lllf <br /> RESIDEN AL 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 afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />