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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Department
<br /> Date Received 5 1�11'� , � Phone�ConQact�for�Permi�tln � � c�� - �' `
<br /> Owner's Wame �\ � Owrn�r Phone Numb�r V �
<br /> Owner's Address �11 O �V �"1�'� ' ��'C. � • Owner P,hone Number -
<br /> Fee Slmple,Tltleholder.Wame � �� - Owner Phone Number ' � `�
<br /> _ a: - , , - .. - .
<br /> Fee Simple,Tltleholder Addreas ' ° ,
<br /> - JOB I�DDRESS � ! �"L� C��" �e. Z, �1�� V�J LOT# �S - -
<br /> SUBDIVISIOPI _ �(�Q� T�1�'\��� PARCEL ID# " �'�o[�
<br /> _ . •: ,� , ., (OBTAINED FROM PROPERTY.TAX NOTICE) ; -• -
<br /> WORK PROPOSED_, :.t;NEW CONSTR ADD/ALT Q� SIGN` 'Q•_ Q DEMOLISH
<br /> � �, .INSTALL _ B� •, REPAIR � ' �
<br /> PROPOSED�U$E_ � �; SFR, Q ='COMM • Q OTHER =' � � ' '
<br /> TYPE OF CONSTRUCTION Q " �BLOCK '" �Q FRAME �Q STEEL Q O
<br /> � l `_ , n -
<br /> DESCRIPTION OF-WORIf 1 �n�,�l` �'N�Q. ,��J�- ��JuJ
<br /> BUILDING SIZE ' • O�V gl'I 'SQ�FOOTAGE,' Q�'I ,, .- ;HEIGHT�� ��� -
<br /> �BUILDING $ \/ALUATION'OF TOTAL CONSTRUCTION � �
<br /> � .
<br /> �ELECTRICAL $ ' � � AMP SERVICE �� ' �] , PROGRESS ENERGY C]; W:R.E.C.
<br /> [�]PLUMBING - $ � ' _ ' /_ _ J��,(`j�
<br /> ��� � �_
<br /> [�flflECHANICAL $ 3a�� VACUATION OF MECHANICAL IfVSTALWTION. �
<br /> OGAS Q ROOFING .Q SPECIALTY [_] OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
<br /> BUILDER COAAPAPIY:, .. ������S .
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� ` '- ' Y/N'= `
<br /> �ddress ``i �'e, �.l� ,., , �. ..-.License:#: 1.���R�S o���
<br /> ELECTRICI, ,- , . , _ .. ,I,COfWPAP1Y. 1..►��`e'1►�..< <. �, _ ..
<br /> SIGNATURE � � REGISTERED Y/ N FEE,CURRE�-' `'Y/"N '
<br /> _. .r .
<br /> -I�CiC��'8$S -- E� - . -- -- - ---- - - --
<br /> -- ���-- - --��. — -— --,- _- -.Ltcense:#-_--- -
<br /> PWMBER , , , , ORAPANY y��r��� ' ~ _ � , .
<br /> SIGNATURE ' �� _ REGIS.TERED. � 'Y/>N.� ; . FEE CURREA " Y/N
<br /> Address C�`"1 , Q Licens.e#� � -a. 'n �o��ar1`-1 -
<br /> WIECHAPIICAL' � COfI�PAPIY 1�.14.\ .
<br /> SIGNATURE• �� ' �- ' ` ` REGISTERED Y/ N `.. ' FeE CuitRen Y.kN . , , -,
<br /> ;
<br /> Address �i� �� - 4�t.��. Q.d . License# �� .
<br /> OTHER ` _ . . . . ,`';C011HP,AI!lY,` `: � , - ' .
<br /> SIGNATURE .- - � - � = - ~ ' � ` ' 'REGISTERE�' Y/ N.. Fee cuR�n Y/N .
<br /> , ,s �. . . . .. .
<br /> Addre� - - . - - - ' � - ' License#. � . �
<br /> RESIDEWTIAL,;t> .;Attach';'(2),Plot Plans;�(2)sets..of3Building�`Rians;�(1):set'ofiEnergy�Foims;R-O-W Permlt for new construction, � �
<br /> , :-,,;Mintmum;ten�(1.0);working;days;after,=subrrilttalilafe:`�Requ(red onsite;;ConstnicUon�Pians;�Stormwater'Plans w/SIIt Fence installed, �
<br /> -_ � � Sanitary Facllttles&:�1,,dumpster�Stte Woric;P.,ermit�for subdivisionsJlarge projects�=,;.;;' .;, � � - �� � ���' "
<br /> � COMMERCIAL Attach(3):complete"sets�of Buildtng Plans plus
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