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, � i <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-8�13-780-0021 <br /> Building Department i <br /> Date Received � �ft� <br /> Phone Contact for Permitting 3 47 � - �7�d , <br /> �-� �--�-�-� � �- - - - - - -- -�-17-�-� - <br /> Owner's Name ��Q J s Owner Phone Nuinber 7a 7- yya—��8� <br /> ;. <br /> Owner's Address s I /V� r BJy . '� Q�J /r �� Owner Phone Number I <br /> � I <br /> Fee Simple Titleholder Name 7 9 .Owner Phone Number � <br /> - ; <br /> i <br /> Fee Simple Titleholder Address i <br /> i <br /> JOB ADDRESS 07 � 1y %l � 3v�S%� LOT# �� <br /> SUBDIVISION PARCEL ID# �"07,5 47�'��Q' 8��"'��D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � i <br /> WORK PROPOSED NB/V OONSfR ADD/ALT ��SIGN Q Q DEMO lISH <br /> e INSTALL e REPAIR i <br /> PROPOSED USE Q SFR �� COMM � OTHER ' I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q I <br /> DESCRIPTION OF WORK IGC/7'X� S . /1S iS <br /> /'at '�aa. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $� 3�s�OD VALUATION OF TOTAL CONSTRUCTION I <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q ; W.R.E.C. <br /> I <br /> QPLUMBING $ ' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �1 ��V � ; <br /> i <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br /> I <br /> BUILDER �� ' � COMPANY �� !7 S ,3�CII'1 <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N I <br /> AddPess License# (�!7[� fa SI��/ <br /> ELECTRICIAN �'n P � COMPANY ��/'/' �G � <br /> SIGNATURE d�� REGISTERED Y/ N FEE CURitE� Y/N ! <br /> Address License# f, � <br /> i <br /> PLUMBER COMPANY ; <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> I <br /> Address License# i <br /> i <br /> MECHANICAL COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i <br /> Address License# <br /> OTHER COMPANY � � <br /> $IGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# � <br /> 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 I�t 1 1 1 1 <br /> RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R=0-W Permit for new construction, <br /> Minimum ten(10)working days aftersubmittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllltles&1 tlumpster;Site Work Permit for subdivisionsllarge 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 construction. <br />