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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> A,& <br /> Owner's Name "ell -S�tl Owner Phone Number 1(6 113-312(0- Jsl��7 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESSRZ LOT <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PT <br /> ROPOSED USE 0 SFR a COMM O OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> <; cv-+ <br /> DESCRIPTION OF WORK C?,A- `( <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> �<PLUMBING 1$-7CQ,QQ I <br /> =MECHANICAL 1$ —1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Ell COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE l I REGISTERED Y/ N FEE CURREN LILN_j <br /> Address License# <br /> 30 <br /> PLUMBER (COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> I OiKJ — <br /> Address Li c7 License# FEF-7CNZ.`Z i�l <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for ne"w construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 clumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br />