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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 1(so <br /> I I I K <br /> Owner Name Owner Phone Number <br /> Owner's Address a7-,> -S SS W00(4 N— I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 7,(- <br /> JOB ADDRESS LOT# <br /> SUBDIVISION ITL t-00 04 1 PARCEL ID#FOZ at,,-24-'C)30V- 00000 -6) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK F7 FRAME STEEL <br /> DESCRIPTION OF WORK A-16 C90� Z�:"C,kj" '1�, +0"L I'S <br /> I BUILDING SIZE F SO FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> 7 <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F7 SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_] <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> r <br /> -11 <br /> Address I-MY('11 L-P14 0 44495 YJ VA License# C 7A <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN__j <br /> Address License# <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 Plans w/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 dumpster.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 /> . . . . . . . . . . . . . . . . <br />