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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> I Building Department <br /> Date Received 1 <br /> -7- 0 - zot Phone Contact 1� 212:' ) ci ttcl=Y-tl-ts L02, (-A <br /> 1111-11111 111 <br /> . 5 - <br /> Owner's Name Owner Phone Number _2 'Ski I <br /> Owner's Address o Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 71T <br /> JOB ADDRESS CDL26� q010J 4- L LOT# <br /> SUBDIVISION PARCEL ID#1-0-� 02,L C0— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR A SIGN DDIALT DEMOLISH LA <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK C'UtOA- Weo'+�G ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, LY/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Y/ N FEE.CURREN Y/N <br /> Address U--IN11 1<;9W Licerse# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LY/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LY�-N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F- <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&I 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 />