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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ` Building Department <br /> Date Received p Phone Contact for Penniftin-Y-F-F-F-11711 F7r-r-F-M �J I- I <br /> Owner's Name z?, L_zz Owner Phone Number (its) - 6 2 5-34 55 <br /> Owner's Address <br /> 6 y 1-7 ��Ert-rw©off ��.z LyRW s S' Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS yl"l B ►aT(,ioeD DR. Z�Pt1YRHt�,L.S FL. 33542. LOT# <br /> SUBDIVISION PARCEL ID# y r 2�`2,l-0030 "00 G00 da o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK ftembm E CE 'EXATitAcy SMIMI 116oV,UPLAGe MmTED WOGAS NeMBb <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING $ O OD VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1 P+ <br /> SIGNATURE �`1 l,�1 REGISTERED Y/ N FEE CURREN Y/N <br /> Address / License# ^ <br /> ELECTRICIAN /A COMPANY N �1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address I License# *��� A <br /> R <br /> PLUMBER a COMPANY I A <br /> SIGNATURE ' ` REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# 1` A <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN <br /> Address License# K <br /> OTHER COMPANY PEBBI-ESFoNf_ col4STP meth <br /> SIGNATURE REGISTERED Y N FEE CURREN Y/N <br /> Address 154100 54k, CdAME t_ t,�336 o License# I Cce <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&1 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br />