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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permlttin� <br /> I r-T-F-T-r-T-T-T-lr I " I 1-1 1 1 ILI ' - * I <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 1-1112,-145- Z—'g <br /> BUILDING SIZE F ISQ FOOTAGE= HEIGHT <br /> -[�1BU'ILDING--" 1$ 7 VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE ELECTRICAL 1$ PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ 14 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Y,%.PJC0 <br /> =GAS Q ROOFING Q SPECIALTY = OTHER �I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN Address License# <br /> ELECTRICIAN COMPANY <br /> 4 AA� <br /> SIGNATURE "r REGISTERED Y/ N FEE CURREN I Y/N <br /> Address LA Je--<13'L L 40Z iF License# 1 '0-e- <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L�N <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 Gate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I clumpster;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 />