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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date RacelVed Phone Contact for Permitting 6 <br /> JI I All A I Li U I I A I I I.Lr.A" <br /> ... <br /> Owner's Name ............. <br /> Owner Phone Number in, <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phony Number <br /> > <br /> Fee Simple Titleholder Address 3 <br /> JOB ADDRESS 5-Cr 7 e/- VXE-7L XYL LOT# <br /> SUBDIVISION PARCEL ID# '55,4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM OTHER 1 <br /> TYPE OF CONSTRUCTION Q. BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ........... <br /> [:E _- <br /> BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL AMP SERVICE PROGRESS ENERGY a W.R.E.C. <br /> ®PLUMBING 1$qez�-,, z— <br /> F"77 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING Q SPECIALTY L OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> 1.1....I......1 +1 <br /> HHHH...............11 HH!IH HH H............................... ................................... ........ <br /> ............... ....... <br /> BUILDER /XJ COMPANY '7e <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> I — <br /> Address License 9 <br /> PLUMBER COMPANY L 0k C, C 0 Uwt i vti Lk <br /> L <br /> SIGNATURE REGISTEREDFEE CURREN _y <br /> L N <br /> Address License# F—(, - E 0 7 Z. <br /> MECHANICAL COMPANY J2 Gj <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LU_N <br /> Address I License# Fc—Ac o Y,?5> 9 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN /N <br /> Address License# I <br /> ............... ........ <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 wl'.;fit Fenr.A imtq1taA <br />