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,"813-780-0020 City of Zephyrhills Permit Application Fax-813480-0021 <br /> Building Deparim I ant <br /> Date Received <br /> Phone Contact for Permitting 1� <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> U <br /> JOB ADDRESS +3 E CL LOT# <br /> SUBDIVISION 17 PARCEL to# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT Q, SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL F- <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I i SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL iONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> 7- 2,- lktd:5 <br /> $ VALUA <br /> TION ATION OF MECHANICAL INSTALLATION <br /> AGAS 1 <br /> ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY L <br /> L SIGNATURE REGISTERED Y/ N FEE CURREN YL N_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN LKLN <br /> Address License# <br /> /QL <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I YIN <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED LaN J� l YIN FEE CURREN <br /> Address License III I 1 1 <br /> 1.1111111111 4 1111 1 1 1 '*1 i 1 1 1 1 1 11 H+ <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 Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/larg6 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,instruction Plans,Stormw0ter Plans wl Silt Fence.installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.A-commercial require,ments must meet I coinp!iance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br />